Highmark Blue Cross Blue Shield
Also covers / subsidiaries: Highmark BCBS, Highmark Blue Shield, Highmark Inc.
Core Payer & Clearinghouse Profile
Electronic Payer ID
47181
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 Gateway
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.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Highmark Blue Cross Blue Shield.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Highmark Blue Cross Blue Shield.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Blue Cross | WC734 | Non-Par | None | Workers Comp |
| Highmark Bcbs De Health Options Inc | 47181 | Par | Required | 837P837I835 ERA |
| Highmark Bcbs Pa | SB865 | Non-Par | Required |
Resolution Tools for Highmark Blue Cross Blue Shield Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Highmark Blue Cross Blue Shield Denials & Delayed Payments?
Aethera's billing specialists work Highmark Blue Cross Blue Shield every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.