Note: Please do not send any individually-identifiable information via the Internet. This includes, but is not limited to, specific beneficiary information such as HIC and/or Social Security number and specific claim information. If you wish to speak with someone about a specific claim, this is not the venue to do so and we encourage you to call instead.
Accounts Receivable Part A Supervisor |
Joy.DeFranco@highmark.com | 412-544-0805 |
Audit Director |
443-886-2808 |
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Audit Manager - Camp Hill& Ft. Washington |
717-302-6995 |
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Audit Manager - Pittsburgh & MD/DCMA |
412-544-2204 |
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Benefit Integrity & Medicare Fraud Questions |
1-800-HHS-TIPS |
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CERT Coordinator |
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Cost Reports - Check-ins |
412-544-1873 |
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412-544-1862 |
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Cost Reports - Forms CMS 339 Questionnaire |
412-544-1873 |
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Cost Reports - Low and No Utilization |
412-544-1682 |
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Cost Reports - Overdue Letters |
412-544-1873 |
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Cost Reports - Notice of Program Reimbursement |
412-544-1885 |
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Cost Reports - Preparation |
412-544-1682 |
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Cost Reports -PRRB Appeals |
412-544-1858 |
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Cost Reports - Reopenings |
412-544-1682 |
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Credit Balance |
443-886-2817 |
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Electronic Funds Transfer |
Provider Enrollment Services |
1-866-488-0549 |
Freedom of Information |
Specify Part A FOIA - FAX # |
717-302-3748 |
HIPAA Contact |
1-866-488-0546 |
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Inpatient Rehabilitation Facility PPS |
Tina.Marshall@highmark.com | 412-544-2453 |
IRIS questions |
412-544-1837 |
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Long Term Care Hospital PPS |
443-886-2826 |
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Medicare EDI Services |
Medicare EDI Services |
1-866-488-0546 |
Outreach & Education Manager |
412-544-1914 |
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Provider-Based Facility Issues |
412-544-1501 |
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Provider Enrollment Process |
866-488-0549 |
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PS&R - Content Questions |
412-544-1841 |
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PS&R - Internet Questions/ Connectivity |
877-235-8048 |
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Rates - Hospital |
412-544-1841 |
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Rates - DSH - Interim Adjustments |
Carrie.Willkomm@highmark.com | 412-544-1859 |
Rates - Blended & Capital |
412-544-1855 |
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Rates - GME per Resident Amounts, PIP |
412-544-1855 |
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Rates - TEFRA Target Amounts/ Exceptions |
412-544-1859 |
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Reimbursement/Settlement Manager |
412-544-1682 |
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Remittances - Demand Letters |
Cinda.Cengia@highmark.com Billie.Phillips@highmark.com Margaret.Doerschner@highmark.com |
412-544-1666 |
Remittances - Interest Assessed to Overpayments, Withholding Remittance |
Cinda.Cengia@highmark.com |
412-544-1666 |
Sanctioned Provider Listings |
412-544-1945 |
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Skilled Nursing Facilities - PPS |
412-544-1593 |
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SNF - Mammography Certification |
Emily.Oft@highmark.com | 412-544-1593 |
Tie-ins/Tie-outs Change of Ownership or Address |
412-544-1882 |
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Wage Index - Western PA & District of Columbia (DC), New Jersey and Delaware |
412-544-1876 |
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Wage Index - Harrisburg |
717-302-4447 |
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Wage Index - Philadelphia |
215-654-5660 |
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Wage Index - Maryland |
443-886-2841 |