WebMar 31, 2024 · Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY) requires authorization of certain services, procedures, and/or DMEPOS prior to performing the procedure or service. The authorization is typically obtained by the ordering provider. Some authorization requirements vary by member contract. WebHighmark 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 …
Provider Resource Center
WebHighmark Blue Shield Radiology Management Program Prior Authorization Reference Guide* Effective with service dates of April 1, 2006, and beyond *Originally published December 2005; revised January 2007. Radiology Management Program – Prior Authorization 4/1/2006 1 WebJul 16, 2024 · In keeping with our commitment of promoting continuous quality improvement for services provided to our members, Highmark has entered into an agreement with eviCore healthcare (eviCore) to implement a musculoskeletal (MSK) surgery and interventional pain management (IPM) services prior authorization program. sokhary chau lowell
Prescription Drug Prior Authorization - hwnybcbs.highmarkprc.com
WebPennsylvania. 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 state of West Virginia plus Washington County, Ohieo, th state of Delaware and 8 counties in western New York. WebJan 9, 2024 · Prescription Drug Prior Authorization Some drugs require authorization before they will be covered by the pharmacy benefit program at the point of sale. Highmark … Web6.2.4 When Highmark West Virginia Is Secondary An authorization from Highmark West Virginia is generally not required when our coverage is secondary to another payor. Exceptions are noted below. For POS products, authorization is required regardless of whether Highmark West Virginia is primary or secondary. When Highmark West Virginia … sokhalay hotel siem reap