Planning guidance only—not a guarantee. Requirements, network capacity, contracting, and payer review can affect timing and effective dates.
Highmark markets and provider participation processes are regional. Confirm the relevant Highmark company, network, product, and practice location before starting an application or representing the practice as available to members.
Highmark’s official credentialing guidance instructs applicable providers to obtain a CAQH Provider ID and complete an initial credentialing request. Its provider manual states that applicable Highmark network providers use CAQH ProView for credentialing and recredentialing. Current intake tools can change by market, so use Highmark’s current instructions rather than assuming a single portal applies everywhere.
Credentialing review, network participation, contracting, and the effective date are distinct steps. Completion of an initial request or CAQH profile is not a guarantee that a network is open or that the provider may bill as in network.
Highmark does not publish one universal approval time for all markets and provider types. Rely on written confirmation of the selected network, product, locations, and effective date.
The enrollment path
Documents to have on hand
Frequently Asked Questions
Does Highmark use CAQH?
Highmark’s credentialing resources direct applicable network providers to CAQH ProView. Follow the current instructions for the relevant Highmark market and provider type.
Is an initial credentialing request a participation approval?
No. It begins the credentialing process. Network availability, contracting, participation, and the effective date require Highmark confirmation.
Which portal should I use?
Use the current Highmark credentialing guidance for the specific market. Highmark’s intake tools and routes may differ by market and may change.
These state links are related Arctic Health credentialing guides for this profile’s listed markets. Product availability, plan or network participation, provider types, and open panels vary by location; confirm current requirements directly with the payer before relying on a market listing.
Reviewed by Arctic Health Team , Credentialing Specialists
Last reviewed: September 2026
Information on this page reflects our experience as of September 2026. Credentialing requirements, payer processes, and state regulations may change. Contact us or check the relevant state medical board and payer websites for the most current requirements. This content is for informational purposes only and does not constitute legal or professional advice.