Contact Us
To assist you most efficiently, please choose from the information below that best describes your area of interest.
Medicaid Member Contact Information
Toll Free Numbers
Member and Provider Services 1-800-392-1147
Family Health Council 1-800-532-9465
Health Choices 1-800-440-3989
TDD/TTY: 711
Mailing Addresses
Claims and Referral Forms Mailing:
Highmark Wholecare
Claims Processing
P.O. Box 211713
Eagan, MN 55121
Claims Inquiries and Administrative Reviews (Provider Disputes):
Highmark Wholecare
P.O. Box 535191
Pittsburgh, PA 15253-5191
Send us a request by fax to: All Providers 1-844-207-0334
Clinical Provider Appeals:
Highmark Wholecare
Attention: Provider Appeals Department
P.O. Box 22278
Pittsburgh, PA 15222
Send us a request by fax to:
- Non-Participating Medicare Provider, and any Pre-Service Appeals: 412-255-4503
- All Post Service appeals for Participating (Contracted Providers) and all Medicaid Providers: 855-501-3904
Member Complaints and Appeals:
Highmark Wholecare
Attn: Member Appeals Department
P.O. Box 22278
Pittsburgh, PA 15222
Fax: 412-255-4503
Fraud, Waste, and Abuse:
If you suspect Fraud, Waste, or Abuse please click here.
If you are an Agent interested in selling our products, please call Agent Support at 1-888-871-0417.
Mailing Address
Highmark Wholecare
P.O. Box 535191
Pittsburgh, PA 15253-5191
General Phone Number
412-255-4640
Medicare Assured Member Contact Information
Toll Free Numbers
Pennsylvania 1-800-685-5209
TDD/TTY: 711
8 a.m. - 8 a.m. Eastern Time
7 Days a week from October 1 through March 31.
* From April 1 through September 30 our business hours are 8 a.m. - 8 p.m., Monday through Friday.
Mailing Addresses
Medical and Behavioral Health Claim Forms (PA Medicare Assured)
Highmark Wholecare
Claims Processing Center
P.O. Box 211164
Eagan, MN 55121
Claims Inquiries and Administrative Reviews (Provider Disputes):
Highmark Wholecare
P.O. Box 535191
Pittsburgh, PA 15253-5191
Clinical Provider Appeals:
Highmark Wholecare
Attention: Provider Appeals Department
P.O. Box 22278
Pittsburgh, PA 15222
Send us a request by fax to:
- Non-Participating Medicare Provider, and any Pre-Service Appeals: 412-255-4503
- All Post Service appeals for Participating (Contracted Providers) and all Medicaid Providers: 855-501-3904
Holiday Schedule
Please be aware that our offices are closed on the following holidays. If an answering service is reached, please leave a message and your call will be returned as soon as possible.
- New Year's Day
- Martin Luther King, Jr. Day
- Memorial Day
- Independence Day (observed)
- Labor Day
- Thanksgiving Day
- Day After Thanksgiving
- Christmas Eve (observed)
- Christmas Day (observed)
Contact Us
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Do not use this form to ask questions about your health coverage or share personal health information. If you have questions, call Member Services at 1-800-392-1147 TTY 711.