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Highmark Pennsylvania Central Region

Highmark Pennsylvania Central Region

This page contains information you can use to exchange healthcare transactions with Highmark Pennsylvania Central Region using Stedi.
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Use any of the following payer IDs to send transactions to Highmark Pennsylvania Central Region using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,
Coverage types
Dental, Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Highmark Pennsylvania Central Region using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported, enrollment required

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Highmark Pennsylvania Central Region.
Enrollment process type
One-click
Activation timeframe
Days
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Highmark Pennsylvania Central Region to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported, enrollment required

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Highmark Pennsylvania Central Region in real-time by sending a claim status check (276/277).
Enrollment process type
One-click
Activation timeframe
Days
Not supported

Professional claims

(837P)
Submit professional claims to Highmark Pennsylvania Central Region and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Highmark Pennsylvania Central Region and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Highmark Pennsylvania Central Region to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Not supported

Dental claims

(837D)
Submit dental claims to Highmark Pennsylvania Central Region and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Highmark Pennsylvania Central Region.
Get started
Start processing healthcare transactions with Stedi and Highmark Pennsylvania Central Region today.
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