Provider resource center highmark

Medicaid Resource Center Medicare Resource Center ... Highmark Wholecare's Provider Engagement Team has set up multiple 1-hour webinars to provide an overview of the 2024 Highmark Wholecare Practitioner Excellence Program. You can register today for one or multiple of the online events by following the steps below.

Highmark will also post communications here on the Provider Resource Center, and Availity may announce new features and training opportunities on their in-portal message center. For Help. For Availity Client Services assistance, call 1-800-AVAILITY (282-4548) or, within the Availity portal, click Help & Training and then click on Availity Support.Authorization requests may alternatively be submitted via phone by calling 1-800-452-8507 (option 3, option 2). *Please note this form does NOT represent a legal prescription order, and the official prescription order/referral must be sent to the servicing pharmacy provider. Home Infusion (12) ☐ Office - Professional (11) ☐ Ambulatory ...A1: For retrospective review requests submitted on or after December 4, 2023, providers are encouraged to utilize the Provider Portal (Availity). If the request falls outside of the Provider Portal acceptance threshold, providers can contact Utilization Management at 1-800-452-8507.Highmark will also post communications here on the Provider Resource Center, and Availity may announce new features and training opportunities on their in-portal message center. For Help. For Availity Client Services assistance, call 1-800-AVAILITY (282-4548) or, within the Availity portal, click Help & Training and then click on Availity Support.Short-Acting Opioid Prior Authorization Form. Specialty Drug Request Form. Sunosi Prior Authorization Form. Testosterone Product Prior Authorization Form. Transplant Rejection Prophylaxis Medications. Vyleesi Prior Authorization Form. Weight Loss Medications Request Form. Last updated on 1/23/2024 5:32:02 PM. Contact Us.Highmark Provider Manual ... Message Center. Manuals . Highmark Provider Manual; ... Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark ...

Highmark Provider Resource Center - CMS. Welcome, { {dashboard.user.firstName}} { {dashboard.user.lastName}} Log Out | View Profile. Error! Log In. Forgot Password | Reset Password. Your session is about to expire! Click the button below to extend your session and stay logged in. You will be logged out after 5 more minutes of inactivity.Motorized Wheelchair. Osteogenesis Stimulators. Oxygen. Power Operated Vehicle (POV) Seat Lift Mechanism. Support Surfaces. Therapeutic Shoes. Transcutaneous Electrical Nerve Stimulator (TENS) Last updated on 9/9/2022 3:23:16 PM.Step 1: Highmark Training. Step 2: Medicare Parts C and D General Compliance Training. Step 3: Combating Medicare Parts C and D Fraud, Waste and Abuse. Step 4: Training Attestation. Once you meet the program requirements, an authorized representative of your organization can complete and retain a copy of the attestation form above for your records.Initial applicants for the Delaware Medicaid network must submit a copy of the DMAP Provider Enrollment Application approval letter. 8. New York network credentialing requirements effective 8/1/2022. 9. New York-If the license requirement is a tax certificate, the certificate is valid for all locations. Organizational Provider Type. State/LOB.On this page, you will find some recommended forms that providers may use when communicating with Highmark, its members or other providers in the network. Assignment of Major Medical Claim Form. Authorization for Behavioral Health Providers to Release Medical Information. Care Transition Care Plan. Discharge Notification Form.First Look: New Provider Resource Center. As part of Highmark’s long-term commitment to enhance the overall provider experience, we are rolling out a redesigned Provider Resource Center (PRC) in 2024. The transition will take place in phases, starting with a beta site in January for the Highmark Blue Shield region in Pennsylvania. We ...For more information on using the Service Facility Location field on claims, see the Highmark Provider Manual: Chapter 6, Unit 1: General Claim Submission Guidelines > Service Field Location. To access the Provider Manual, go to the Provider Resource Center, select MANUALS from the taskbar, and click HIGHMARK PROVIDER MANUAL from the dropdown.The Medical Policy Department, in collaboration with physician specialists, develop and maintain medical necessity and coverage guidelines for all medical-surgical products for the Commercial and Medicare Advantage lines of business. These guidelines address medical services, including diagnostic and therapeutic procedures, injectable …

