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Highmark Blue Cross Blue Shield of West Virginia

Highmark Blue Cross Blue Shield of West Virginia

This page contains information you can use to exchange healthcare transactions with Highmark Blue Cross Blue Shield of West Virginia using Stedi.
Use any of the following payer IDs to send transactions to Highmark Blue Cross Blue Shield of West Virginia using Stedi APIs or SFTP. Read the docs
Primary Payer ID
54828
Stedi Payer ID
QWJLP
Payer ID aliases
11024, 15459, 3589, 54828, 7131, 7474, 7680, WVBCBS
Parent group
Highmark Group
Coverage types
Medical

Supported transactions

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

Eligibility checks

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

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Highmark Blue Cross Blue Shield of West Virginia 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 claim previously submitted to Highmark Blue Cross Blue Shield of West Virginia in real-time by sending a claim status check (276/277).
Supported

Professional claims

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

Institutional claims

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

Claim payments

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

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Highmark Blue Cross Blue Shield of West Virginia.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Highmark Blue Cross Blue Shield of West Virginia 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 of West Virginia today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Highmark Blue Cross Blue Shield West Virginia
  • Highmark Senior Solutions
  • Highmark Senior Solutions Company West Virginia
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