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

Medicare Part A
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Questions for Highmark Medicare Services? This form may be used by health professionals to submit a general and/or clinical question to Medicare. A general question may be related to coverage guidelines, policy issues or how to bill Medicare. A clinical question may be related to a medical policy, a medical review issue or coverage and coding questions.

During periods of high volume of requests, there may be a need to prioritize and process the requests according to the greatest need. Providers will be kept informed of the status of their request during these high volume times.

Please note: This is not a secured page, so we prefer you do not include Protected Health Information (e.g. HIC numbers, Social Security numbers, etc.). In the event Protected Health Information is included in the inquiry, this information will be removed from our email response or we may find it necessary to respond via telephone or in writing (versus email).

To obtain a response, your name and telephone number are required.

NOTE: This form is for Medicare Part A related questions only!

Your Name

Email Address

Day Time Telephone

Your Address

 

City

State

ZIP

Fax Number

Provider Number

Facility Name

What is your question? Pasting from Word? Before you do, please do the following steps: 1. Spell Check your document, 2.Do a “save as” in Word. 3. In the “save as type” dropdown, select “MS-DOS text”. 4. Save to location of choice. File will be saved with a .TXT extension 5. Open up the .TXT file you just saved. 6. Copy & paste into comment textarea input box below.

 


 

Thank you!

Please note: electronic mail is not necessarily secure against interception. If your communication is very sensitive, or includes personal information, you may want to send it by postal mail instead. 

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