Skip to main content
CredNet

Highmark Health Options West Virginia

dentalmedical

Summary

Highmark Health Options West Virginia is a dental and medical payer. Claims route under payer ID RP118, with 4 alternate IDs in use across clearinghouses. 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
RP118Also seen as 16709, 1881, 3957, 88831
Also known as
HHO WV, Highmark Health Options, Highmark Inc.

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)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Highmark Health Options West Virginia?
The payer ID for Highmark Health Options West Virginia is RP118. Alternate IDs seen across clearinghouses include 16709, 1881, 3957, 88831.
Does Highmark Health Options West Virginia require ERA enrollment?
Yes. Highmark Health Options West Virginia requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What types of coverage does Highmark Health Options West Virginia offer?
Highmark Health Options West Virginia covers dental and medical.
Can I submit claims to Highmark Health Options West Virginia electronically?
Yes. Highmark Health Options West Virginia is reachable through clearinghouses for eligibility checks, claim status inquiries, 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 Spot something out of date?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.