From time to time, you may have questions about submitting medical records to Highmark. The Highmark Blue Shield Office Manual 
contains information that explains if/when medical records are necessary to submit and how to submit them. The manual is accessible via the Manuals quick link bar on the Provider Resource Center.
As a reminder of where to find this information, key sections of the office manual are listed below.
Medical Records Documentation and Responsibilities Medical Records Review Medical Records Request – BlueCard® Host Unconfirmed Diagnosis Code Program |
Expedited Review of Initial Determinations and Appeals Modifiers Claim Audits |
For other questions about submitting medical records to Highmark, please call Provider Service.
