Need our street address? Appeals and Grievances The purpose of this Data Protection Statement is to notify you of the practices that will govern the processing of your personal data and to obtain your explicit consent for the processing of your personal data consistent with it, in particular in accordance with the legal requirements of the European Unions (EU) General Data Protection Regulation (GDPR): The personal data collected may include your address, city, postal code, country, phone number, email address, IP address, as well as any other personal information you choose to provide (Personal Data). Box 898845 Camp Hill, PA 17089-8845 MedigapBlue hb``` eap&8[RTA2Ph#U pP%u O Provider Number. If your doctor would like to discuss your appeal with one of our doctors, they may call us at 1-844-325-6251 to speak with a medical director. Notwithstanding the above disclosures, we will disclose the Personal Data we collect from you under the following circumstances: We use third-party service providers to process Personal Data, including, without limitation, for information storage and other similar purposes. !p?'Sxw YtqwLiiu2{rv': Highmark Frequently Used Contact Information OASIS Eligibility, benefits and status of claims: call 1-800-462-7474, or in the Harrisburg area, 1-717-302-5125 on your touch-tone telephone. At Highmark Blue Cross Blue Shield of Western New York, we've built our legacy around empowering our communities and helping you be your very best you. If you have questions regarding how we process your Personal Data and what we store about you, please contact PrivacyInternational@HighmarkHealth.org or write us: By agreeing to the terms and conditions set out in this Data Protection Statement, and by providing us with your Personal Data, you consent to the collection, use and disclosure of any information you provide in accordance with the above purposes and this Data Protection Statement. For Individuals & Families. %%EOF For the best performance and security, always keep . Highmark Blue Shield serves . PO Box 80 Please be sure to include your own contact information in case Highmark West Virginia or the PAC need to contact you for additional information. Highmark Blue Shield P.O. Box 80 Buffalo, NY 14240-0080. CUSTOMER'S NAME CUSTOMER'S ADDRESS q Check box for change of address Box 890419 Camp Hill, PA 17089-0419 Provider Contact Call Provider Services at Highmark Health Options at 1-844-325-6251, Monday-Friday, 8 a.m.-5 p.m. 1-800-950-0051, Monday - Friday: 8 a.m. - 12 p.m., 1 p.m. - 5 p.m. Let me give you a short tutorial. Local: (716) 884-2800 Any information we provide is limited to those plans we do offer in your area. For TDD/TTY services, please call 1-800-480-1419. Box 890062 Camp Hill, PA 17089-0062 Highmark Blue Shield Indemnity Major Medical Highmark Major Medical P.O. Corporate Address: Highmark Blue Cross Blue Shield of Western New York 257 West Genesee Street Buffalo, NY 14202-2657 . Step 1. Notes: This consent is given voluntarily and can be revoked at any time in writing by sending an email to PrivacyInternational@HighmarkHealth.org If you want to exert your withdrawal right or your rights to access, rectify, block, transfer or delete your personal data pursuant to the GDPR, please contact us and provide us at least with your full name, address and the data processing you are inquiring about. Provider 49. Refer to the latest provider manual for details. Box 898819 Camp Hill, PA 17089 -8819 Medigap . Paper claim mailing address Billing provider ISA-08 GS-03 Keystone Health Plan East Independence QCG Keystone Health Plan East POS 54704 95056 SX055 . Charleston, WV 25325 Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. These service providers will be bound by sufficient guarantees to implement appropriate technical and organizational measures in such a matter that their processing will meet the requirements of applicable law. Don't miss. Call 1-800-996-9969 or visit Delaware ASSIST to enroll. Box 1525, Latham, NY 12110. Highmark Blue Cross Blue Shield of Western New York Highmark Blue Cross Blue Shield Delaware Allegheny Health Network Site Map Home Contact Us Contact Us Have questions or comments? Box 890393 Camp Hill, PA 17089-0393 Signature 65 Highmark Blue Shield P.O. You or your representative may extend the timeframe for making the appeal decision for up to 14 days. Place of Treatment (e.g. Also, you can contact with customer support and ask them for help. hYnF}LP% 8#y`$b#E'v3K"iQ}15p0`0d"dsf^$FKaBs7 @kIqdFOLQS#$SbwBawj,Rc2I8f&?EC 3"0=rK3hdu49==?cFV71w4Mcpt[avl9_`0/jZ04Q>'GQ[Qd:|0$b-wg@! Go to Highmark Bcbs Log In website using the links below Step 2. medicare highmark bcbs refund address, forms and documentation providers blue cross nc, provider information blue cross blue shield of texas, local blue cross . 