Highmark Credentialing

Highmark is committed to helping individuals in Pennsylvania, West Virginia and Delaware receive reliable health care. The company's goal is to serve the consumer first by bringing high-quality service to those who need it most.

Bikham Healthcare serves health practitioners and organizations who are interested in working with Highmark members. We work closely with you to make the application process as simple and hassle-free as possible, so start your Highmark BCBS provider enrollment with us today.

Learn More About Highmark Blue Shield Provider Enrollment

If you're planning to credential with Highmark BCBS so you can reliably serve their members, it's important for you to have access to the proper documents. For example, you'll need your health care or business license, along with Medicare certification, liability insurance certification and the proper accreditations to apply for credentials.

In addition, you will need to set up a CAQH profile before filling out and sending in your application. Although the initial application takes a longer period of time to complete, subsequent credentialing renewals are typically less time-consuming. It can take up to six months for Highmark to process applications.

Our Credentialing Process

Instead of having to handle the entire Highmark provider credentialing process on your own, you can work with Bikham Healthcare to facilitate a faster, simpler application. Our capabilities lead to higher application approval rates and faster turnaround times for enrollment. We support your needs with our wide range of services, including:

  • Network research: We do thorough research to help you connect with a diverse range of payers. If you're looking for the best Medicare and Medicaid providers, we'll be here to help. We'll also handle contacts with Highmark so you can focus on providing reliable care for your patients.
  • Application filing and follow-up: We'll help you through the application process and follow up with Highmark often to make sure everything goes smoothly. If Highmark needs any extra information during processing, we will let you know right away.
  • Contract negotiations: If you're looking for a way to make sure you secure the best contract or fee, we'll use our research to handle contract negotiations for you. Keeping an eye on the competition is a great way to make sure you're getting reasonable prices for your memberships.
  • PECOS and CAQH profile setup: We can offer our vast expertise and experience if you need help setting up or maintaining a CAQH profile. Because this is essential for credentialing with insurance providers, it's important to keep all your profile information current and accurate.
  • Annual credentialing maintenance: When you're partnered with multiple organizations, you need a way to maintain data integrity. At Bikham Healthcare, we use our credentialing portal to help you manage and maintain essential information on an annual basis.

  • Reach Out for More Details

    At Bikham Healthcare, we simplify the Highmark credentialing process so you can remain a health care facility that patients will trust. For more details about the types of services we offer, reach out online to get in touch with the Bikham Healthcare team today.