Highmark Medicare Services - A CMS Contractor - ISO 9001:2000 Certified

Medicare Part A
(* = off-site link)

Search Part A

Select One Option:

Electronic Mailing Lists

Subscribe to updates:
+DDE providers receiving RC 32212 In Error - (UPDATED 06/26/08) (click for details)
On 6/3/08 a FISS problem was identified that impacted DDE providers. The rate amounts were being removed upon claim entry causing claims to error with Reason Code 32212. Providers were advised of a workaround to use until the problem could be corrected. The programming was installed into Production on 6/23/08 to correct the problem and confirmed. Providers should now no longer need to use the workaround when entering new claims. If you are correcting claims currently in the RTP File, you may still need to use the workaround, as the original claims were entered before the correction was installed.
+Attention Part A EDI Customers (07/03/08) (click for details)
Due to a technical problem at the Enterprise Data Center (EDC), the delivery of the IG Edit reports and the ANSI ASC X12N 835 Electronic Remittance Advice(ERA) dated July 2, 2008 are delayed and not yet available. A follow-up listserv will be sent when the reports and ERA files are available. We apologize for any inconvenience.

Highmark Medicare Services is the Medicare Part A intermediary for Pennsylvania, Maryland and Washington, DC. Learn more about us in the about us section or browse our site below.

Hospital

Transition Info

Transition Info

Watch this space for important information regarding upcoming transitions taking place in the Highmark Medicare Services organization.

Provider Information

Provider Information

A good resource of reference materials and information needed in your day-to-day interaction with the Medicare program.

Medical Policy

Medical Policy

Coverage guidelines to help with reporting services and determine reimbursement.

Outreach & Education

Outreach & Education

Educational tools and materials to help you understand the ever changing Medicare program. Information you'll need to help you submit claims correctly.

EDI

EDI

Efficient, direct, and intelligent solutions for our customers.

CERT

CERT

The CERT Program is a federally mandated, program integrity activity that was established by the Centers for Medicare and Medicaid Services (CMS) to monitor and improve the accuracy of Medicare payments to physicians and other non-physician practitioners.

© 2005-2008. All rights are reserved.