Commercial Payers

Find out how to verify your data with Highmark. Plus, check out ways to verify directory data for Medicare, Medicaid, and CAQH.

The new admitting privileges requirement for practitioners will take effect on Feb. 13, 2020.

Find out more about Capitol BlueCross' new process and get details on how Direct messaging works.

Highmark is holding a series of webinars that provide an overview of the new quality metrics and a demonstration of the enhanced scorecard for 2019

Highmark has launched its Specialist Efficiency Report pilot program, aimed at analyzing and comparing care costs among providers. These webinars provide an overview of the reports and a tutorial of the practice scorecard.

​United Healthcare new consultation services policy will be implemented in phases.

On Jan. 10, 2019, a stakeholder group which included PAMED met with Highmark to discuss the Advanced Imaging and Cardiology Services Program.

Get guidance on how to provide topical fluoride varnish applications, including training requirements and associated billing/reimbursement.

​Effective Aug. 1, 2017, Independence Blue Cross changed its policy on payment when Modifier 25 is used. PAMED strongly opposes this policy change.