Coverage profile
Work HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA 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 (NY) - COMMERCIAL AND MA.
Other aliases
Also known as
- HIGHMARK WESTERN NY
2027 maternity billing research
When does HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA change OB/GYN billing?
Highmark reports an industry-wide maternity coding model effective January 1, 2027 and is reviewing implementation. This notice gives no Highmark-specific claim-submission rules and does not separately establish applicability to NY Commercial and Medicare Advantage products.
- Transition start
- Not published
- Billing start
- Not published
- Published
- 2026-07-01
- Current As Of
- August 2026
Scope: Regional Highmark Blue Cross Blue Shield awareness notice; WNY is named in site navigation. Commercial and Medicare Advantage applicability is not expressly specified.
Maternity billing changes for 2027. Verify the payer source before claim submission.
Frequently asked questions
HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA payer FAQs
Can I automate HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA 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 (NY) - COMMERCIAL AND MA?
The primary payer ID for HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA is 55204P. 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 (NY) - COMMERCIAL AND MA?
The provider portal for HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA is https://apps.availity.com/. Available features depend on the payer and your account.
What state does HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA operate in?
HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA operates in NY.
Routing reference
HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA 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 SHIELD (NY) - COMMERCIAL AND MASource: Substrate payer directory · data last changed |
|---|---|
| Operating states | NYSource: United Clearinghouse payer catalog · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .
- United Clearinghouse payer catalogMatched by payer name; matched record: HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.