Follow this link to access the CAQH. ( Previously referred to as the Universal Provider Datasource.) Under Provider Sign In, enter your username and password if registered, or select register now. Enter your CAQH Provider ID. (If you don't know it, call CAQH at 1-888-599-1771). Enter or update your information.Provider Directory. Site Map. Legal Information. The following entities, which serve the noted regions, are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc ...Prosthetics and Orthotics Procedure Codes to be Adjusted in DE, PA, and WV. 5/15/2024. Annual Update to Highmark’s Professional Fee Schedule & Pricing Methodology. 5/14/2024. Two New Types of Associate Mental Health Practitioners in PA and DE. 5/13/2024. Additional Documentation Required for Quality Improvement Organization Audits.Care Management Programs. Advanced Imaging and Cardiology Services Program. Behavioral Health Resources. Behavioral Health Telemedicine and Virtual Visits. Laboratory Management Program. Musculoskeletal Surgery and Interventional Pain Management Services Prior Auth Program. Physical Medicine Management. Radiation Therapy Authorization Program.Each reimbursement policy includes information pertaining to all Highmark markets as indicated in the header, with state specific variations indicated within the policy bulletin. History versions of reimbursement policies are stored within the PDF files. Click the "View History" link on the first page of the policy to view previous versions.

Steelo brim net worth.

A Highmark Wholecare representative will contact the member and follow-up with the provider at the provider's request. For more information or to request member outreach, please call Highmark Wholecare's Case Management Department at 1-800-392-1147. You can also fax the Member Outreach Form to the Case Management Department at (888) 225-2360.Resource Center. Our Plans. News & Bulletins. Our Partners. Home > Providers > Highmark West Virginia > Advisory Committee Advisory Committee. Highmark West Virginia has established a Provider Advisory Committee (PAC) to afford providers a mechanism to offer recommendations and comments to the Plan on provider billing, coding, and ...Provider data changes can be made by visiting NaviNet or by using the Provider Information Management Forms section of the Provider Resource Center. After you submit your form successfully, Highmark will retain an electronic copy of your CAQH ProView profile in its database and will send you a confirmation email.First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.This was done to increase visibility of the document, originally published to the Provider Resource Center in a January 8, 2020, communication. ... The new web-based Highmark Provider Manual was published on May 23, 2023. Last updated on 4/4/2024 5:32:09 PM . To Top. Contact Us.Providers may provide information to Highmark to establish a rationale for not following the protocols. To request a review, submit a . Provider Pathways Reconsideration Request Form, which is available on the Highmark Provider Resource Center. Select . CARE MANAGEMENT PROGRAMS. from the main menu on the left, and then . Physical Medicine ...

Highmark Updates Tied to End of Public Health Emergency. On January 30, 2023, the federal government announced the expiration of the COVID-19 public health emergency (PHE), effective May 11, 2023.. In response to the COVID-19 pandemic and pandemic-related laws, Highmark implemented many policies and flexibilities waiving or …Introducing a new provider resource experience that simplifies getting you the information you need, when you need it. You’re invited to visit an early release of our new site; try it out at providers.highmark.com.Your feedback is …To help providers transition to a post-PHE environment, they were given 90 days to prepare for Highmark's policy changes and insurance plans/product updates that took effect on July 6, 2023. To see the full list of changes and updates, read our Special Bulletin (updated June 28, 2023).Additional information regarding the Quality Blue Hospital Program can be obtained by reviewing Chapter 5 of the Highmark Provider Manual. ... , then navigate to the Resource Center for all the information, including training and education, on these and other programs. Last updated on 10/26/2023 3:01:02 PM . To Top.Information Center. The BlueCard Program allows participating Blue Plan providers in every state to submit claims to their local Blue Plan for indemnity, PPO and managed care patients who are enrolled in an out-of-area Blue Plan. Provided below are selections with information that can assist your office with questions you may have about the ...Please review all eight parts to this form and fill in the applicable sections. Part One - Patient Information. Part Two - Prior Level of Function. Part Three - Clinical Review. Part Four - Physical Therapy. Part Five - Occupational Therapy. Part Six - Speech Therapy. Part Seven - Discharge Plan.Highmark's Provider Resource Center (PRC): You are here! The PRC is the main hub for you and your staff to review important information and tools, such as EFT registration, policies, procedures, and the Provider Manual. Availity Essentials, Highmark's Provider Portal: The primary method to submit transactions to Highmark and access reports:eviCore has a dedicated webpage for Highmark providers to conveniently access evidence-based clinical guidelines, the current CPT code list, important resources and recent announcements. We encourage you to visit their site to ensure that you have the most current information. Reference Materials. Frequently Asked Questions for Highmark Providers.The National Hurricane Center (NHC) plays a vital role in tracking and predicting hurricanes in the United States. With its team of dedicated scientists and advanced technology, th...In anticipation of an upcoming change in West Virginia Law (Senate Bill 267), Highmark is encouraging all providers to submit prior authorization requests electronically using our provider portal (either Availity® or NaviNet®). On December 1, 2023, Highmark removed prior authorization forms from the West Virginia Provider Resource Center (PRC).On this page, you will find some recommended forms that providers may use when communicating with Highmark, its members or other providers in the network. Assignment of Major Medical Claim Form. Authorization for Behavioral Health Providers to Release Medical Information. Discharge Notification Form. Expanded Provider Directory - Group.If you haven't already done so, follow these simple steps to get the most out of your Highmark Wholecare partnership. 1. Join our network by completing this form. (To Be Updated with Join Network URL) 2. Download your provider manual. 3. Login to the provider portal. 4.

