Highmark Health Options Dual Plan
medical
Summary
Highmark Health Options Dual Plan is a medical payer. Claims route under payer ID 47183. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
47183
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Highmark Health Options Dual Plan?
- The payer ID for Highmark Health Options Dual Plan is 47183.
- Does Highmark Health Options Dual Plan require ERA enrollment?
- Yes. Highmark Health Options Dual Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does Highmark Health Options Dual Plan offer?
- Highmark Health Options Dual Plan covers medical.
- Can I submit claims to Highmark Health Options Dual Plan electronically?
- Yes. Highmark Health Options Dual Plan is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
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 Spot something out of date?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.