At Independence, we're 75 years strong and still changing the game — working hard to enhance the health and wellness of the people and communities we serve. This means offering the right technology, tools, and processes — which is why we decided to migrate to a new operating platform managed and operated by Highmark Health Services (Highmark), an independent company ("new platform"). The new platform will offer greater capabilities, increased flexibility in benefit design, and enhanced functionalities to improve the customer experience. The migration of our membership to the new platform began in November 2013 and will continue into 2015.
We created this section of our website — Business Transformation — to assist you in understanding and preparing for this transformation. Independence is committed to ensuring a seamless transition for our customers and other stakeholders and will maintain updated news and information related to the transition. We encourage you to visit this site frequently to keep abreast of the upcoming changes and review more specific details as they become available.
Important Information about the Claims Processing System Transformation
This letter was mailed to our provider network in May 2013 and outlines potential impacts of our Business Transformation, including changes to:
- Provider payment
- Claims submission/reporting requirements
- Electronic Data Interchange (EDI) trading partner migration
- Provider IVR processes
For More Information
Below is a frequently asked questions (FAQ) document, which includes answers to inquiries that we have received from participating providers regarding our Business Transformation.
Additional information will be posted on this site as details are made available. Important categories related to the Business Transformation are included below to help you quickly find the information that you need.
If you have reviewed the FAQ and you still have questions about our Business Transformation, please email
Claims Submission and Payment
We are working in a dual claims-processing environment until all of our membership is migrated to the new platform. During this time, providers will see changes to claims submission requirements and payment for migrated members.
>> More about Claims Submission and Payment
NaviNet® Transaction Changes
The NaviNet web portal is undergoing a series of changes and enhancements that will affect your day-to-day operations. Participating providers will see a difference in the look and feel of the provider portal, as well as in transaction functionality.
>> More about NaviNet Transaction Changes
X12 Gateway Transition
Below is a link to our communications archive, which includes a complete list of communications regarding our transition to the new platform.
>> Complete Communication Archive