ADDRESS Group NPI number: ADDRESS Dear Healthcare Provider: CONTRACT ENCLOSEDProfessional Provider Agreement • August 7th, 2020
Enclosed please find a copy of the Highmark Professional Provider Agreement (“Commercial Agreement”). Please execute and return the Commercial Agreement in order for Highmark to finalize execution of this document. Upon finalization of your Commercial Agreement, you will receive a fully executed copy of the Commercial Agreement with an acknowledgment for your files. In addition, a Welcome Letter announcing your Highmark Commercial Agreement effective date(s), Group Provider Number and Managed Care Vendor Number will be returned to you for your files. Please note that new applicants should not see members or submit claims until notified that they have been accepted in the network via a Welcome Letter.