7. About Us. Buffalo, New York 14202, Toll Free: (800) 544-BLUE (2583) Your Personal Data will be disclosed to appropriate personnel for purposes of performing services to, or on behalf of, our enterprise customers and prospective customers as part of and in relation to matters regarding our provider, health plan, and subsidiary enterprise care delivery, administration and operations. Highmark Blue Cross Blue Shield of Western New York 1. . We do so by offering health plans that provide reliable coverage to Western New Yorkers and by supporting the organizations and individuals who work . Highmark Blue Cross Blue Shield of Western New York. For questions about our Harrisburg location, please email us at HarrisburgConnectionCenter@HighmarkWholecare.com or call 717-510-7600 (TTY 711). 1-800-677-3086 Pittsburgh, PA 15230-1068. P.O. ATANSYON: Si ou pale kreyl ayisyen, svis asistans lang, gratis, disponib pou ou. Online contacts Provider Relations - provrel@highmarkbcbsde.com However, if it becomes necessary for the Committee to discuss personally identifiable health information or proprietary information, all non-PAC members except Highmark West Virginia employees will be excused from the meeting prior to the discussion of such information, in order to comply with federal and state privacy requirements or to protect proprietary information of the Plan. If you don't remember you personal data, use button "Forgot Password". Box 890062 Camp Hill, PA 17089 -0062 ; Highmark Blue Shield Indemnity - Major Medical. Highmark Blue Cross Blue Shield West Virginia is an independent licensee of the Blue Cross Blue Shield Association, an association of Independent Blue Cross and Blue Shield Plans. Box 1068. Fax: 716-887-7913, Highmark Blue Cross Blue Shield of Western New York Highmark Blue Cross Blue Shield West Virginia P.O. 520 0 obj <>stream Mailing Address. PO Box 80 Buffalo, NY 14240-0080. If you have a question about your coverage or how to enroll, check the member handbook.. . (ii) when required valid requests by law enforcement. 11=oce; 22=O/P Hospital) 39. Box 106004 If your office is not NaviNet-enabled and you would like more information on electronic claims , please contactHighmark Provider Services. Highmark Health Options Don't miss. Saturday & Sunday: Closed, Corporate Address: This information will be used for purposes of performing services to, or on behalf of, our enterprise customers and prospective customers as part of and in relation to matters regarding our provider, health plan, and subsidiary enterprise care delivery, administration and operations. If there are any problems, here are some of our suggestions Top Results For Highmark Bcbs Log In Updated 1 hour ago www.highmarkbcbsde.com Highmark Visit site t` `{lM 2&F$ 5 Go to Highmark Bcbs Log In website using the links below Step 2. Highmark Blue Cross Blue Shield Delaware P.O. All at no cost. If there are any problems, here are some of our suggestions Top Results For Highmark Bcbs Log In Updated 1 hour ago www.highmarkbcbsde.com Highmark Visit site www.highmarkblueshield.com Highmark Blue Shield P.O. HealthNow New York ATTN: FEP Department PO Box 80 Buffalo, New York 14240-0080. Contact with questions regarding provider disputes, appeals, claims, prior authorizations, and more. Highmark Blue Shield was formed in 1996 when Blue Cross of Western Pennsylvania and Pennsylvania Blue Shield were consolidated into the current company. Highmark Health Options processes medical expenses upon receipt of a correctly completed CMS-1500 form for professional services and upon receipt of a correctly completed UB-04 form for hospital or facility expenses. Box 660044 Dallas, TX 75266-0044 Request for claim review form and instructions: Availity Essentials Authorizations & Referrals submissions Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association ENR-317 (R8-18) . Email:pac@highmark.com . Current