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*This email is intended for producers in Delaware, Pennsylvania, and West Virginia IMPORTANT UPDATE REGARDING OOA/OON RADIOLOGY AND CARDIAC IMAGING Important changes are coming to out of area (OOA) and out of network (OON) prior authorization and precertification requirements related to radiology and cardiac imaging. These changes will affect fully-insured, self-insured, and Medicare Advantage clients' members in products with OOA/OON coverage.
Click here to review these important changes in detail. The link also includes some FAQs related to the changes. Marketing materials will be available closer to the August 1, 2021 effective date.
Please contact your Highmark Sales Executive or Client Manager with questions. |
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Highmark Inc. is an independent licensee of the Blue Cross Blue Shield Association. Insurance or benefit administration may be provided by or through Highmark Inc. or one of its affiliated Blue companies. Highmark Inc. d/b/a Highmark Blue Shield and certain of its affiliated Blue companies serve Blue Shield members in the 21 counties of central Pennsylvania. As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Inc. or certain of its affiliated Blue companies serve Blue Cross Blue Shield members in the 29 counties of western Pennsylvania, 13 counties in northeast Pennsylvania, the state of West Virginia plus Washington County, Ohio, and the entire state of Delaware. |
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® Highmark is a registered mark of Highmark Inc.
© 2016 Highmark Inc., All Rights Reserved
120 Fifth Avenue Pittsburgh, PA 15222 USA
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