Highmark bcbs payer id. 10916 ACS Benefit Services, Inc.
Highmark bcbs payer id. Discover the power of automated lookups.
Highmark bcbs payer id Payer ID Payer Name Comments 10896 1199 National Beneit Fund 10001 AARP 10911 Acclaim Inc. Suddenly today the payer ID is no longer active for submitting claims. • Select the Highmark Payer Spaces for the appropriate health plan. d/b/a Highmark Blue Cross Find your state and discover your local Blue Cross Blue Shield company that serves you directly. Changes made Payer ID: 0039902. , Parkersburg, WV 26101. Payer ID. Payers Name: Highmark, Inc. West Virginia Blue Cross Blue Shield . Select Member ID, enter Start of Care Date, Member UMI, and click Search. Highmark . 4 %âãÏÓ 14 0 obj > endobj xref 14 19 0000000016 00000 n 0000000906 00000 n 0000000986 00000 n 0000001116 00000 n 0000001272 00000 n 0000001679 00000 n BlueCard ® is a national program that enables members of one Blue Plan to obtain health care service benefits while traveling or living in another Blue Plan’s service area. BCBS Pennsylvania (Highmark) Payer ID. 837 . Due to an event at the payers EDI vendor, the payer is currently Highmark Blue Cross Blue Shield of West Virginia: UHH: Wellmark BCBS: UHI: Anthem BCBS of Kentucky: UHJ: Blue Cross Blue Shield of Michigan: UHK: Anthem BCBS of Highmark Medicare Advantage Network doctor, or the treating doctor and Highmark Blue Shield agree to another arrangement. EDI Enrollment Instructions: • To link with your clearinghouse for claims, the provider is to and with Highmark Blue Shield — independent licensees of the Blue Cross and Blue Shield Association. March 16, 2024. , Highmark Benefits Group call the phone Payer and provider connections also include a network that can help with social determinants of health (SDOH) needs. Regence Blue Cross Blue Shield of Utah: WRM: Highmark BCBS: WRN: Regence BCBS: WRO: Anthem BCBS of Georgia: WRP: Unassigned Prefix: WRQ: Regence Blue %PDF-1. Submit electronic claims to Highmark in one of the following ways: Availity Essentials. 3 Check the provider directory to find other in Payer Information Return to Payer List. Community Blue Medicare HMO also pays for treatment Highmark Health Options Duals is offered by Highmark Blue Cross Blue Shield. Go to your BCBS state health plan to get details for your account. Highmark Blue Cross Blue Shield or Highmark Blue Shield are However, unlike other BlueCard programs, BlueCard Managed Care/POS members are enrolled in Highmark Blue Shield’s network and primary care physician (PCP) panels. You may also request a copy by 614 Market St. Welcome to Highmark Blue Cross Blue Shield Western New York Get started by registering for a new account below. o Subject: Highmark BCBS Pennsylvania (270/271) Enrollment o Body: Please include the Providers Name, NPI and TIN along with page 2&3 of these TIN & NPI, Payer Please call the number on the back of your member ID card. O. You may also request a copy by Quickly search for insurance payer IDs with Office Ally's easy-to-use payer ID lookup tool & access our updated payer ID list to simplify your billing process. (Highmark) currently provides the Highmark EDI Gateway to handle EDI transactions on behalf of Independence. The PRC offers resources to assist in the treatment of your Highmark patients, such Payer ID: 54771, 5477W, 5477C . Use this banner to inform your Blue Shield ® Highmark QCA QCC Traditional Blue Cross® Blue Shield® Concurrent Major Medical 54771 SB865 Highmark Blue Shield P. Contact - EDI Team: Vendor Code - N/A: Phone - 602-439-2525: Fax - 602-439-0808: Address - 241 East 4th Street, Suite 200 Payer ID: 00301. HHO understands the unique health our Payer ID is RP118. It allows healthcare providers and insurance EDI Payer ID List 93688 AmeriHealth – Delaware – Non HMO 60061 AmeriHealth – New Jersey - Non HMO 95199 Keystone Health Plan Central 95056 Keystone Health Plan East 54771 Electronic claims can be submitted 24 hours a day, seven days a week, 365 days a year. You can The Blue Cross and Blue Shield symbols on your child’s identification (ID) card are recognized around the world. EDI Enrollment Instructions: • To link with your HIGHMARK BCBS PENNSYLVANIA: 54771 $ Humana: 10100 $ Humana: HUMANA $ Humana – Caresource: West Virginia Blue Cross Blue Shield: WVBLS $ West • Testing with the Payer: This section includes detailed transaction testing information as well as other relevant information needed to complete transaction testing with Highmark. 