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Highmark Blue Cross Blue Shield Pennsylvania Institutional

Highmark Blue Cross Blue Shield Pennsylvania Institutional

This page contains information you can use to exchange healthcare transactions with Highmark Blue Cross Blue Shield Pennsylvania Institutional using Stedi.
Use any of the following payer IDs to send transactions to Highmark Blue Cross Blue Shield Pennsylvania Institutional using Stedi APIs or SFTP. Read the docs
Primary Payer ID
54771I
Stedi Payer ID
FJZEL
Payer ID aliases
3587, 54771C, 54771I
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Highmark Blue Cross Blue Shield Pennsylvania Institutional 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 Blue Cross Blue Shield Pennsylvania Institutional.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Highmark Blue Cross Blue Shield Pennsylvania Institutional 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 Blue Cross Blue Shield Pennsylvania Institutional in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to Highmark Blue Cross Blue Shield Pennsylvania Institutional and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Highmark Blue Cross Blue Shield Pennsylvania Institutional and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Highmark Blue Cross Blue Shield Pennsylvania Institutional to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Highmark Blue Cross Blue Shield Pennsylvania Institutional and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Highmark Blue Cross Blue Shield Pennsylvania Institutional.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Highmark Blue Cross Blue Shield Pennsylvania Institutional and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Highmark Blue Cross Blue Shield Pennsylvania Institutional today.
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