Attached please find the following documents to help you start the credentialing process: Initial Application for Facility and Ancillary Providers. Organizational Provider Participation, Credentialing, and Contracting Requirements. Highmark Provider Manual Chapter 3, Unit 4. Health Options (Medicaid) Forms (Recommended forms for Delaware Health ...

Highmark Delaware's online Provider Resource Center and access the Pharmacy Program/Formularies link for details on the formularies and formulary options that apply to Highmark Delaware members. For your convenience, you may search the following formularies online: • Highmark Healthcare Reform Progressive Formulary. Table 1. Formulary UpdatesHighmark’s Provider Resource Center (PRC) – the main hub for important information, including policies, procedures, the Highmark Provider Manual, and Provider News. …Highmark will also post communications here on the Provider Resource Center, and Availity may announce new features and training opportunities on their in-portal message center. For Help. For Availity Client Services assistance, call 1-800-AVAILITY (282-4548) or, within the Availity portal, click Help & Training and then click on Availity Support.Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue ...New York providers in network prior to 8/1/2022 will be grandfathered for board certification and processed as routine. Initial providers beginning 8/1/2022, will need to be board certified, or meet one of the following exceptions: Completed training prior to December 31, 1987. Board Eligibility Period: Providers have 6 years post-residency or ...The following entities, which serve the noted regions, are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc.,Advanced Practice Provider (APP) Enumeration Form - Use this form to enroll NPs, PA-Cs, CRNAs and RNFAs with your participating practice. Contract Upload Form - Please only use this form to send Highmark a contract. Other uploads will not be processed and not be returned. Name Verification Form - Please use this form if a practitioner's name on ...The benefits of providing both members and providers with the efficiency and safety of virtual health are here to stay. Virtual health services mean the use of synchronous or asynchronous telecommunications technology by a health care practitioner to provide health care services, including, but not limited to: Assessment. Diagnosis. Consultation.Highmark Provider Manual. We have redesigned the Highmark Provider Manual to make it easier for you to view and find important information, policies, and procedures for all providers participating in our networks in Delaware, New York, Pennsylvania, and West Virginia. The Highmark Provider Manual is your primary reference guide to Highmark.Highmark Updates Tied to End of Public Health Emergency. On January 30, 2023, the federal government announced the expiration of the COVID-19 public health emergency (PHE), effective May 11, 2023.. In response to the COVID-19 pandemic and pandemic-related laws, Highmark implemented many policies and flexibilities waiving or …

Ebony thot public.

Beaver county nissan.

Quick Claims Functionality in Availity Now Available for Highmark Providers. 4/17/2024.Go to the PROVIDER TOOLS AND RESOURCES section further down on this page. Adult Preventive Screening Reminders. These reminder cards can be disseminated to your patients while at the office or mailed to their home. Breast Cancer Screening Reminder Card. Cervical Cancer Screening Reminder Card. Colorectal …Provider Claim Education: 2024 ICD-10-CM Updates & Highlights. December 5, 2023, at 12:00PM - 1:00PM Click here to register. Key Speaker: Tina Williams, Highmark Wholecare Claims Educator, MSHSA, CPC-I. This claims training will provide updated guidance on the following topics: -ICD-10-CM Guidelines Highlights.5/21/2024. Ensuring Quality Care and Service through our QI/UM Program. 5/21/2024. Jimmo Settlement Coverage and Training Policies. 5/21/2024. Clinical Practice and Preventive Health Guidelines. 5/21/2024. Mark Your Calendar for the 2024 Provider Compliance Assessment Training. 5/21/2024.Find the latest updates and information for Highmark providers, including special bulletins, contract upload form, and quick claims functionality. Learn about Highmark's programs and initiatives for immunization, respiratory panels, channel alignment, and more.Provider News is a valuable resource for health care providers who participate in our networks. Published monthly on the last Monday of the month, Provider News conveys important product, policy, and administrative information, including billing, claims, and program updates. The publication also features the latest news, information, tips, and reminders about our products and services, as well ...Provider Directory. Site Map. Legal Information. The following entities, which serve the noted regions, are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc ...The Centers for Medicare and Medicaid Services (CMS) requires of Highmark and its network providers that current, accurate provider data is published in Highmark's Provider Directory. The Provider Directory is an important tool that helps our members contact practitioners, and the data itself is what drives timely and accurate …The High Performing Provider (HPP) designation is replacing the former Pathways Program effective January 1, 2025, for providers in all Highmark service areas. It is designed to give Highmark a formal process and framework for identifying and rewarding high-performing providers based on a defined set of metrics, allowing qualifying providers to ... ….