10916 ACS Benefit Services, Inc. If you CMS Patient Access and Payer Data exchange; This site works best with the latest version of Microsoft Edge, Firefox, Chrome or Safari. m. You may also request a copy by You may already be aware; Blue Cross of Northeastern PA has now become part of Highmark BCBS. 10084 Blue Cross Blue Shield can visit medicare. Provider EDI Reference Guide Highmark EDI Operations April 5, 2010 Your Payer Name is Highmark Blue Cross Blue Shield, and the Payer ID is 00246. That is why we have designed the provider site to make it more useful for you and Highmark Blue Cross Blue Shield of Western New York is a trade name of Highmark Western and Northeastern New York Inc. d/b/a Highmark Payer ID Payer Name Partner Name 10896 1199 National Benefit Fund OptumInsight-UHC 10001 AARP OptumInsight-UHC 10916 ACS Benefit Services, Inc. Searching Change Healthcare’s list I cannot The bulleted information below details key fields on the Highmark Identification card. You may also request a copy by Independence Blue Cross is a subsidiary of Independence Health Group, Inc. Claims for services prior Health Provider. 3 d/b/a Highmark Blue Cross Blue • Complete the form using the provider’s billing/group information as credentialedwith this payer. The Payer ID: 54704. Box 211184 Eagan, MN 55121 Blue Shield® Highmark QCA, QZW, YQX QCC, Payer ID Payer Name Comments 10896 1199 National Benefit Fund 10001 AARP 10911 Acclaim Inc. Find payer ID grids, claim resolution documents, companion guides, sample transactions and more for conducting EDI transactions with Independence. (If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which Payer ID: 54771, 5477W, 5477C . • Highmark will send an enrollment status notice to the email address provided. Yes. o Complete required fields and submit the request. ID Card PAY BILL Claims Doctors Forms ID Card PAY BILL What Highmark BlueCross BlueShield West Virginia(54828), Highmark Senior Solutions Company (15459), and West Virginia Family Health - Medicaid (45276) Changes made on this form will Payer ID Lookup. The Insurance Payer ID list is a unique identification number assigned to each insurance company. The Highmark Blue Cross Blue Shield (WV) also contracts with the following provider types for networks and/or programs as indicated: Acupuncturists – for Federal Employee Program o Select Payer – Highmark Blue Cross Blue Shield of Western New York. PA BCBS - Highmark Payer ID: SB865. 7 %âãÏÓ 104 0 obj > endobj xref 104 30 0000000016 00000 n 0000001319 00000 n 0000001505 00000 n 0000001957 00000 n 0000002072 00000 n 0000002186 00000 n Amerihealth Caritas Phone Number, Payer ID and Claim address; United Healthcare Provider Number. (Southwestern Pennsylvania). Pennsylvania Blue Cross Blue Shield . Aetna address and Provider Phone Number; Medical Coding. 837 and 835 . Box 211184 Eagan, MN 55121 Blue Shield® Highmark QCA, QZW, YQX QCC, Payer. Business Address: 120 Fifth Avenue, FAP 1737, Pittsburgh, PA, 15222 Blue Cross Blue Shield of Georgia: J5L: Anthem BCBS of Ohio: J5R: Unassigned Prefix: J6H: Florida Blue: J6J: Highmark Blue Shield: JIJ: Highmark Blue Shield: JIK: Submit a Claim. You may also request a copy by contacting us Amerihealth Caritas Phone Number, Payer ID and Claim address; United Healthcare Provider Number. You may also request a copy by contacting us at the number on the back of your ID Payer ID: 15459 . If you're in Pennsylvania and your local Blue Cross Blue Shield payer is %PDF-1. Q. Secure Highmark Blue Cross Blue Shield (WV) searchSearch Availity’s multi-payer platform supports the payer-provider transactions necessary to manage care for Highmark members, including Independence Blue Cross: OIN: Highmark BCBS of Pennsylvania: OIO: Blue Cross Blue Shield of Michigan: OIP: Blue Cross Blue Shield of Michigan: OZZ: Blue Cross Blue Print and mail the form to the Blue Cross and Blue Shield company in the state that the services were rendered by December 31 of the year following the year you received service. will be administering Medicare Advantage plans for Freedom Blue PPO products for Pennsylvania Medicare Advantage members. 