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  • In-network Referral Form - Blueshield Of Northeastern New York

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In?Network Referral Form FOR FAX USE ONLY FAX Number: 1?888?553?0075 1. Referred by (PCP Name) Provider ID # or NPI # (and address, if more than one office) PCP Office Contact Name Contact Phone Number.

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You can verify a patient's eligibility with Highmark Blue Shield via several automated inquiry mechanisms. OASIS, our automated voice response system using your touch tone telephone; InfoFax, our service that responds to inquiries via your fax machine; or NaviNet, our Internet-based inquiry system.

How to access and use Availity Authorizations: Log in to Availity. Select Patient Registration menu option, choose Authorizations & Referrals, then Authorizations* Select Payer BCBSOK, then choose your organization. Select a Request Type and start request. Review and submit your request.

Highmark requires authorization of certain services, procedures, and/or Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) prior to performing the procedure or service. The authorization is typically obtained by the ordering provider.

If you want to see an out-of-network provider, you need to get a prior authorization to ensure the provider has the information needed to accurately pay claims.

About us. A trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association.

Together with its Blue-branded affiliates, Highmark Inc. is collectively the fourth-largest overall Blue Cross and Blue Shield-affiliated organization in the country based on capital. Highmark Inc. is an independent licensee of the Blue Cross Blue Shield Association. Highmark Blue Shield | Camp Hill, Pa.

Prior authorization is a process Highmark uses to determine if a prescribed medical service or supply is covered by your Highmark Freedom Blue Medicare Advantage PPO plan and is medically necessary. This process helps to make sure you are receiving the most appropriate medical services or supplies for your condition.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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:
1-877-389-0141
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