Use Stedi to exchange the following transactions with Highmark Western and Northeastern New York 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 Western and Northeastern New York.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Highmark Western and Northeastern New York 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 Western and Northeastern New York in real-time by sending a claim status check (276/277).
Supported, enrollment required
Professional claims
(837P)
Submit professional claims to Highmark Western and Northeastern New York and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Institutional claims
(837I)
Submit institutional claims to Highmark Western and Northeastern New York and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Highmark Western and Northeastern New York to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Highmark Western and Northeastern New York and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Highmark Western and Northeastern New York.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Highmark Western and Northeastern New York and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Highmark Western and Northeastern New York today.