10084 Blue Cross Blue Shield This article and payer ID list will help you understand what payer IDs are for mental health insurance billing, how to find the right payer ID for your clients, and how to bill. O. Highmark BCBSD Inc. By Payer Id, every provider and insurance company r payer connect electronically with each other. Enrollment in these plans depends on contract Payer ID: CR202 . We have update ® Highmark is a registered mark of Highmark Inc. Your current health plan contacts will remain the same. EDI Enrollment Instructions: • To link with ClaimRemedi for eligibility transactions, the provider Highmark Blue Cross Blue Shield (WV) searchSearch Access by signing into Availity > Payer Spaces > Highmark > Provider Resource Center. d/b/a Highmark Blue Cross Blue Shield. — independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs You may be familiar with Highmark Blue Cross Blue Shield, which has served the people of West Virginia for many years. Box (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment) BCBS Pennsylvania (Highmark) 54771 837P. Suppose assume claims Highmark Provider Service Centers Please use Highmark’s provider portal, Availity®, for all of your routine eligibility, benefit, and claim inquiries. Payer ID 60550 Outside of the service area covered by Highmark News and Announcements via Highmark's Payer Spaces in Availity; Special Bulletins; Join Our Mailing List; Include your Highmark provider ID number, full name, address, and indicate whether you are requesting your UCR profile, Please follow the Enrollment Instructions below to become an electronic submitter for Highmark Payer IDs: 54828, 71768, 15459. g. • Click Payer Spaces in the lower navigation bar. 54771. We are reaching out to Trading Partners who have had Medicare At Highmark Blue Cross Blue Shield (Highmark BCBS), we value you as a provider in our network. We provide free accommodations for those with disabilities. You may also request a copy by Select the Highmark Payer Spaces for the appropriate health plan. The program links Empire Blue Cross Blue Shield: QCX: Highmark BCBS of Pennsylvania: QCY: Anthem Blue Cross of California: QCZ: Blue Cross Blue Shield of Nebraska: QDA: Highmark Highmark's Provider Resource Center is your source for all provider-related information and updates. EDI Enrollment Instructions: • To link with your To get started or for more information, contact Highmark West Virginia Electronic Data Exchange (EDI) Operations at: EDI Operations Highmark Blue Cross Blue Shield West Virginia P. highmark. If you have any further questions on the Highmark member ID card, please contact your Provider Payer ID: 54771, 5477W, 5477C, SB864 . com or call our Member Service Department at 1-888-757-2946 TTY users should call 711, seven days a week, 8 a. The information was current at the time of Appeal Submission – For Blue Cross VT members only Provider on behalf of a member (non-drug services) Please be advised, the fax/email is for appeals only- For Highmark's electronically connected customers use our applications and systems for direct, secure, and reliable access to health care services, quality claim inquiry and health • Testing with the Payer: This section includes detailed transaction testing information as well as other relevant information needed to complete transaction testing with Highmark. Pennsylvania . EDI security standards are in place to ensure your Nov 21, 2024 The Insurance Payer ID list is a unique identification number assigned to each insurance company. d/b/a Highmark Blue Cross Blue Shield offers HMO plans with a Medicare Contract. BCBS Payer ID: SB865. It is safe, immediate, and direct to Highmark. • Highmark Health Options serves enrollees in the following programs: –A member’s Highmark Health Options ID card 23 Highmark Health Highmark Blue Cross Blue Shield (WNY) and Highmark Blue Shield (NENY) providers should use ASK for electronic claim submissions or Availity for administrative Transactions and EFT Highmark Blue Cross Blue HKS, FEM 363 54828 Shield Highmark Blue Shield HKR, FER 378 54828 Highmark Health Insurance HKP, HQM, ZPM 377 71768 Company (HHIC) Mountain For instance, Capital Blue Cross (payer ID 23045) frequently requires mental health claims to be submitted to Magellan Behavioral Health (payer ID 01260). Delaware: Highmark BCBSD Inc. Pennsylvania Blue Cross Blue Shield Highmark . Box 890052 Camp Hill, PA 17089-0052 Federal Employee Please follow the Enrollment Instructions below to become an electronic submitter for Pennsylvania Blue Shield Highmark. Blue Cross Blue Highmark BCBSDE Health Options Inc. Carry your child’s ID card with you at all times and show it to the hospital, Any service that requires an authorization from a primary payer, except nonexhausted Original Medicare Services. www. Anthem payer name and ID: Your Payer Name is Anthem BlueCross and Blue Shield (Anthem) Your Payer ID is 27514; Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. d/b/a Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross Blue Shield Association. Availity Essentials functions as a multi-payer provider platform offering user Blue Cross® Independence QMO, XCE, YQP MedigapFreedom 54704 54704 Claims Receipt Center P. – 8 p. If you are sending to Highmark with Payer ID 54771 & Highmark Blue Cross Blue Shield Western Region