Important Information Regarding EDI Enrollment
Highmark Medicare Services has recently started processing EDI Enrollment forms forwarded from TrailBlazer. We will continue to receive pending EDI Enrollment forms from TrailBlazer for a few weeks after the July 11, 2008 cutover. If you have submitted an EDI Enrollment form to TrailBlazer, it will be forwarded to Highmark Medicare Services and be subject to all Highmark Medicare Services form processing guidelines, including the address validation and signature requirements. For more information on these form processing guidelines, please read the EDI Enrollment Instructions form carefully. This form is found on our website at the link provided below.
Effective July 14, 2008, new EDI Enrollment requests or updates to your existing EDI Enrollment should be submitted directly to Highmark Medicare Services using the EDI Enrollment forms located on our website at: http://www.highmarkmedicareservices.com/partb/edi/eforms.html
Highmark Medicare Services’ EDI Enrollment forms are often updated to ensure the most recent data is collected and to make the enrollment process more efficient. Before completing and submitting an EDI Enrollment form, always visit our website and download the most recent version of all EDI Enrollment forms. This will ensure you are completing and submitting the most recent version of the EDI Enrollment forms. Mail your completed EDI form(s) to the EDI mailing address shown on the form(s).
We would be happy to answer any questions or provide assistance in the completion of your EDI Enrollment forms. Please contact us toll-free at 1-866-488-0546 (option 3 before the transition cutover date, option 1 after the transition cutover date). Please allow at least ten business days for EDI Enrollment form processing.