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Wellmark Blue Cross and Blue Shield. Blue Cross and Blue Shield of Kansas. Blue Cross and Blue Shield of Louisiana. Blue Cross and Blue Shield of Massachusetts. Blue Cross Blue Shield of Michigan. Blue Cross and Blue Shield of Minnesota. Blue Cross and Blue Shield of Montana. Blue Cross and Blue Shield of Nebraska. Blue Cross and Blue Shield of Oklahoma.

Regence BlueCross BlueShield. BlueCross BlueShield of Tennessee. Blue Cross and Blue Shield of Texas. Blue Cross and Blue Shield of Vermont. Blue Cross Blue Shield of Wyoming. Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.

I just wanted to let you know how impressed I am with this service. Just as you promised, I was up and running within 20 minutes of our initial conversation.

I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. Your product is everything you said it was. I am a very small company, and have actually now reduced my overhead by going with you guys!

Thanks for your honesty and integrity! The rep and supervisor went out of their way to get the issue resolved. It was nice to have a direct contact with the same representative until the problem was resolved. I keep having great experiences every time I call your company, finding a super friendly rep on the phone, helping me with any questions I have. I have also been transferred to other staff, who helped me resolve issues in the most professional way.

Your company feels young and fresh and it is a real pleasure being a client of yours. I make phone calls a lot and I find few companies as engaged as yours. That is a direct consequence of your fantastic employees.

Every time I call, it feels as if I am talking directly with the owner of the company. The reps even keep records of calls from the past, to ensure continuance of care.

Before selecting you as my provider, I called approximately 8 competitors. Your staff's knowledge and attitude far surpassed the others. Thank you for your excellence! As always excellent, professional, knowledgeable customer service. Other companies could learn from you.

Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. I always get the most fabulous service when calling or emailing!!! Your customer support reps are the best!!! Excellent service and I never give anyone "Excellent" scores on surveys. This time it was warranted.

Thank you very much for the help. Wonderful team that is always willing to assist with issues or concerns.

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Quick Links: Manuals. Highmark Provider Manual. Medical Policy Medical Policy. Medical Policies. Medicare Advantage Medical Policies.

Requiring Authorization. Pharmacy Policy Search. Message Center. Manuals Highmark Provider Manual. Professional Initial Credentialing Set Up. The online solution will guide you through the process, which will take several hours to complete the first time however, the application does not need to be completed all at one time. Helpful resources are available through links on the login page to help you initially navigate the system. Highmark is a nationally recognized industry leader in developing and implementing up-to-date, medically sound policy guidelines.

There are many policy guidelines addressing medical technology, therapeutic procedures, medical equipment and supplies, and behavioral health. They are used to administer all Highmark medical-surgical products and various fee schedule products.

In addition to commercial products, we also maintain medical policy coverage guidelines for our Medicare Advantage products. Medical policies do not constitute medical advice, nor are they intended to govern the practice of medicine. They are intended to reflect Highmark's reimbursement and coverage guidelines.

Coverage for services may vary for individual members, based on the terms of the benefit contract. Highmark retains the right to review and update its medical policy guidelines at its sole discretion.

These guidelines are the proprietary information of Highmark. Any sale, copying or dissemination of the medical policies is prohibited; however, limited copying of medical policies is permitted for individual use.

Contact Us. Provider Directory. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Quick Links: Manuals. Highmark Provider Manual.