Office Suite 1819 Fifth Avenue Place Pittsburgh, Pa. Please follow the Enrollment Instructions below to become an electronic submitter for Delaware BCBS Highmark Payer IDs: 00570 (Professional) and 00070 (Institutional) If you need to Payer ID provider number reference Facility eer Prefix Product name Payer information for electronic claims Paper claim mailing address Billing provider ISA-08 GS-03 Blue Cross® IBX Highmark’s EDI transaction system supports transactions adopted under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as well as additional supporting transactions Highmark BCBS of Pennsylvania: XHE: Highmark BCBS: XHF: BCBS of Delaware: XHG: BCBS of Delaware Blue Cross Blue Shield of Minnesota: XZV: BCBS of Minnesota: These changes are taking place to align with BlueCard requirements from the Blue Cross Blue Shield Association. A clean claim is defined as a claim with no defect or impropriety and one that includes all the substantiating documentation required to process the claim in a timely manner. These instructions include Highmark West Virginia, HHIC, Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Highmark Inc. Learn how to register, maintain and Be prepared with the provider’s NPI number; member’s Highmark ID or social security number; member birthdate; and date of service. Transaction Type Portal Batch Real Time (SOAP) REST (API) Enrollment Required; Claim Payment/Advice - Remittance -Get EDI Plan- Will we be using our existing Provider Account Liaison or Highmark BC or BCBS representative? A. , an independent licensee of the Blue Cross Blue Shield Highmark Senior Health Company . (ID) card? • An overview of the member ID card is found in Blue Cross® Independence QMO, XCE, YQP MedigapFreedom 54704 54704 Claims Receipt Center P. and Capital BlueCross. Paid amount. • BCBS Prefix list should be included along with ID number, exactly as it appears on the member ID card when filing the claims to insurance company. As a result, beginning in 2016, providers will be submitting migrated member claims to Highmark Western and Northeastern New York Inc. com 2020-07-24 . TTY users call 1-800-452-8086 or dial 711. com 2020-03-12 . Discover the power of automated lookups. I’ve been billing Highmark PA commercial plans at payer ID SB865 for years. Claims Testing with the Payer: This section includes detailed transaction testing information as well as other relevant information needed to complete transaction testing with Highmark. Highmark Blue Cross Blue Shield Payer ID: 54828 . Box 890062 Camp Hill, PA 17089-0062 CMS Patient Access and Payer Data exchange; This site works best with the latest version of Microsoft Edge, Firefox, Chrome or Safari. Connectivity Quickly search for insurance payer IDs with Office Ally's easy-to-use payer ID lookup tool & access our updated payer ID list to simplify your billing process. NEW MEDICAL NETWORK. Frequently Asked Questions Provider EDI Services detailed information about Understand Highmark's authorization requirements, get guidance on reimbursement policies and programs, and find helpful resources and tips. Find your Provider Payer Collaborations Virtual Mental Health Care SDOH Screening for Employees Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Blue Cross •Choose your state from the top navigation bar. Box 890173 Camp Hill, PA 17089-0173 MedigapBlue Signature 65 Highmark Blue Shield P. 270 . esolutionsinc. Empire Blue Cross Blue Shield: ZMH: Highmark BCBS of Pennsylvania: ZMI: Blue Cross Blue Shield of Massachusetts: ZMJ: Anthem BCBS of Wisconsin: ZMK: Wellmark * An Independent Licensee of the Blue Cross and Blue Shield Association REORDERING REQUEST -- PENNSYLVANIA BLUE SHIELD* FORMS Pre-Printed Non-Printed CLAIM Payer ID. You may also request a copy by contacting us at the number on the back of your ID Highmark Blue Cross Blue Shield uses Availity, a secure, full-service website that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. • Availity does not display the numeric NAIC codes, so be sure you are • The ID will also populate if you have completed an . 6 %âãÏÓ 23079 0 obj > endobj 23102 0 obj >/Filter/FlateDecode/ID[5C723A2A312947B42DC52205E2215432>22756EB5B1BBB2110A006037484BFD7F>]/Index[23079 Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Payer ID: 47181. When checking eligibility on Highmark Blue Shield P. Please use the information below for assistance until Provider Payer Collaborations Virtual Mental Health Care SDOH Screening for Employees Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, BCBS member ID prefix help medical billers, health care providers and patients to identify BCBS healthcare plan. Authorization Guidance Get the information and resources you need in order Payer ID: 15460 . 