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Highmark Pennsylvania Central Region

dentalmedicalvision

Summary

Highmark Pennsylvania Central Region is a dental, medical, and vision payer operating in Pennsylvania. Claims route under payer ID 54771I, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
54771IAlso seen as 3587, 54771C
Service area
PA

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)RequiredA few days
Claim status (276/277)RequiredA few days
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Highmark Pennsylvania Central Region?
The payer ID for Highmark Pennsylvania Central Region is 54771I. Alternate IDs seen across clearinghouses include 3587, 54771C.
Does Highmark Pennsylvania Central Region require ERA enrollment?
Yes. Highmark Pennsylvania Central Region requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Highmark Pennsylvania Central Region cover?
Highmark Pennsylvania Central Region operates in PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Highmark Pennsylvania Central Region offer?
Highmark Pennsylvania Central Region covers dental, medical, and vision.
Can I submit claims to Highmark Pennsylvania Central Region electronically?
Yes. Highmark Pennsylvania Central Region is reachable through clearinghouses for eligibility checks, claim status inquiries, institutional claims, and electronic remittance. Electronic claims are supported for 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 Spot something out of date?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.