Highmark bcbs file a claim

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However, beginning April 4, individuals with Medicare Part B can get up to eight free over-the-counter tests every calendar month through the end of the COVID public health emergency from participating pharmacies or health care providers.

Click here for additional information regarding Medicare over-the-counter test coverage. Highmark Medicare Advantage members can also receive up to 24 free tests through the federal government website covidtests.

Please note that there are currently limited supplies and tests may take up to 4 weeks to arrive. Note: If you do not have prescription coverage through your Highmark plan, please verify options with your employer. Note: supplies may be limited, and tests may not be available at all retail pharmacy locations. To locate an in-network pharmacy members can visit the Highmark member website or call the number on the back of their Highmark insurance card or pharmacy benefit card for help.

Just follow the step-by-step instructions found below to submit your claim via mail or through our online member portal. Members can access the Member Portal to check their claim status or contact us via the message center if the claim is not yet appearing. If additional assistance is needed, members can call the customer service number on the back of their member identification card. You will need to submit the following documentation, following the instructions below, to receive reimbursement for your over-the-counter test:.

Note: If the Member Submitted Health Insurance Claim Form is incomplete or any of the required documentation noted above is not included with your reimbursement request your claim will be rejected with a rejection reason indicating that additional information is needed. Box Camp Hill, PA All expenses for one patient can be submitted with one claim form. We encourage members to utilize our preferred pharmacy network to obtain tests at pharmacy locations or through mail order options with no out-of-pocket costs.

Who is eligible for the over-the-counter test reimbursement? How do I get over-the-counter tests without any out-of-pocket costs? The tests are completely free. Software Vendor Information. For Name of Software please enter the information for the software or vendor that creates your files you need Claimshuttle to transfer for you. If you have paid for our SolAce billing software please call our support line for our SolAce software information. Acceptance and Submission Section. Please check the box to accept their terms.

Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately three to five business days from the date of receipt After processing, a confirmation will be emailed to you as notification to begin filing claims electronically.

Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information. A most unexpected experience: Someone who knows and is helpful. A gold mine!! A Happy Friday message from a Satisfied User!

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