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Highmark Health Options West Virginia

This page contains information you can use to exchange healthcare transactions with Highmark Health Options West Virginia using Stedi.
Use any of the following payer IDs to send transactions to Highmark Health Options West Virginia using Stedi APIs or SFTP. Read the docs
Primary Payer ID
RP118
Stedi Payer ID
PESJI
Payer ID aliases
1881, 3957, RP118
Parent group
Highmark Group
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Highmark Health Options West Virginia using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Highmark Health Options West Virginia.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Highmark Health Options West Virginia to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Highmark Health Options West Virginia in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Highmark Health Options West Virginia and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Highmark Health Options West Virginia and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Highmark Health Options West Virginia to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Highmark Health Options West Virginia and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Highmark Health Options West Virginia.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Highmark Health Options West Virginia and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Highmark Health Options West Virginia today.
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