Webprocessing of your claim(s). Please do not highlight information or use red ink. For optimum accuracy please print in capital letters. Shade circles like this l Not like this . Or, use text fields to fill out form electronically. 2. Submit the claim and attach an itemized statement of services from the healthcare provider to the address provided on WebTo obtain a form, call Customer Service. Let us know how many forms you need. We’ll send your forms right away. Please follow the instructions on the form. Attach an itemized …

Claim Filing Addresses - Highmark Blue Shield

WebCMS-1500 Data Elements for Paper Claim Submission 16 UB-04 Data Elements for Paper Claim Submission 17 . TH E HEALTH OPTIONS PROVIDER MANUAL CHAPTER 7.1 Page1 . DECEMBER 2014 . 7.1 GENERAL INFORMATION . Overview . Health Options processes medical expenses upon receipt of a correctly completed CMS-1500 form for professional … WebHighmark Blue Shield Indemnity Major Medical Highmark Blue Cross Blue Shield P.O. Box 890393 Camp Hill, PA 17089-0393 For Behavioral Health Only: For Traditional Indemnity, … orbaa scholarship

Claims and Payment Policies - Highmark® Health Options

WebHighmark Blue Shield, Highmark Benefits Group, Highmark Choice Company, Highmark Senior Health Company, and Highmark Health Insurance Company are independent … WebBilling & Payment: General Claim Submission Guidelines . 6.1 TIMELY FILING REQUIREMENTS, Continued . Highmark as secondary payer . When Highmark is a secondary payer, a provider must submit a claim within the timely filing time frames indicated aboveand attach an EOB to the claim that documents the date the primary payer … WebHighmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. Highmark … ipmg customer service