Use Stedi to exchange the following transactions with Highmark Blue Cross Blue Shield of West Virginia 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.
Enrollment process type
One-click
Activation timeframe
Days
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported
Real-time claim status
(276/277)
Check on the status of a previously submitted claim in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
ERA aggregation preferences
NPI, TIN
Requested effective date
Not supported
Not supported
Dental claims
(837D)
Submit dental claims and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for submitted claims.
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Start processing healthcare transactions with Stedi and Highmark Blue Cross Blue Shield of West Virginia today.