Highmark

Claims and claim status

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

claims

Highmark Wholecare (PA Medicaid) claims and referral forms mailing address

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
Pennsylvania

Mailing address
Highmark Wholecare Claims Processing P.O. Box 211713 Eagan, MN 55121

Medicaid claims and referral forms

Paper claims and referral forms for Wholecare Medicaid.

View source ↗ · Source checked 2026-10-25

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claims

Highmark Wholecare PA Medicare Assured (D-SNP) claims mailing address

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

dsnp
Pennsylvania

Mailing address
Highmark Wholecare Claims Processing Center P.O. Box 211164 Eagan, MN 55121

PA Medicare Assured medical and behavioral health claims

Medical and behavioral health claim forms for PA Medicare Assured (D-SNP).

View source ↗ · Source checked 2026-10-25

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fax claims

Highmark Wholecare (PA) claims inquiries and administrative reviews (provider disputes)

Official page read
Phone

No phone listed for this route

Fax

844-207-0334

Published hours

Not published in this record

Product, plan and location

medicaid · dsnp
Pennsylvania

Mailing address
Highmark Wholecare P.O. Box 535191 Pittsburgh, PA 15253-5191

Claims inquiries and administrative reviews (provider disputes)

Claims inquiries and provider disputes for all providers, by mail or fax.

View source ↗ · Source checked 2026-10-25

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Call preparation · editorial guide

Make the call count.

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

Have ready in your secure workspace

  • Claim number, service dates and billed amount
  • Submission acknowledgement and remittance
  • Provider billing identifiers

Questions to resolve

  • Was the claim received and accepted for processing?
  • What specifically prevents payment or final processing?
  • Is a corrected claim, reconsideration or appeal the right route?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

For healthcare offices

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For the people making the calls

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A request does not create an account or start a call. Use business contact information only. No patient information.

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