Annual Fee Schedule Update Will Occur on Nov. 1, 2024

Our annual fee schedule update for commercial and Medicare Advantage products in our New York regions will take effect on Nov. 1, 2024. Updates include some incremental increases and decreases throughout the fee schedule to align with Highmark’s fee schedules.

Fee schedules are divided into two sections: “Primary Care” and “Other,” so primary care providers (PCPs) and specialists, as well as other providers, can quickly find the fee schedules that apply to their practice.

The updated fee schedules will be published by Aug. 2 on the Provider Resource Center, accessible through Availity.

Accessing Fee Schedules via Availity®:

  • Log on to Availity and choose New York from the task bar at the top of the home page.

  • Click Payer Spaces and then select the Highmark plan you participate in.

  • Once you arrive at the next page, scroll down and click Provider Resource Center.

  • From the left menu, click CLAIMS, PAYMENT & REIMBURSEMENT and then Fee Schedule Information from the dropdown menu.


 

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