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[PDF File]Highmark Delaware Single Sign-On (SSO) In Employee Self ...
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1. Go to the Highmark Delaware member website - www.highmarkbcbsde.com. 2. Click on “Register” and complete the steps. 3. Once registered on the Highmark Delaware member website, you can access your Highmark Delaware Account via Single Sign-On in Employee Self-Service: www.employeeselfservice.omb.delaware.gov.
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[PDF File]Highmark Frequently Used Contact Information
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Highmark Frequently Used Contact Information OASIS Eligibility, benefits and status of claims: call 1-800-462-7474, or in the Harrisburg area, 1-717-302-5125 on your touch-tone telephone. Precertification Inquiries In the Western Region Only, please call: Healthcare Management Services via the Provider Line at
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[PDF File]Special Enrollment Period Form - Highmark
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a Special Enrollment Period, you must sign this Special Enrollment Period Form. If you are unmarried, under age 18 and applying for a policy that only covers yourself, your parent or guardian must sign. Note: The deductible amount and out-of-pocket maximum for your new individual coverage will reset on January 1st.
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[PDF File]Highmark Wellness Rewards, Login and Website Navigation ...
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Highmark Wellness Rewards, Login and Website Navigation Instructions . 2 2017 Program Requirements: Wellness Profile – REQUIRED Preventive Exam – REQUIRED + Complete 2 Health & Wellness Programs* to receive $125 OR an extra day off of ... registered member, click
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[PDF File]Your MEMBER SITE uSER REgISTRaTIon - Highmark
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1 go to your member website Click Register Now. 3 create Login Create a login ID, password and choose a security question. 2 comPLete the registration form Folow the instructions on the form. Highmark Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association. Highmark is a registered mark of Highmark Inc. 12/14 CS 203289
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[PDF File]MEMBER ENROLLMENT / CHANGE APPLICATION - Highmark
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MEMBER ENROLLMENT / CHANGE APPLICATION Thank you for choosing Highmark Blue Cross Blue Shield Delaware as your health insurance carrier. Attached is the Member Enrollment / Change Application. Your employer will ﬁll out the top portion, which includes your account number and sub-account numbers, as well as the requested eﬀective date of ...
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[PDF File]Constituent Authorization Form - Highmark
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The Legislative Constituent Authorization form is for use when a Highmark member desires assistance from their legisla tor involving communications with Highmark that include protected health information. This form is used to obtain authorization from the member or the member’s personal representative to disclose the
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[PDF File]CHAPTER 3: PROVIDER NETWORK PARTICIPATION
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• Highmark will make payment directly to network providers and will notify the member of any responsibility they may have (such as noncovered - services, coinsurance, and/or deductibles). • Network providers will handle basic claims filing paperwork for the member. • Highmark will encourage members to obtain health care services from
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[PDF File]HOW TO COMPLETE YOUR MEMBER CHANGE FORM - …
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HOW TO COMPLETE YOUR MEMBER CHANGE FORM Complete the following fields on the Member Change Form. 1) Employer Name- The employer’s name. 2) Telephone Number- The employer’s telephone number. 3) Association Name- The Association’s name if your group participates in an association.
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[PDF File]HOW TO COMPLETE YOUR MEMBER CHANGE FORM
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HOW TO COMPLETE YOUR MEMBER CHANGE FORM ... Signature and Date- The employee and employer must both sign and date the form. Insurance or benefit administration may be provided by Highmark Blue Cross Blue Shield, Highmark Health Insurance Company (HHIC), Highmark Choice Company (HCC), or Highmark Coverage Advantage (HCA). ...
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