Welcome to Highmark

Highmark is a leading health insurance organization that works passionately to deliver high-quality, accessible, understandable, and affordable experiences, outcomes, and solutions to our members. Highmark brings people, communities, and care together. With a personalized approach to whole health and a large network of doctors, we keep our members at the center of what we do every day.

Members

 

Visit the Highmark Blue Cross Blue Shield website for Medicaid, Essential Plan, Health and Recovery Plan (HARP), and Child Health Plus (CHP) members. You can:

 

  • Find a doctor
  • Download your member handbook
  • Get help enrolling or renewing
  • Print your ID card
  • And more

 

Member Services: 866-231-0847 (TTY 711)

 

You'll need to register to access the secure portion of the member website.

 

Go to Benefits 

Provider

 

The Highmark Blue Cross Blue Shield provider website for Medicaid, Essential Plan, Health and Recovery Plan (HARP), and Child Health Plus (CHP) members will be your one-stop shop to:

 

  • Submit claims and appeals
  • Verify member eligibility
  • Download your panel listings
  • Look up prior authorization requirements
  • And more

You'll need to be registered with Availity to access the secure portion of the website.

 

Provider Services: 866-231-0847

 

Go to Provider 

False claims act and other policies

 

Health care organizations subject to Section 6032 of the federal Deficit Reduction Act of 2005 (the “DRA”) are required to educate their providers and contractors about the False Claims Act as well as the organization’s policies and programs for detecting and preventing fraud, waste and abuse. The following documents are intended to satisfy the to Highmark obligations under the DRA. We know you share Highmark’s goal of ensuring that all clinical and business activities are conducted in full compliance with applicable laws and government program requirements. Accordingly, we look forward to your cooperation in applying Highmark’s fraud prevention and detection standards in connection with the services you provide to our members.

 

If you have any questions regarding these documents, please do not hesitate to contact Highmark’s fraud prevention program at 877-725-2702.

 

  False Claims Act Policy

 

  Non-Retaliation Policy