Highmark Blue Cross Blue Shield
BCBSAlso covers: Highmark BCBS, Highmark Blue Shield, Highmark Inc.
Payer ID
Varies — confirm via portal / clearinghouse
Highmark uses different payer IDs by region/state and clearinghouse (54771 commonly listed for Highmark BCBS PA; some show 00246). Confirm for the member's plan/region with Availity.
Timely Filing Limit (TFL)
365 days from DOS/discharge for initial claims; corrected within 365 days of the original claim's last processing date
Appeal Window
180 days from the date of the initial denial across all Highmark service areas (DE, NY, PA, WV)
Clearinghouse
Availity (Availity Essentials is Highmark's provider portal/EDI gateway)
Provider Services
800-992-0246
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://providers.highmark.com/
Highmark serves PA, WV, and DE (plus a separate Western NY entity); submit electronically via Availity.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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