Highmark Pennsylvania Southeastern Region
medical
Summary
Highmark Pennsylvania Southeastern Region is a medical payer operating in Pennsylvania. Claims route under payer ID 54771S, with 1 alternate ID 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
54771SAlso seen as 3619- Service area
- PA
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) | Required | A few days |
| Claim status (276/277) | Required | Varies |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Highmark Pennsylvania Southeastern Region?
- The payer ID for Highmark Pennsylvania Southeastern Region is 54771S. Alternate IDs seen across clearinghouses include 3619.
- Does Highmark Pennsylvania Southeastern Region require ERA enrollment?
- Yes. Highmark Pennsylvania Southeastern Region requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Highmark Pennsylvania Southeastern Region cover?
- Highmark Pennsylvania Southeastern 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 Southeastern Region offer?
- Highmark Pennsylvania Southeastern Region covers medical.
- Can I submit claims to Highmark Pennsylvania Southeastern Region electronically?
- Yes. Highmark Pennsylvania Southeastern 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 Spot something out of date?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.