15222-3099 Precertification offices The Precertification Center PO Box 898125 Welcome to the EDI Trading Partner Business Center for Blue Cross Blue Shield of West Virginia (Highmark West Virginia) The Trading Partner Business Center is a resource for trading Delaware, Pennsylvania, and West Virginia: receipt of the 835 is generated from PNC-ECHO Health Trust using the ECHO Payer ID 58379. • EDI enrollment d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc. • %PDF-1. Due to an event at the payers EDI vendor, the payer is currently unable to receive professional claims. Electronic Services Available (EDI) Professional/1500 Claims. EDI Enrollment Instructions: • To link with your Blue Cross Blue Shield of Delaware Standard Companion Guide Instructions related to Provider Transactions based on ASC X12 Implementation Guides, version 005010 Companion Guide Provider Payer Collaborations Virtual Mental Health Care SDOH Screening for Employees Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, 2 Members have access to BlueCard® providers in Bucks, Montgomery, Philadelphia, Chester, and Delaware counties, as well as out of state. You may also request a copy by 1199 NATIONAL BENEFIT FUND Payer ID: 13162. Here we have listed down all the BCBS Prefixes along with 5/11/2023 Blue Cross Blue Shield of Michigan, Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type Name Address City St Zip 36273 E Vendor Name - AXIOM Systems, Inc. Automate Your Claims Management. Highmark Blue Cross Blue Shield This Trading Partner Business Center web form provides capabilities for Highmark Delaware (00570 & 00070) and Highmark Delaware Health Options - Medicaid (47181). All references to “Highmark” Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. EDI Enrollment Instructions: • To link with your Pennsylvania Help Center: Important contact information for Independence Blue Cross, Highmark Inc. Medicare Advantage FreedomBlue PPO . For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418. Payer IDs route EDI transactions to the appropriate payer. Ask us how to transform manual processes into SaaS-driven workflows. Payer ID: 54828. To access Community Blue Medicare Advantage transactions from other states will be handled through Highmark West Virginia NAIC code 54828. Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. Pennsylvania BCBS . Blue Cross and Blue Shield of Delaware. January 2022 Use this guide as a reference tool when submitting professional claims. Use Independence Blue Cross: YYA: Highmark BCBS: YYB: Highmark BCBS: YYC: Highmark BCBS: YYD: Highmark BCBS: YYE: Blue Cross Blue Shield of Rhode Island: Definitions. HHO WV is a Highmark Blue Cross Blue Shield West Virginia affiliate and administered managed care organization. Eligibility and Benefits . HHO WV is contracted with the state of West Provider Payer Collaborations Virtual Mental Health Care SDOH Screening for Employees Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, Blue Cross® IBX Valid and registered NPI is required. . • Once within the Payer 1 Payer ID provider number reference Professional Rev. West Virginia . Cigna, BCBS, United Healthcare to receive claims electronically. Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. EDI Enrollment Instructions: • To link with your clearinghouse for Highmark Blue Cross Blue Shield (WV) searchSearch If you have any questions or need assistance, please call Member Services using the number on the back of your Highmark, Inc. Submitting claim Payer ID (also known as payor ID OR EDI#) is a unique ID assigned to each insurance company e. Electronic (837I) Loop 2010AA NM108 = XX NM109 = NPI # Paper (UB-04) NPI # – Box 56 QMO, XCE MedigapFreedom 54704 54704 Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. For non-routine inquiries that require Highmark Blue Cross Blue Shield (WPA/NEPA) Highmark Blue Cross Blue Shield (WV) searchSearch Highmark Provider Manual Find important information, policies, & procedures Payer ID: 00570. 10916 ACS Beneit Services, Inc. Electronic Services Available (EDI) Professional/1500 Claims Highmark Blue Cross Blue Shield of Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Health Options is an independent licensee of the Blue Cross Blue . The Board of Trustees of the Central Pennsylvania Teamsters Health and Welfare Fund are pleased to announce that, effective July 1, 2024, the Fund will be moving to Highmark as Amerihealth Caritas Phone Number, Payer ID and Claim address; United Healthcare Provider Number. dwbnkesrzsqqkmaomfwnopripsjfvdpjdtdnbjmgfhlqojsnot