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Highmark BlueCross BlueShield Pennsylvania Western

Highmark BlueCross BlueShield Pennsylvania Western

This page contains information you can use to exchange healthcare transactions with Highmark BlueCross BlueShield Pennsylvania Western using Stedi.
Use any of the following payer IDs to send transactions to Highmark BlueCross BlueShield Pennsylvania Western using Stedi APIs or SFTP. Read the docs
Primary Payer ID
12B81
Stedi Payer ID
TVXQH
Payer ID aliases
12B81, 2534, 54771W
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Highmark BlueCross BlueShield Pennsylvania Western using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Highmark BlueCross BlueShield Pennsylvania Western.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Highmark BlueCross BlueShield Pennsylvania Western to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Highmark BlueCross BlueShield Pennsylvania Western in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to Highmark BlueCross BlueShield Pennsylvania Western and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Highmark BlueCross BlueShield Pennsylvania Western and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Highmark BlueCross BlueShield Pennsylvania Western to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Highmark BlueCross BlueShield Pennsylvania Western and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Highmark BlueCross BlueShield Pennsylvania Western.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Highmark BlueCross BlueShield Pennsylvania Western and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Highmark BlueCross BlueShield Pennsylvania Western 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 Pennsylvania Western
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