Highmark

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

Clinical Services — medical services, Southeastern and Northeastern PA

Official page read
Phone800-452-8507Published hours

8 a.m. to 5 p.m. EST, Monday through Friday

Product, plan and location

Confirm the exact product or service
Pennsylvania

Mailing address

Not researched for this route

Highmark Clinical Services for authorization inquiries that cannot be handled in Availity (preferred method), Southeastern and Northeastern Pennsylvania regions. Central and Western PA clinical services share the regional provider service numbers.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Clinical Services — medical services, Delaware

Official page read
Phone800-572-2872Published hours

8 a.m. to 5 p.m. EST, Monday through Friday

Product, plan and location

Confirm the exact product or service
Delaware

Mailing address

Not researched for this route

Highmark BCBS Delaware medical clinical services (authorization inquiries not handled via Availity).

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Clinical Services — medical and behavioral health, West Virginia

Official page read
Phone800-344-5245Published hours

8 a.m. to 5 p.m. EST, Monday through Friday

Product, plan and location

Confirm the exact product or service
West Virginia

Mailing address

Not researched for this route

Highmark BCBS West Virginia medical and behavioral health clinical services; Medicare Advantage Freedom Blue PPO clinical services 800-269-6389.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Clinical Services — Medicare Advantage Freedom Blue PPO, West Virginia

Official page read
Phone800-269-6389Published hours

8 a.m. to 5 p.m. EST, Monday through Friday

Product, plan and location

medicare advantage
West Virginia

Mailing address

Not researched for this route

West Virginia Freedom Blue PPO clinical services.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Highmark Health Options (DE) HealthHelp prior authorization

Official page read
Phone877-761-1444Fax

877-637-6934

Published hours

Not published in this record

Product, plan and location

medicaid · dsnp
Delaware

Mailing address

Not researched for this route

HealthHelp-managed prior authorization (page lists cardiology, sleep studies and radiation oncology) for HHO Duals and HHO Medicaid patients, by fax or phone; HealthHelp SSO through NaviNet also available.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

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

For healthcare offices

Found the contact. Still need to make the call?

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For the people making the calls

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on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

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

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