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This app may collect these data types Personal info. Data is encrypted in transit. You can request that data be deleted.

Constantly logs out, even when switching to another screen within the app, it logs out and you have to sign back in So annoying. The Dr. Match quiz option does not work at all, just a blank screen. I changed my review from 2 stars to 1 one, though the Highmark app deserves 0 stars.

None of the previous issues have been fixed. It constantly crashes or won't let people into the portal. Fix it!!!!! We sincerely apologize for the troubles you've had with the app. We'd be happy to take a look into this for you, please reach out to highmarkplanITsupport highmark.

Thank you. Originally, I gave this app 1 star. I'm updating it to 5 stars because IT support was able to get my account login working again. Only problem now is that biometric login doesn't work. Keeps saying "Oops something went wrong" and after pressing OK, it will not accept my login credentials even though they work in Windows. At that point, like others have said, it locks your account after 3 tries so I gave up. I've been trying to use this app for almost 2 years and this problem hasn't been fixed.

Hi, John. 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.

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Florida Blue timely filing limit for filing an initial claim: days from the DOS Appeals: Participating providers: 1 year from date of remittance advice Non participating providers submitting appeals for Medicare advantage denials: 60 days from the date of remittance advice.

Blue Cross Blue Shield of Hawaii timely filing limit for initial claim submission: End of the calendar year following the year in which you received care. BCBS of Alabama timely filing limit for filing an claims: days from the date service provided Blue Cross Blue Shield of Alabama timely filing limit for appeal: days from the date you are notified. Blue Cross Blue Shield of Arkansas timely filing limit: days from the date of service.

Blue Cross Blue shield of Illinois timely filing limit for filing an claims: End of the calendar year following the year the service was rendered. Blue Cross Blue shield of Kansas timely filing limit for filing an claims: 15 months from the Date of service. Please call customer care for exception details When its secondary payer: days from the primary insurance letter or remittance date Authorization decision: Standard Appeal: 60 days from the date of denial Expedited Appeal: 10 days from the date of denial Utilization management decision Standard Appeal : 30 days from the date of denial.

Horizon Blue Cross Blue shield of New Jersey timely filing limit for filing an initial claims: Days from the date of service. Telephone: For inquiries that cannot be handled via NaviNet, call the appropriate Clinical Services number , which can be found here. Highmark contracts with WholeHealth Networks, Inc.

Additional information about the programs and links to prior authorization codes are available under Care Management Programs in the left website menu. Authorization number not appearing, unable to locate member, questions about clinical criteria screen. 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. Medical Policy Medical Policy.

Medical Policies. Medicare Advantage Medical Policies. Requiring Authorization. Pharmacy Policy Search. Message Center. Manuals Highmark Provider Manual. Authorization Requirements. Inpatient admissions e. Inpatient Authorization Guide : Click here for the Predictal step-by-step inpatient authorizations reference guide. Outpatient Authorization Guide : Click here for the Predictal step-by-step outpatient authorizations reference guide.