Visit the Highmark Blue Cross Blue Shield of Western New York website for Medicaid and Child Health Plus members. You can:
- Find a doctor.
- Download your member handbook.
- Get help enrolling or renewing.
- Print your ID card.
- And more.
Member Services: 1-866-231-0847 (TTY 711)
You'll need to register to access the secure portion of the member website.
Blue Cross®, Blue Shield®, and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.
Highmark Blue Cross Blue Shield of Western New York is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association.
Waste, Fraud and Abuse
Code of Conduct
The Highmark Blue Cross Blue Shield of Western New York provider website for MMC and CHP members will be your one-stop shop to:
- Submit claims and appeals.
- Verify member eligibility.
- Download your panel listings.
- Look up prior authorization requirements.
- And more.
You'll need to be registered with Availity to access the secure portion of the website.
Provider Services: 1-866-231-0847
False Claims Act and other policiesHealth care organizations subject to Section 6032 of the federal Deficit Reduction Act of 2005 (the “DRA”) are required to educate their providers and contractors about the False Claims Act as well as the organization’s policies and programs for detecting and preventing fraud, waste and abuse. The following documents are intended to satisfy the to Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY) obligations under the DRA. We know you share Highmark BCBSWNY’s goal of ensuring that all clinical and business activities are conducted in full compliance with applicable laws and government program requirements. Accordingly, we look forward to your cooperation in applying Highmark BCBSWNY’s fraud prevention and detection standards in connection with the services you provide to our members.
If you have any questions regarding these documents, please do not hesitate to contact Highmark Blue Cross Blue Shield of Western New York’s fraud prevention program at 1-877-725-2702.