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

Medicare Part A
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Electronic Mailing Lists

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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

Michael.Dimeo@highmark.com

412-544-1834

Audit Manager - Camp Hill

Leon.Sokolosky@highmark.com

215-654-5673

Audit Manager - Ft. Washington

Leon.Sokolosky@highmark.com

215-654-5673

Audit Manager - MD/DC

Adam.Weber@highmark.com

410-427-8726

Audit Supervisor - Pittsburgh                       

Mark.Hudak@highmark.com 

Dave.Cipollone@highmark.com

412-544-2204

412-544-1846

Benefit Integrity & Medicare Fraud Questions

Ray.Lichauer@highmark.com

1-800-HHS-TIPS
(1-800-447-8477)

CERT Coordinator

QuestCERT@highmark.com

 

Cost Reports - Check-ins

Seth.Ruff@highmark.com

412-544-1873

 

Tami.Richardson@highmark.com

412-544-1862

Cost Reports - Forms CMS 339 Questionnaire

Seth.Ruff@highmark.com

412-544-1873

Cost Reports - Low and No Utilization

Matthew.McGinley@highmark.com

412-544-1682

Cost Reports - Overdue Letters

Seth.Ruff@highmark.com

412-544-1873

Cost Reports - Notice of Program Reimbursement

Rebecca.Shirey@highmark.com

412-544-1869
412-544-1885

Cost Reports - Preparation

Matthew.McGinley@highmark.com

412-544-1682

Cost Reports -PRRB Appeals

Katherine.Conrad@highmark.com 

412-544-1858

Cost Reports - Reopenings

Matthew.McGinley@highmark.com

412-544-1682

Credit Balance

Elyse.Hause@highmark.com

412-544-1882

Electronic Funds Transfer

Provider Enrollment Services

1-866-488-0549

Freedom of Information

Specify Part A FOIA - FAX #

717-302-3748

HIPAA Contact

HIPAA Contact

1-866-488-0546
option 2

Inpatient Rehabilitation Facility PPS

Tina.Marshall@highmark.com

412-544-2453

IRIS questions

Bruce.Snyder@highmark.com

412-544-1837

Long Term Care Hospital PPS

Krystyna.Gallegos@highmark.com

410-427-8709

Medicare EDI Services

Medicare EDI Services

1-866-488-0546
option 2

Outreach & Education Manager 

Denise.Church@highmark.com

412-544-1914

Provider-Based Facility Issues

Eric.Huffman@highmark.com

412-544-1501

Provider Enrollment Process

Judy.Andidora@hgsa.com

866-488-0549

PS&R - Content Questions

Donna.Silvio@highmark.com

412-544-1841

PS&R - Internet Questions/ Connectivity

Provider Contact Center

800-560-6170

Rates - Hospital

David.Russell@highmark.com

412-544-1887

Rates - DSH - Interim Adjustments

Carrie.Willkomm@highmark.com

412-544-1859

Rates - Blended & Capital

Grayson.Smith@highmark.com

412-544-1855

Rates - GME per Resident Amounts, PIP

Grayson.Smith@highmark.com

412-544-1855

Rates - TEFRA Target Amounts/ Exceptions

Carrie.Willkomm@highmark.com

412-544-1859

Reimbursement/Settlement Manager

Matthew.McGinley@highmark.com

412-544-1682

Remittances - Demand Letters

Cinda.Cengia@highmark.com

412-544-1666

Remittances - Interest Assessed to Overpayments, Withholding Remittance

Cinda.Cengia@highmark.com
Michael.Dimeo@highmark.com

412-544-1666
412-544-1834

Sanctioned Provider Listings

Ray.Lichauer@highmark.com

412-544-1945

Skilled Nursing Facilities - PPS

Grayson.Smith@highmark.com

412-544-1855

SNF - Mammography Certification

Mary.Nuttall@highmark.com

412-544-1879

Tie-ins/Tie-outs Change of Ownership or Address

Elyse.Hause@highmark.com

412-544-1882

Wage Index - Western PA & District of Columbia (DC)

Jeffrey.David@highmark.com

412-544-1876

Wage Index - Harrisburg

Brian.Galbraith@highmark.com

717-302-4452

Wage Index - Philadelphia

Patricia.Bowman@highmark.com

215-654-5660

Wage Index - Maryland

Blair.Pence@highmark.com

410-427-8691

 

 

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