Provider manuals and guides


Highmark Blue Cross Blue Shield (Highmark BCBS) is committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing coverage options, guidelines for clinical utilization management (UM), practice policies and support for delivering benefits to our members.

Provider Manual

The Highmark BCBS Provider Manual provides key administrative information, including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies.

Provider tools and resources

Interested in becoming a provider in the Highmark BCBS network?

We look forward to working with you to provide quality service for our members.