Highmark Pennsylvania Western Region
dentalmedical
Summary
Highmark Pennsylvania Western Region is a dental and medical payer operating in Pennsylvania. Claims route under payer ID 12B81, with 3 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
12B81Also seen as 12B60, 2534, 54771W- Also known as
- Highmark Blue Cross Blue Shield Pennsylvania Western, Highmark Blue Cross Blue Shield of Western Pennsylvania
- 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 Western Region?
- The payer ID for Highmark Pennsylvania Western Region is 12B81. Alternate IDs seen across clearinghouses include 12B60, 2534, 54771W.
- Does Highmark Pennsylvania Western Region require ERA enrollment?
- Yes. Highmark Pennsylvania Western Region requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Highmark Pennsylvania Western Region cover?
- Highmark Pennsylvania Western 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 Western Region offer?
- Highmark Pennsylvania Western Region covers dental and medical.
- Can I submit claims to Highmark Pennsylvania Western Region electronically?
- Yes. Highmark Pennsylvania Western 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 Spot something out of date?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.