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Learn More. The Peer-to-Peer request must be received by Maryland Amerigroup maryland prior authorization Care within two 2 business days of the initial notification of the denial. The intent of the Peer-to-Peer is to discuss the denial decision with the ordering clinician or attending physician. For specific details prioe authorization requirements, please refer to our Quick Reference Guide. Certain carefirst mental providers require prior authorization regardless of place of service.

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Highmark medicare services edi

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Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. Excellent service and I never give anyone "Excellent" scores on surveys.

This time it was warranted. Thank you very much for the help. As always excellent, professional, knowledgeable customer service. Other companies could learn from you. Wonderful team that is always willing to assist with issues or concerns. 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! I always get the most fabulous service when calling or emailing!!! Your customer support reps are the best!!! A most unexpected experience: Someone who knows and is helpful. A gold mine!! 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 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! Have an offer code? Highmark West Virginia. ClaimShuttle Testimonials. Please follow the Enrollment Instructions below to become an electronic submitter for Pennsylvania Blue Shield Highmark. Please Note: Highmark has undergone some changes that may require you to apply for a new Submitter ID and password. The following documents are required enrollment documents that must be completed, signed and returned to the Highmark office prior to initiation of electronic claims submission or inquiry.

If this is a transaction you would like to utilize please make sure to enroll with the payer. The name of the company you are representing. Enter your phone number and email address. Enter your business, group practice, or provider name. Complete your demographic information. Enter the name of the main contact person for your office. For Name of Software please enter the information for the software or vendor that creates your files you need ClaimShuttle to transfer for you.

If you have paid for our SolAce billing software please call our support line for our SolAce software information. If you have purchased our SolAce software information please call us for testing requirements.

If you use any other system you must call them to see if testing is required. Please check the box to accept their terms. Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately three to five business days from the date of receipt After processing, a confirmation will be emailed to you as notification to begin filing claims electronically. 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 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. I just wanted to let you know how impressed I am with this service.

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