Highmark Blue Cross Blue Shield (Western and Northeastern NY)
This page contains information you can use to exchange healthcare transactions with Highmark Blue Cross Blue Shield (Western and Northeastern NY) using Stedi.
Use any of the following payer IDs to send transactions to Highmark Blue Cross Blue Shield (Western and Northeastern NY) using Stedi APIs or SFTP. Read the docs
Use Stedi to exchange the following transactions with Highmark Blue Cross Blue Shield (Western and Northeastern NY) 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.
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.
Enrollment process type
One-click
Activation timeframe
Weeks
Supported,
Institutional claims
(837I)
Submit institutional claims and receive 277 claim acknowledgments asynchronously.
Enrollment process type
One-click
Activation timeframe
Weeks
Supported,
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
NPI, TIN
Not supported
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.
Get started
Start processing healthcare transactions with Stedi and Highmark Blue Cross Blue Shield (Western and Northeastern NY) today.