NaviNet Inquiry Verification

Highmark can only setup pre-approved providers for NaviNet Inquiry access.  If you have been pre-approved, please key in the Authorization code in the box below:
Authorization Code:
If you do not have an approved Authorization Code please contact your Highmark Provider Relations Representative for further information.
Requester Information

Your Name*:
Your Title*:
Your Company*:
Your Telephone Number*: - -
Your Email Address*:
Provider Information*

Please fill in the appropriate provider related fields and click the 'Add Provider' button to record the provider.

NPIProvider Name

Additional Comments

Please use this space for additional description or instruction.

To continue the EDI enrollment process you must agree to the terms and conditions of Highmark's EDI services. You will be directed to the EDI Trading Partner Agreement for your review.
By clicking on this checkbox and using these services, you accept, without limitation or qualification, the terms and conditions of Highmark's Provider EDI Trading Partner Agreement and acknowledge that any other EDI agreement between you and Highmark is superseded.