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

Medicare Part B
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Highmark Medicare Services is the Part B Medicare Administrative Contractor for Pennsylvania (PA), Delaware (DE), Maryland (MD), New Jersey (NJ), and the District of Columbia Metropolitan Area (DCMA). For Part B services, A/B MAC Jurisdiction 12 includes the Counties of Arlington and Fairfax in Virginia and the City of Alexandria in Virginia. Services for the remainder of the state of Virginia will be covered under A/B MAC Jurisdiction 11. Learn more in the "About Us" section or browse our site below.

Medicare News & Website Updates for Part B

  • November 06, 2009
    • Join us on Thursday, November 19, 2009 at 9:30 am (EST) for our next Ask the Contractor Teleconference (ACT).  During this teleconference we will discuss the most current Medicare changes and allow you to interact directly with representatives from various departments within Highmark Medicare Services.

Enrollment Center

Enolling in Medicare? Visit this section for enrollment forms, tutorials, tips, contact information, and more.

Reference Library

Reference Library

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

Medical Policy Center

Coverage guidelines to help with reporting services and determine reimbursement.

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.

Electronic Billing (EDI) Center

Electronic Billing

Efficient, direct, and intelligent solutions for our customers.

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.

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