Highmark Inc. is a national, diversified health care partner based in Pittsburgh that serves members across the United States through its businesses in health insurance, dental insurance, vision care and reinsurance.
Highmark, and its affiliates, operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.3 million members and employ approximately 20,000 people. It is among the ten largest health insurers in the United States and is the fourth largest Blue Cross and Blue Shield-affiliated company. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.
CGI Technologies and Solutions Inc. (CGI) will perform retrospective reviews for the following:
- Inpatient/outpatient hospital services
- Inpatient/outpatient laboratory services
- Physician services
- Ambulatory Surgical Center (ASC) services
Use of this Portal will enhance the audit program for the following reasons:
- Automatically updated via data feeds
- Faster access to audit status changes
- Reduce need to contact Highmark and/or CGI
- Improve productivity
- Put more information at your finger tips