Behavioral Health Fax Number for Authorization Requests: 1-877-650-6112. For precertification or continued stay review requests for Behavioral Health treatment, please submit relevant clinical information via fax to 1-877-650-6112. Submission of the complete medical record may slow down the process and is not an efficient way to …NaviNet ® users should use NaviNet for all routine inquiries. But if you need to contact us, below are the telephone numbers exclusively for providers. Provider Service1-800-346-6262. Convenient self-service prompts available. Member Service1-800-633-2563. Pharmacy Services1-800-600-2227. Medical Management & Policy1-800-572-2872.Providers may provide information to Highmark to establish a rationale for not following the protocols. To request a review, submit a . Provider Pathways Reconsideration Request Form, which is available on the Highmark Provider Resource Center. Select . CARE MANAGEMENT PROGRAMS. from the main menu on the left, and then . Physical …Ordering Provider Access to RadMD - Physician Request for Prior Authorization. Pain Management (Injection) Quick Start Guide. Pain Management (Surgery) Quick Start Guide. Physical Medicine Program Quick Reference Guide. Physical Medicine Quick Start Guide. Physical Medicine Prior Authorization QRG. Physical Medicine Tip Sheet.First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. Delaware: Highmark BCBSD Inc. d/b/a Highmark …A1: For retrospective review requests submitted on or after December 4, 2023, providers are encouraged to utilize the Provider Portal (Availity). If the request falls outside of the Provider Portal acceptance threshold, providers can contact Utilization Management at 1-800-452-8507.Worksheets are a great way for teachers to engage their students and help them learn new concepts. However, finding quality teacher-centered worksheets can be a challenge. This gui...First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield. Provider resource center highmark, Learn More About the Advanced Imaging and Cardiology Services Program. eviCore has a dedicated webpage for Highmark providers to conveniently access evidence-based clinical guidelines, the current CPT code list, important resources and recent announcements. We encourage you to visit their site to ensure that you have …, First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company. Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield., In today’s fast-paced world, healthcare providers are constantly looking for ways to improve patient satisfaction and enhance the overall patient experience. One key area where imp..., Provider data changes can be made by visiting the provider portal or by using the Provider Information Management Forms section of the Provider Resource Center. Initial Credentialing Request Form After you submit your form successfully, Highmark will retain an electronic copy of your CAQH ProView profile in its database and will send you a ..., Introducing a new provider resource experience that simplifies getting you the information you need, when you need it. You're invited to visit an early release of our new site; try it out at providers.highmark.com.Your feedback is appreciated as we work to complete the experience., Annual Update to Highmark's Professional Fee Schedule & Pricing Methodology. 5/14/2024., Provider data changes can be made by visiting the provider portal or by using the Provider Information Management Forms section of the Provider Resource Center. After you submit your form successfully, Highmark will retain an electronic copy of your CAQH ProView profile in its database and will send you a confirmation email., CenturyLink is a leading telecommunications company that offers a wide range of services to both residential and business customers. With numerous service centers located across th..., Highmark Provider Form Regulations -Version 1.1 - 1/8/19 1. Assignment Account Regulations . I. Introduction . An assignment account is an account established by Highmark Blue Shield to permit one or more individual providers, practicing together, to direct Highmark Blue Shield payments to an entity other than the individual providers., Tool and Resources – The Provider Resource Center (PRC) is the central location for helpful information such as: The Highmark Provider Manual. BlueCard (Chapter 2, Unit 6) Fraud Prevention (Chapter 6, Unit 8) Important Announcements and Updates. Prior Authorization Requirements., Provider Manual. The provider manual is reviewed in detail by a provider relations representative with the provider within 30 calendar days of the provider successfully gaining approval to participate in the Highmark Wholecare network. The provider manual includes information regarding EPSDT requirements such as Blood Lead Screening, Vaccines ..., Annual Update to Highmark’s Professional Fee Schedule & Pricing Methodology. 