Highmark - New York State Chiropractic Association

Highmark BCSB of WNY and NE NY Prior Authorization Program

by Insurance Committee | Jan 9, 2026 | Commercial Insurance, Highmark, Insurance Updates, Members Only

Highmark BCBS and Echo Health have been communicating with the provider community regarding changes to the electronic claim submission and payment/remittance processes. The NYSCA Insurance Committee (The NIC) is sending this NIC News to remind you of...

Highmark BCBS Implements Reimbursement Changes

by Insurance Committee | Nov 1, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

Effective today, November 1, 2024, Highmark has implemented changes which will impact your reimbursement. Information regarding the fee schedule and increase in the daily maximum allowance was contained in Highmark’s Provider News. These topics were...

Highmark Prior Authorization Program Updates

by Insurance Committee | Apr 26, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

As many of you have been aware, the NYSCA has been in communication with both Highmark and the NYS Department of Financial Services regarding of our member’s concerns, including Highmark’s implementation of a prior authorization program. NYSCA member...

Updates to Highmark’s Physical Medicine Management Page

by Insurance Committee | Mar 28, 2024 | Commercial Insurance, Highmark, Insurance Updates

On 3/27/24 Highmark updated the regional Physical Medicine Management page. The link for ‘Submitting a Prior Authorization for Chiropractic (Outpatient Therapy)’ is now active. As many had noted, this link previously resulted in an error message...

Highmark Effective Date moved to May 1

by Insurance Committee | Mar 26, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

On March 25th, Highmark of WNY and NE NY posted a Special Bulletin in their Provider Resource Center for each region of New York. In that notice, Highmark noted they have ‘decided to move back the effective date from April 1, as previously announced, to...

Highmark to Implement a Prior Authorization Program

by Insurance Committee | Mar 22, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

As noted in our previous communication, Highmark BCBS of Western NY and Northeastern NY is implementing a prior authorization program for certain services rendered by DCs, PTs, OTs and home care providers. This program only applies to Highmark’s commercial...