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Highmark Pennsylvania Western Region

Highmark Pennsylvania Western Region

This page contains information you can use to exchange healthcare transactions with Highmark Pennsylvania Western Region using Stedi.
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Use any of the following payer IDs to send transactions to Highmark Pennsylvania Western Region using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,
Coverage types
Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Highmark Pennsylvania Western Region using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported, enrollment required

Eligibility checks

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

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Highmark Pennsylvania Western Region to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported, enrollment required

Real-time claim status

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

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Highmark Pennsylvania Western Region to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Highmark Pennsylvania Western Region.
Get started
Start processing healthcare transactions with Stedi and Highmark Pennsylvania Western Region 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
  • Highmark Blue Cross Blue Shield of Western Pennsylvania
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