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Highmark Blue Cross Blue Shield of Delaware

Part of Highmark Health

Regional plandentalmedicalvision
Typical enrollment turnaround
45-90 days

Summary

Highmark Blue Cross Blue Shield of Delaware is a regional health plan, part of Highmark Health, offering dental, medical, and vision coverage operating in Delaware. Claims route under payer ID 00570, with 16 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-90 days, with applications through Highmark DE Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
00570Also seen as 00070, 100026, 10831, 12B34, 12B76, 1546 and 10 more
Also known as
Highmark BCBS Delaware, Highmark Blue Cross Blue Shield Delaware, Highmark Blue Cross Blue Shield of Delaware - Medicare Advantage
Uses CAQH
YesApplication route: CAQH application only
Service area
DE

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)RequiredVaries
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Highmark Blue Cross Blue Shield of Delaware?
The payer ID for Highmark Blue Cross Blue Shield of Delaware is 00570. Alternate IDs seen across clearinghouses include 00070, 100026, 10831, 12B34.
How long does Highmark Blue Cross Blue Shield of Delaware provider enrollment take?
Highmark Blue Cross Blue Shield of Delaware provider enrollment typically takes 45-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Highmark Blue Cross Blue Shield of Delaware require CAQH?
Yes. Highmark Blue Cross Blue Shield of Delaware uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Highmark Blue Cross Blue Shield of Delaware require ERA enrollment?
Yes. Highmark Blue Cross Blue Shield of Delaware requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Highmark Blue Cross Blue Shield of Delaware cover?
Highmark Blue Cross Blue Shield of Delaware operates in DE. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.