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Highmark Western and Northeastern New York

Highmark Western and Northeastern New York

This page contains information you can use to exchange healthcare transactions with Highmark Western and Northeastern New York using Stedi.
Use any of the following payer IDs to send transactions to Highmark Western and Northeastern New York using Stedi APIs or SFTP. Read the docs
Primary Payer ID
55204
Stedi Payer ID
SRICT
Payer ID aliases
10500, 3536, 55204, 7485, HLTNOW, Z1093
Coverage types
Dental, Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

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.
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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.
  • HealthNow Commercial
  • HealthNow New York Incorporated
  • Highmark Blue Cross Blue Shield (New York) - Commercial and Medicare Advantage
  • Highmark Blue Shield (New York) - Commercial and Medicare Advantage
  • Highmark Blue Shield of Northeastern New York
  • Highmark Western and Northeastern New York
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