Skip to main content

New Phone Self-Service Tools

Date:
September 22, 2022

To: All Providers

To help reduce Provider Service call wait times, we introduced new self-service phone tools on September 6.

When you call Provider Service at 1-800-444-4552 or 1-800-950-0051, you will hear new voice prompts to help you access patient information, including:

  • Claims status
  • Eligibility
  • Benefits

The new self-service tools provide quick answers without having to wait for an available representative. You still have the option to speak with a Provider Service representative if necessary and you will continue to receive a fax confirmation after your call.

Provider Service Update

Along with the new self-service tools, more than 90 new Provider Service representatives have been trained and are now available to assist you. Call wait times have been reduced, and we thank you for your patience during our effort to increase and train these new representatives.

Recent Articles

  • Introducing Highmark’s Provider News
    As part of our affiliation with Highmark, we want to create a more seamless and enhanced provider experience. To support this, we will transition our monthly provider communication from “Blue Bulletin” to “Provider News.” Beginning in January, you’ll receive Highmark’s monthly Provider News emails at the end of each month replacing Blue Bulletin. Provider News will deliver local information to help you work with us, including reimbursement, coding, preauthorization, and policy updates. In this article, you can find more information and view the Provider News webpage on the Highmark Provider Resource Center (PRC).
  • Reminder: Highmark Commercial and Medicare Advantage Reimbursement Policies
    As a reminder, on January 1 after all your Highmark Blue Shield of Northeastern New York patients are on Highmark’s systems, we will be following Highmark’s reimbursement policies for commercial and Medicare Advantage lines of business. Here, you can find out how to access Reimbursement Policies on the Highmark Provider Resource Center (PRC).
  • Population Health University - Clinical Pharmacy Resources Available Online
    Before discussing, prescribing, and deprescribing certain medications with your Highmark Blue Shield of Northeastern New York patients, Highmark’s Population Health University offers clinical pharmacy resources to assist you. In this article, you can learn how to access the toolkits that provide useful pharmacy guidance.
  • Provider Tools and Resources Remaining on the Legacy Website
    Our legacy provider website will be decommissioned on February 1, 2023, at which point you will be redirected to the Highmark Provider Resource Center (PRC). Despite this change, you will still be able to access several tools and pages on the legacy website. Here, you can find out which content will be remaining and where to find it.
  • Credentialing and Enumeration for Nurse Practitioners and Certified Registered Nurse Anesthetists
    Beginning January 1, nurse practitioners will have the option to be fully credentialed as a primary care provider (PCP), specialist, or enumerated in either role. Certified registered nurse anesthetists will have to option to credential as a specialist or be enumerated in the reimbursement system only. In this article, you can find information on how to credential and enumerate.