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  • Part And Labor Reimbursement Authorization Form (pal) - Highmark

Get Part And Labor Reimbursement Authorization Form (pal) - Highmark

Form No. 5559 McFadden Avenue, Huntington Beach, CA 92649 Phone: (714) 903-2257 Fax :(714) 903-0644 Email: warranty highmarkergo.com Website: www.highmarkergo.com PART AND LABOR REIMBURSEMENT AUTHORIZATION.

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For more information about your coverage, or to get a copy of the complete terms of coverage, please visit .highmarkbcbs.com or call 1-866-283-4995.

For Traditional Indemnity, PremierBlue Shield, BlueChip Indemnity, BlueCard PPO, and Federal Employee Program PPO send claims to Highmark Blue Shield P.O. Box 890062 Camp Hill, PA 17089-0062 Page 3 OCTOBER, 2008 Claim Filing Addresses, continued Western Region Only If Type Of Claim Is… Then Mail To… For BlueCard POS ...

A prior authorization (PA), sometimes referred to as a “pre-authorization,” is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure.

Return the completed Claim Form to: Highmark Blue Cross Blue Shield, the Claims Administrator for the medical component of the Plan, at the following address: Highmark Blue Cross Blue Shield P. O. Box 1210 Pittsburgh, PA 15230-1210 • Attach: all original itemized bills to the claim form.

Must be a Pennsylvania resident for at least 90 days before applying. Must be age 19 through 64. Must be a U.S. citizen, a permanent legal alien or a refugee as determined by the U.S. Immigration and Naturalization Service.

Correct claims address means the address appearing on an enrollee's or insured's current identification card issued by the health insurance issuer as the current address at which claims are received, or, if no address appears on the identification card, the current address for receipt of claims provided by the health ...

Provider Appeals Send us a request by fax to: All Providers: 1-844-207-0334. Mail in a request to: Non-Participating Medicare Provider, and any Pre-Service Appeals: Highmark Wholecare. Attn: Claims Review. 444 Liberty Avenue, Suite 2100. Pittsburgh, PA 15222.

NEW YORK STATE EXPANSION- CARDIOLOGY and RADIOLOGY- eviCore healthcare is pleased to announce Highmark will be expanding our partnership to include Radiology and Cardiology prior authorization management of the New York Commercial market.

You will continue to submit claims as you are currently doing now using Payer id 25169 for Medicaid and 60550 for Medicare through your clearinghouse.

Providers in need of assistance should contact provider services at 800-241-5704 (toll-free).

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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
DMCA 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:
1-877-389-0141
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