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Illness/Hospitalization

To ensure that you receive medically necessary and appropriate care, you must pre-certify certain inpatient procedures and tests as soon as possible.

Call Highmark at 888-835-2959 at least seven to 10 days prior to admission for

  • inpatient medical or surgical procedures;
  • imaging procedures other than ultrasounds or X-rays, including CAT scans, MRI, MRA, and PET scans;
  • inpatient hospitalization;
  • partial-day programs;
  • intensive outpatient therapy;
  • residential treatment facility services;
  • psychological testing.

For emergency admissions, call Highmark within 48 hours of admission.