Highmark Senior Solutions
medical
Summary
Highmark Senior Solutions is a medical payer operating in West Virginia. Claims route under payer ID 15459. 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
15459- Also known as
- Highmark Senior Solutions Company West Virginia
- Service area
- WV
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 |
| Professional claims (837P) | Required | Several weeks |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Highmark Senior Solutions?
- The payer ID for Highmark Senior Solutions is 15459.
- Does Highmark Senior Solutions require ERA enrollment?
- Yes. Highmark Senior Solutions requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Highmark Senior Solutions cover?
- Highmark Senior Solutions operates in WV. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Highmark Senior Solutions offer?
- Highmark Senior Solutions covers medical.
- Can I submit claims to Highmark Senior Solutions electronically?
- Yes. Highmark Senior Solutions 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 Spot something out of date?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.