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  • Highmark Medicare Services Foia Form

Get Highmark Medicare Services Foia Form

Highmark Medicare Services Freedom of Information Act (FOIA) Document Request Form Any individual may submit a FOIA request to Highmark Medicare Services by mail, fax, or in person. We will not accept.

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Related content

CMS Freedom of Information Act (FOIA) Policy and...
May 19, 2010 — Exhibit D - Form CMS-632, FOIA Cost and Fee Compilation. Exhibit E...
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Your right to a fast appeal | Medicare
This includes services you get from a hospital, skilled nursing facility, home health...
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Payer Name: Keystone West (Highmark)

20 Medicare Supplement Plans from Highmark Blue Cross Blue Shield. Select a Medicare Supplement Plan below to view details about the coverage it provides: Plan CodePlan Name.

The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination.

Enter a new in-house code for Freedom Blue. Category = CI. Billing Type = NEIC. Payer ID=95462.

The alpha prefix for Highmark FreedomBlue members is HKS or FEM for enrollment source Plan Code 363 and HKR or FER for enrollment source Plan Code 378.

Freedom Blue PPO is a Medicare Advantage Preferred-Provider Organization that gives you coverage for every need - health, prescription drugs, routine dental, vision, hearing and preventive care.

NAIC Code 54828 West Virginia providers billing for Highmark FreedomBlue PFFS or PPO members with alpha prefix HKS or FEM should use 54828, since their enrollment source Plan Code is 363 (Highmark).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232