Members Call: 1-800-935-2583 (TTY/TDD users call: 711) 8:00 a.m. - 8:00 p.m. . ATTN: FEP Department If you suspect fraud, contact Highmark's Financial Investigations and Provider Review (FIPR) Department. At least three members will be selected from nominations submitted by the West Virginia State Medical Association. Highmark Blue Shield of Northeastern New York. 48. . At least a majority of PAC members will be participating providers in Highmark West Virginia's networks. !0 3)$|\C Highmark West Virginia has established a Provider Advisory Committee (PAC) to afford providers a mechanism to offer recommendations and comments to the Plan on provider billing, coding, and administrative issues. Blue Cross and Blue Shield of Texas P.O. hbbd```b``S@$A^+A$ d"Y~`;"7i)f[u)Hh"'` (Please complete form using black or blue ink.) Visit a Location Near You! Box 1353 Charleston, WV 25325 Email:pac@highmark.com Phone: (304) 347-7681. Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. Turn right on to Wertzville Road. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Phone Number Please carefully read and follow the instructions contained within the individual form for submission. License Number 51. Click the "I need more help" tab on the right. Hours of operation are 8:00 a.m. to 4:30 p.m. EST. Note: Providers are reminded not to send Highmark a check for a refund of a claim overpayment. Members will represent different specialties and geographic areas, and include provider representatives who deal directly will billing, coding, and plan administrative issues. If there are any problems, here are some of our suggestions Top Results For Highmark Blue Cross Blue Shield Account Updated 1 hour ago www.highmarkbcbs.com Login - highmarkbcbs.com Highmark Blue Shield of Northeastern New York and Highmark Blue Cross Blue Shield of Western New York are trade names of Highmark Western New York and Northeastern New York Inc. Prefix . Highmark will no . . Box 890173 Camp Hill, PA 17089-0173 For Behavioral Health Only: For Traditional Indemnity, PPOBlue, BlueCard PPO, and Federal Employee Program, send claims to: . Even when you're not sick, we'll help with your wellness goals. Claim Filing Addresses - Central, Eastern and Northeastern Regions Only Claim Submission Postal Addresses, . 4 . Please submit claim reimbursement for each patient on a separate claim form. Highmark Blue Shield Medical-Surgical claims (Including BlueCard PPO ): Highmark Blue Shield P.O. NPI 50. (iii) for purposes relevant to corporate policies or litigation to the extent permitted under applicable law or when it is prescribed in GDPR or other applicable law. Mailing address 1901 Market Street Philadelphia, PA 19103-1480 Email Complete the Provider Communications Email Sign-up Form to receive email updates with the latest information, including Partners in Health UpdateSM. Highmark Blue Shield serves the 21 counties of . Contact Us; My Location; Login; Customer Service 1 (800) 241-5704 COVID-19 RESOURCES About Highmark Non Discrimination Policy; Procurement; Electronic Data Interchange . %PDF-1.5 % 1-877-327-1395, Provider Relations & Contracting/Network Management, 716-887-2054 Buffalo, NY 14240-0080. P.O. The Blue Cross and Blue Shield symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia and Washington County, Ohio. . Mailing Address. If a provider must file a paper claim, mail claim to Blue Cross and Blue Shield of Texas P.O. Box 226 Pittsburgh, PA 15230 Please include your group and ID number when you write. To speak to a NaviNet Customer Care Representative directly, please call during the hours listed above at 1-888-482-8057. SSN or TIN Specialty Code 38. Provider Relations and Contracting Department. Box 890138 Camp Hill, PA 17001-9782 . Highmark Health Options Claims and Payment Policies. Government Programs Claims and Correspondence. or PO Box 80 If you are not satisfied with our data processing you have the right to lodge a complaint to the data protection authority in your country of residence. These services providers are located in the United States. Practice information updates can be made with many of the forms below. April 19th, 2019 - Highmark Blue Cross Blue Shield WV P O Box 7026 Wheeling WV 26003 Medicare Advantage PPO Providers mail to Highmark Blue Cross Blue Shield WV Get care for your physical and mental well-being, including prescription drug coveragefrom the doctors, hospitals, and pharmacies you need. January 2022 Payer ID provider number reference Professional . Delaware Claims Addresses . P.O. