Highmark Blue Cross Blue Shield (Western and Northeastern NY)

Summary

Highmark Blue Cross Blue Shield (Western and Northeastern NY) is a dental, medical, and vision payer operating in New York. Claims route under payer ID 55204, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

55204Also seen as 10500, 3536, 7485, HLTNOW, Z1093

Also known as

HealthNow Commercial, HealthNow New York Incorporated, Highmark Blue Cross Blue Shield (New York) - Commercial and Medicare Advantage, Highmark Blue Cross Blue Shield (Western and Northeastern NY) - Medicare Advantage, Highmark Blue Cross Blue Shield of Western New York

Service area

NY

Clearinghouse transaction setup

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

Common questions

What is the payer ID for Highmark Blue Cross Blue Shield (Western and Northeastern NY)?

The payer ID for Highmark Blue Cross Blue Shield (Western and Northeastern NY) is 55204. Alternate IDs seen across clearinghouses include 10500, 3536, 7485, HLTNOW.

Does Highmark Blue Cross Blue Shield (Western and Northeastern NY) require ERA enrollment?

Yes. Highmark Blue Cross Blue Shield (Western and Northeastern NY) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Highmark Blue Cross Blue Shield (Western and Northeastern NY) cover?

Highmark Blue Cross Blue Shield (Western and Northeastern NY) operates in NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Highmark Blue Cross Blue Shield (Western and Northeastern NY) offer?

Highmark Blue Cross Blue Shield (Western and Northeastern NY) covers dental, medical, and vision.

Can I submit claims to Highmark Blue Cross Blue Shield (Western and Northeastern NY) electronically?

Yes. Highmark Blue Cross Blue Shield (Western and Northeastern NY) is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).