Coverage profile
Work HIGHMARK BLUE CROSS BLUE SHIELD across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for HIGHMARK BLUE CROSS BLUE SHIELD.
Other aliases
Also known as
- 54771
2027 maternity billing research
When does HIGHMARK BLUE CROSS BLUE SHIELD change OB/GYN billing?
For pregnant members with due dates on or after Jan. 1, 2027, providers should begin transitioning on Oct. 1, 2026 by using E/M codes with the TH modifier only. Current global maternity codes are retired on Jan. 1, 2027, when labor and delivery CPT codes become available. Seven or more antepartum visits bill CPT 59426, 4-6 bill CPT 59425, and fewer than 4 bill E/M codes with the TH modifier.
- Transition start
- 2026-10-01 — start the new model for 2027 due dates
- Billing start
- 2027-01-01 — global maternity codes retired
- Published
- 2026-09-28
- Current As Of
- October 2026
Scope: Highmark professional and facility notice. Sibling Highmark catalog IDs are not on this row.
Guidance on the new coding and billing model for maternity care. Verify the payer source before claim submission.
Frequently asked questions
HIGHMARK BLUE CROSS BLUE SHIELD payer FAQs
Can I automate HIGHMARK BLUE CROSS BLUE SHIELD portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for HIGHMARK BLUE CROSS BLUE SHIELD?
The primary payer ID for HIGHMARK BLUE CROSS BLUE SHIELD is 54771P_2. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for HIGHMARK BLUE CROSS BLUE SHIELD?
The provider portal for HIGHMARK BLUE CROSS BLUE SHIELD is https://apps.availity.com/. Available features depend on the payer and your account.
What is the 837P payer ID for HIGHMARK BLUE CROSS BLUE SHIELD?
The 837P payer ID for HIGHMARK BLUE CROSS BLUE SHIELD is 54771 via Stedi.
What is the 835 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD?
The 835 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD is 54771 via Stedi.
What is the 270 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD?
The 270 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD is 54771 via Stedi.
What is the 276 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD?
The 276 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD is 54771 via Stedi.
What state does HIGHMARK BLUE CROSS BLUE SHIELD operate in?
HIGHMARK BLUE CROSS BLUE SHIELD operates in PA.
Routing reference
HIGHMARK BLUE CROSS BLUE SHIELD payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | HIGHMARK BLUE CROSS BLUE SHIELDSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | PASource: Stedi payer catalog · catalog dated · matched by payer name |
| 837P professional claims payer IDStedi | 54771Source: Stedi payer catalog · catalog dated · matched by payer name |
| 835 ERA payer IDStedi | 54771Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | 54771Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 54771Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .
- Stedi payer catalogMatched by payer name; matched record: Highmark of Pennsylvania. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.