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There are only 7 more days left this AEP! Click here to download the correct fax numbers. Click here. Highmark Senior Markets - Medicare Supplement rates now available. The Medicare Supplement rates have been approved, and the Outline of Coverage is now available to download from the Resources section of the producer portal. Know the Difference: Open Enrollment vs. Guaranteed Issue. We have been getting questions about Open Enrollment and Guaranteed Issue situations, so we thought we would send a reminder since the Annual Enrollment Period is the perfect time to review the basics of applying for a Medicare supplement insurance plan!

The majority of the enrollment kits are now available. Please log on to the corresponding broker portal to place your order. Please be advised that some carriers do not have provider directories or formularies available for order at this time, however they are available to view online. CMS permits commission processing changes to be effective no later than January 1.

The Centers for Medicare and Medicaid Services CMS issued an email on Friday, November 20, clarifying that although they expect plans to implement a commission process to conform to their October 30 memo regarding unlike plan changes and the implementation of a pro-rated commission amount, they granted plans latitude to implement by January 1, When you shop for coverage at HealthCare.

These options allow you to find a plan that meets your health needs and fits your budget. Have you tried SmartEnroll? Join our excitement and earn exciting cash.

Medical Policies. Medicare Advantage Medical Policies. Requiring Authorization. Pharmacy Policy Search. Message Center. Manuals Highmark Provider Manual. Reimbursement Policy. Archived Policies Highmark's reimbursement policies address claims reimbursement logic as opposed to clinical information, which is addressed on medical policy. Coverage for services may vary for individual members, based on the terms of the benefit contract.

Highmark retains the right to review and update the reimbursement policy guidelines at its sole discretion. These guidelines are the proprietary information of Highmark. Any sale, copying or dissemination of the reimbursement policies is prohibited; however, limited copying of reimbursement policies is permitted for individual use.

Reimbursement policies on this WEB site also contain five-digit alphanumeric procedure codes and two-digit alphanumeric modifiers created by the Centers for Medicare and Medicaid Services.

Current Dental Terminology. All rights reserved.

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