Commercial Payers

Check out these tips for using the new feature.

As of Jan. 1, 2020, UnitedHealthcare’s pharmacy benefit manager OptumRx will require e-prescriptions for controlled substances filled by home delivery pharmacy service.

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

There are several Highmark resources that can help answer physician and patient questions about UPMC access for Highmark members in Western Pa.

Here's a closer look at three Highmark policy updates.

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.