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Para asistencia en espaol llame al1-844-325-6251. Highmark is a registered mark of Highmark Inc. 2011 Highmark Inc., All Rights Reserved. Mail completed claim form to: Vision Care Processing Unit, P.O. Phone: (304) 347-7681. or call 412-690-7400 (TTY 711). 257 West Genesee Street To speak with a Medicare Advisor, please call: 1-844-593-0265 Request a Call Have a Highmark Medicare Advisor call you to answer your specific Medicare questions, provide an expert evaluation of your current situation and advise you on selecting the right plan. PO Box 80 P] B*w32xAJa#8fFE sh:zFK t :nUPU 2T"! 5. Highmark Provider Manual - Highmark Blue Cross Blue Shield Claims Addresses Created Date: 3/16/2018 7:15:34 AM . Highmark Blue Cross Blue Shield West Virginia How to Use This Manual Quick Reference Service Area Map 1.2 West Virginia Claims Filing Addresses 1.2 Delaware Claims Filing Addresses 1.2 PA Central, Eastern, & Northeastern Regions Claims Filing Addresses 1.2 PA Western Region Claims Filing Addresses 1.2 Highmark West Virginia Contact Information for Providers 1.2 Forgot Password, Monday - Friday: 8 a.m. - 12 p.m., 1 p.m. - 5 p.m. Providers in need of assistance should contact provider services at 800-241-5704 (toll-free). Highmark (Pennsylvania and Delaware) P.O. Highmark Health Options Member Services is available MondayFriday, 8 a.m.8 p.m. Our vision is to ensure that all members of the community have access to affordable Box 535049. ?3(y&o-,wil0C8cx o. Highmark Blue Shield also provides services in conjunction with Blue Cross of Northeastern Pennsylvania in northeastern . Box 1353 All rights reserved. MEDICARE CLAIMS ANCILLARY CLAIMS FILING MANDATE OUT-OF-AREA POLICY SEARCH TOOLS & RESOURCES TOOLS & RESOURCES child pages; TOOLS & RESOURCES parent page . Highmark Blue Shield of Northeastern New York and Highmark Blue Cross Blue Shield of Western New York are trade names of Highmark Western New York and Northeastern New York Inc. After that, all Personal Data will be deleted or the documents with such data will be anonymized. 2022 Highmark Health Options. Step 1. Camp Hill, PA 17089-0419. claim review form blue cross blue shield of texas, provider refund check www11 anthem com, forms providers bluecare tennessee, highmark blue cross blue shield . LoginAsk is here to help you access Highmark Bcbs Hsa Login quickly and handle each specific case you encounter. Box 8830 : Wilmington, DE . Highmark Bcbs Hsa Login will sometimes glitch and take you a long time to try different solutions. CallProvider Services at Highmark Health Options at1-844-325-6251, MondayFriday, 8 a.m.5 p.m. Highmark Blue Cross Blue Shield P.O. The Claims Administrator/Insurer complies with applicable Federal civil rights laws and does not Highmark's mission is to be the leading health and wellness company in the communities we serve. How can I reach Customer Service by U.S. Mail? . (i) when required or permitted by law or government agencies. NaviNet is the fastest way to submit claims to Highmark. Plus, get coverage for vision care, dental care, hearing aids, and more. Please be sure to include your own contact information in case Highmark West Virginia or the PAC need to contact you for additional information. Use MapQuest. Box 8831 Wilmington, DE 19899-8831 BENEFITS WILL BE ADMINISTERED IN ACCORDANCE WITH THE TERMS OF YOUR BENEFIT PLAN. Current Members Call: 1-800-345-7808 (TTY/TDD users call: 1-800-345-3816) . Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Please note that the member's (or employee's or authorized person's) signature is required on this form. Furthermore, you can find the "Troubleshooting Login Issues" section which can answer your unresolved problems and equip you with . 4. For Medicare. Highmark Blue Cross Blue Shield Delaware P.O. Address, City, State, Zip Code 56a. Pittsburgh, PA 15230, 800 Delaware Avenue, Wilmington, DE 19801. endstream endobj startxref A provider may submit an issue for consideration by the PAC by sending written comments, either by letter or email, to: Medical Director, c/o Manager of Operational QI
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