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 7 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; and
- psychological testing.
For emergency admissions, call Highmark within 48 hours of admission.