Routing destination
Highmark Blue Cross Blue Shield
The first three characters on the member’s current ID card identify this BlueCard home plan. Use the terminal trading partner below for the published electronic routes.
Enhanced claim statusEDI 276/277, Availity ECS, or portal automation
Available
EligibilityEDI 270/271
Available
Appeals agentAI appeals workflow
Not published
Phone and fax contacts
Numbers vary by plan, service, and department. Check the member’s ID card before calling or sending a fax.
Phone numbers56
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(516) 794-7700 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 255-5681 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 321-0935 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 441-9188 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 450-8753 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment |
| Hospital, Pharmacy |
| phone(800) 524-0149 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 631-7780 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 676-2583 | Eligibility / benefits, Other stated contextBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance |
| Chiropractic, Chiropractic, Hospital, Hospital - Inpatient, Hospital - Outpatient, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Professional (Physician) Visit - Office |
| phone(800) 972-4226 | Eligibility / benefits, Other stated contextBenefit context: Co-Payment; Benefit context: Contact Following Entity for Eligibility or Benefit Information |
| Chiropractic |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 981-3546 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 987-8357 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(833) 293-0659 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(844) 770-1500 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(866) 343-3709 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(866) 819-4298 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(877) 306-3093 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(877) 718-2375 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 352-7924 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 274-7767 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(800) 305-4271 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(800) 832-7850 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(855) 343-4851 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 231-0847 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 678-7970 | Utilization managementBenefit context: Co-Insurance |
| Hospital, Hospital - Inpatient, Hospital - Outpatient |
| phone(877) 450-9355 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(888) 235-4713 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(888) 322-0928 | Utilization managementBenefit context: Co-Payment |
| Professional (Physician) Visit - Office |
| phone(951) 371-8440 | Utilization managementBenefit context: Limitations |
| Chiropractic |
| phone(800) 452-8507 | Behavioral health, Other stated contextBenefit context: Active Coverage |
| Hospital, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Mental Health, Hospital - Inpatient |
| phone(855) 339-8558 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(484) 862-3506 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 344-5245 | Other stated contextBenefit context: Active - Pending Investigation |
| Hospital |
| phone(800) 351-2370 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 424-8270 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 480-6658 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 541-6652 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 664-2583 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 780-7881 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 920-2485 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 922-8778 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 952-3404 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(833) 639-1634 | Other stated contextBenefit context: Co-Insurance |
| Hospital, Hospital - Inpatient |
| phone(833) 647-9355 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(833) 663-8703 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(855) 288-8356 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(855) 550-3733 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(866) 205-5107 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(877) 599-2911 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(888) 849-3682 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(800) 214-4844 |
| ||
| phone(800) 327-6716 |
| ||
| phone(800) 727-2227 |
| ||
| phone(877) 444-2374 |
| ||
| phone(888) 233-8351 |
|
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.
Fax numbers6
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| fax(800) 453-4341 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| fax(833) 938-9934 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| fax(844) 295-4637 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| fax(866) 606-6021 | Other stated contextBenefit context: Coverage Basis |
| |
| fax(877) 663-7526 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| fax(888) 282-1321 |
|
Numbers stated in payer eligibility responses; scope may depend on benefits, products, or departments.
Retired numbers3
These numbers played a not-in-service recording when called. Do not use them; call the replacement or the number on the member’s ID card.
- (800) 397-7337Not in service when called; re-check pending
- (855) 243-3326Not in service when called; re-check pending
- (877) 241-7123Out of service
Member ID guidance
Read the prefix from the current card.
Do not infer a prefix from another member or an older card. Federal Employee Program IDs beginning with a single “R” follow a separate route.
LLLNNNNNNNNNNNNMasked formats use L for a letter, N for a number, and ? for an unknown character. No member IDs are published.
Evidence
Source and verification
- Prefix, home plan, and state
- Substrate BlueCard mapping snapshot. Data last changed ; checked . Check the current prefix with BCBS ↗
- Terminal payer and payer ID
- Linked to the directory’s terminal payer record, checked . Open the payer routing sources →
- Availability signals
- Substrate’s reviewed route configuration and claim-status network, checked .
Use the member’s current ID card and confirm the current payer or clearinghouse route before submission. Prefix associations and transaction support can change.