Highmark’s Provider Web Portal represents a critical digital platform designed to streamline administrative processes for healthcare providers across multiple regions. This innovative online tool supports medical professionals in managing patient interactions, claims, and critical healthcare documentation efficiently.
Official Links
- Highmark Provider Resource Center: https://providers.highmark.com/
- Highmark Provider Web Portal: https://hmportal.cgicleve.com/
What is the Highmark Provider Web Portal?
The Highmark Provider Web Portal is a comprehensive digital platform that enables healthcare professionals to:
- Access patient information
- Submit and track claims
- Perform administrative tasks
- Conduct retrospective medical reviews
- Manage network-related activities
Who Can Use the Portal?
The portal is designed for healthcare providers across multiple service categories, including:
- Inpatient hospital services
- Outpatient hospital services
- Physician practices
- Laboratory services
- Ambulatory Surgical Centers (ASCs)
Key Features
Retrospective Review Services
CGI Technologies and Solutions Inc. performs retrospective reviews for:
- Inpatient services
- Outpatient services
- Laboratory services
- Physician services
- Ambulatory Surgical Center services
Portal Advantages
- Automatically updated data feeds
- Faster access to audit status changes
- Reduced need for direct communication with Highmark/CGI
- Enhanced productivity
- Immediate information access
Access and Authentication
Important Note: The portal requires authentication via Availity. Providers must:
- Have valid credentials
- Log in through the Availity platform
- Link directly to the Highmark Provider Web Portal
Privacy and Security
While specific security details are not comprehensively outlined in the provided sources, the portal is operated by a reputable healthcare organization committed to maintaining stringent data protection standards.
Support and Assistance
Providers can reach out during standard business hours:
- Hours: 8 a.m. to 5 p.m. EST
- Days: Monday through Friday
Network Coverage
Highmark serves members across:
- Pennsylvania
- Delaware
- West Virginia
With approximately 5.3 million members and 20,000 employees, Highmark is among the top 10 health insurers in the United States.
Organizational Background
Highmark is:
- A national, diversified healthcare partner
- Based in Pittsburgh
- An independent licensee of the Blue Cross and Blue Shield Association
Additional Resources
Providers can access:
- User guides
- Portal demonstrations
- Medical record submission instructions
- Audit status definitions
Limitations and Considerations
Some portal sections require specific authentication, indicating that not all features are publicly accessible. Providers should be prepared to:
- Have proper credentials
- Use Availity for full portal access
- Follow authentication protocols
The Highmark Provider Web Portal offers a robust, secure platform for healthcare professionals to manage administrative tasks, conduct reviews, and streamline patient care processes across multiple service regions.
Disclaimer: Details are current as of the portal’s 2025 documentation. Providers should confirm the most recent features and access protocols directly with Highmark.
FAQ
Are Blue Cross Blue Shield, and Highmark the same?Highmark Inc. is an independent licensee of the Blue Cross Blue Shield Association.
Can Highmark patients go to UPMC?Highmark members with broad-network commercial or Medicare Advantage plans (which is the majority of Highmark members) have full, in-network access to UPMC hospitals, doctors, and services.
How to check prior authorization status in Highmark?Authorization Status
For Inpatient Planned Requests, call the appropriate Clinical Services number & press 2 for authorization requirements/status. This link requires authentication. If you are not already logged in you will need to log into Availity and link to this site from there.
How do I contact BCBS Highmark?Members can get assistance with their renewal via our retention call center at 844-885-1004 (TTY 711), through the NY State of Health website or calling 855-355-5777. If you have questions about eligibility, benefits, authorizations, claims status, and more, log in to Availity Essentials* and select Chat with Payer.
https://providers.highmark.com/
Highmark’s Provider Resource Center is your source for all provider-related information and updates. The PRC offers resources to assist in the treatment of
https://hmportal.cgicleve.com/
The Highmark Provider Portal is for Highmark, a national health care partner, and enhances audit programs for services like hospital, lab, and physician