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NaviNet is a free, Internet-based application for providers to streamline data exchanges between their offices and Highmark. The waiver of Highmark member cost-sharing for in-network telehealth visits is effective for electrolysis amerigroup of service from March 13 international claims June 30, Please carefully read and follow the instructions contained within the individual form for submission. Health Options Provider Manual. Medical Policy Medical Policy. This partnership is instrumental in bringing a personalized care transitions approach to support Highmark's Medicare Advantage members across Pennsylvania and West Virginia. Contact Us.

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This includes, enrollment, contracting and demographic provider information. Responsible for reviewing and processing additions, updates, and deletions of provider information in the Provider File database.

Ensures executions of data entry and updates are completed in a timely and accurate manner. Maintain accurate data in provider file data systems.

Common transactions include:. Data Integrity. Contact external sources to collect or clarify information or documentation which in turn must be reviewed and evaluated against the established guidelines and procedures to ensure the file meets all policy and procedures in conjunction with regulations. Maintain and update internally required data elements which include but are not limited to:.

Please Note : There will be a training class for 6 -7 weeks from am - pm. The Work shift will be from am - pm. There is a two - hour flex window where the candidate start time can be between am am with a 8 hour working shift. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.

This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Over the summer, it became clear another community would need access to more PPE, and quickly: schools. The health plan got to work examining the options. Highmark BCBS committed to finding the supplies and donating what schools needed at the beginning of the school year, knowing that some children would be in school buildings part of the week for a mix of at-home and at-school learning.

Meanwhile, Dr. Plus, schools would need more than just masks. They would end up using Highmark BCBS-developed posters and printed materials to put up around school buildings as reminders of how to prevent the spread of the disease.

To address rising prices and the difficulty of sourcing PPE when needed, Riner knew he had to diversify the supply pipeline and negotiate better prices for future purchases. The plan ended up benefitting more than just schools, but local businesses suffering in the shaken economy. More than 20 people were employed. Their efforts built an initial stockpile for schools. The health plan created a website where schools can place ongoing PPE orders with the special pricing.

Superintendent Stropkaj is thrilled with the arrangement.

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The future of an evolving industry with Highmark Health CEO David Holmberg

WebAs a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Inc. or . As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Inc. or certain of its affiliated Blue companies also serve Blue Cross Blue Shield members in 29 counties in western Pennsylvania, 13 counties in northeastern Pennsylvania, the. WebThe information contained on this website regarding the Patient Protection and Affordable Care Act of (“PPACA”), as amended, and/or any other law, does not constitute legal or tax advice and is subject to change based upon the issuance of new guidance and/or change in laws.