5/14/2024., On this page, you will find some recommended forms that providers may use when communicating with Highmark, its members or other providers in the network. Assignment of Major Medical Claim Form. Authorization for Behavioral Health Providers to Release Medical Information. Care Transition Care Plan. Discharge Notification Form., Providers will continue to have the ability to access and receive electronic remittances through ECHO Health by: Downloading Electronic Remittance Advices (ERAs) directly from the ECHO Health provider web portal to bypass dependency on a clearinghouse. Downloading a human-readable remittance (PDF format) for manual …, Your session is about to expire! Click the button below to extend your session and stay logged in. You will be logged out after 5 more minutes of inactivity., The full fee schedule is available on the Provider Resource Center. Access by signing into Availity > Payer Spaces > Highmark > Provider Resource Center. Attachment size currently allows for a total 45MB for 1 - 10 attachments. Allow for attachment total size of 100MB for 1 - 10 attachments., Introducing a new provider resource experience that simplifies getting you the information you need, when you need it. You’re invited to visit an early release of our new site; try it out at providers.highmark.com.Your feedback is …, Behavioral Health Fax Number for Authorization Requests: 1-877-650-6112. For precertification or continued stay review requests for Behavioral Health treatment, please submit relevant clinical information via fax to 1-877-650-6112. Submission of the complete medical record may slow down the process and is not an efficient way to …, Annual Update to Highmark’s Professional Fee Schedule & Pricing Methodology. 5/14/2024., The full fee schedule is available on the Provider Resource Center. Access by signing into Availity > Payer Spaces > Highmark > Provider Resource Center. Attachment size currently allows for a total 45MB for 1 - 10 attachments. Allow for attachment total size of 100MB for 1 - 10 attachments., These changes are announced in the form of Special Bulletins and other communications posted on Highmark's Provider Resource Center (PRC). The most recent updates regarding prior authorization are below: Federal Employee Program: High-Cost Drugs to Require Prior Authorization. Upcoming Prior Authorization Changes on March 1, 2024., Chapter 3, Unit 2: Professional Provider Credentialing. In 3.2 Highmark Network Credentialing Policy, the ADVANCED PRACTICE PROVIDER (APP) ENUMERATION section was updated to point providers to Reimbursement Policy 068 (RP-068): Mid-Level Practitioners and Advanced Practice Providers for more information instead of Reimbursement Policy 010 (RP ..., Provider Claim Education: 2024 ICD-10-CM Updates & Highlights. December 5, 2023, at 12:00PM – 1:00PM Click here to register. Key Speaker: Tina Williams, Highmark Wholecare Claims Educator, MSHSA, CPC-I. This claims training will provide updated guidance on the following topics: -ICD-10-CM Guidelines Highlights., How Members Use the Home Delivery Service. Members can obtain home delivery forms for maintenance drugs by calling the Member Service telephone number on their ID card, or by calling MedcoHealth directly at: 1-800-903-6228. Once a member places an order, the member's information remains on file., Highmark Provider Manual ... Message Center. Manuals . Highmark Provider Manual; ... Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or …, Credentialing information for new providers can be found in the Credentialing section of the Provider Resource Center in the left-hand menu or by clicking HERE. Scroll down on the page to find specific information for Behavorial Health providers. Additional information on Credentialing is available in Chapter 3 of the Highmark Provider Manual., Highmark BCBSWNY Pharmacy Benefits Manager (PBM), Express Scripts, continues to meet operation performance standards for the commercial line of business. If you would like a paper copy of this report or QI program description, or need additional information, contact us at 1-877-878-8785 Option 3., Resources. Dealing with a health issue requires the right care and tools. Whether you are currently living with HIV, could be at risk for getting the virus, or are a care provider for a person impacted by HIV, Highmark Wholecare wants to help. Visit our HIV resource center to find local services, treatment options, and other resources., The Federal Emergency Management Agency (FEMA) is an agency of the United States Department of Homeland Security, responsible for coordinating responses to disasters that occur wit..., The following entities, which serve the noted regions, are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc.,, Members can also visit mybenefitscenter.com to find a complete list of participating retailers in their area where rewards can be redeemed. For questions on the 2024 Goodness Rewards program, members can call 1-833-559-2858 (TTY 711) Monday through Friday 7 a.m. - 7 p.m. EST., Provider News is a valuable resource for health care providers who participate in our networks. Published monthly on the last Monday of the month, Provider News conveys important product, policy, and administrative information, including billing, claims, and program updates. The publication also features the latest news, information, tips, and reminders about our products and services, as well ..., Availity Essentials: Introduction for Highmark Providers. Applications covered: General Navigation, Eligibility and Benefits Inquiry, Manage My Organization, Payer Spaces, and Authorizations. ... As more information becomes available about the status of Risk Manager, we will share that with you via the Provider Resource Center and Availity portal.