Coverage profile
Work Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP 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.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP.
Enhanced claim status
Availity ECSPortal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP.
Other aliases
Also known as
- 3647
- BCBSCAIDWNY
- Highmark Blue Cross Blue Shield (NY) - Medicaid and Child Health Plus
- HIGHMARK BCBS MMC, CHP, HARP, EP
2027 maternity billing research
When does Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP change OB/GYN billing?
For this record, the notice applies to MMC and CHPlus maternity services. It announces CPT maternity restructuring effective January 1, 2027 and directs all NYS Medicaid-enrolled providers of antepartum, postpartum, labor and delivery services to use the restructured system for individuals initiating prenatal care on or after June 1, 2026 and/or having an estimated due date on or after January 1, 2027.
- Transition start
- Prenatal-care initiation cohort threshold; an estimated due date on or after January 1, 2027 is the alternative/additional criterion
- Billing start
- CPT restructuring effective date; separate claims-system cutover not specified
- Published
- 2026-07-01
- Current As Of
- August 2026
Scope: Highmark BCBS MMC and CHPlus medical maternity services within this record; the notice also names HARP and EP but does not establish payer-family applicability.
2027 maternity care coding restructuring. Verify the payer source before claim submission.
Frequently asked questions
Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP payer FAQs
How do I check claim status with Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP?
Providers check Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP 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) - Medicaid and CHP?
The primary payer ID for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP is BCBSCAIDWNY. 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) - Medicaid and CHP?
The provider portal for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP?
The 837P and 837I payer ID for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP is 246 via Stedi.
What is the 835 payer ID for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP?
The 835 payer ID for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP is 246 via Stedi.
What is the 270 payer ID for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP?
The 270 payer IDs for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP are 246 via Stedi and BCBSCAIDWNY via Availity.
What is the 276 payer ID for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP?
The 276 payer IDs for Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP are 246 via Stedi and BCBSCAIDWNY via Availity.
What state does Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP operate in?
Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP operates in NY.
Routing reference
Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP 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) - Medicaid and CHPSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | NYSource: Stedi payer catalog · catalog dated · matched by payer nameSource: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | 246Source: Stedi payer catalog · catalog dated · matched by payer name |
| 837I institutional claims payer IDStedi | 246Source: Stedi payer catalog · catalog dated · matched by payer name |
| 835 ERA payer IDStedi | 246Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | 246Source: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDAvaility | BCBSCAIDWNYSource: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 246Source: Stedi payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDAvaility | BCBSCAIDWNYSource: Availity payer catalog · catalog dated · matched by payer ID |
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 Blue Cross Blue Shield (NY) - Medicaid and CHP. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: HIGHMARK BCBS MMC, CHP, HARP, EP. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP. 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.