1-877-235-8048

The Highmark Medicare Services IVR offers the provider community quick and easy access to Medicare related information.  This service is accessed via your telephone simply by calling the toll free provider customer service telephone number, selecting the state that corresponds to your contractor ID and choosing the option that you would like to use. You will have the ability to speak or touch tone your responses.  You will not hear the touch tone options during the initial prompts; you can either say the option or key the numeric value to the left. The following options will be offered:

(1)        Eligibility
(2)        Claim Status
(3)        Checks
(4)        Remittance Statements
(5)        Medicare News
(6)        I have a Question

IVR Requirements

The Interactive Voice Response Unit is easy to use. All you need is:

• Your NPI and PTAN number
• Your patient’s name & Medicare Health Insurance Claim (HIC) number

(nine numbers followed by a letter) for claim status and eligibility.

• The Patient’s date of service (DOS) in question for claim status
• The Patients birthdate in MMDDYYYY format to obtain eligibility
• The state where you submit your claims. You can identify your state by the first two digits of your PTAN. Pennsylvania is 39, Maryland is 21 or 80, the District of Columbia is 09 and NJ is 31.
• Telephone with handset or headset. The use of speakerphones and cell phones are not recommended
• A quiet environment that you can speak clearly and naturally into your telephone

IVR Instructions

For step-by-step instructions on using the IVR, click here.

For a Quick Reference guide, click here. 

To use the Name to Number Conversion Tool, click here.

Please Note: Based on CMS requirements, if you call a customer service representative with a question that can be answered by the IVR, you will be referred back to the IVR.