Coverage profile
Work Highmark Blue Cross Blue Shield of West Virginia 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 of West Virginia.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Highmark Blue Cross Blue Shield of West Virginia.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Highmark Blue Cross Blue Shield of West Virginia.
Other aliases
Also known as
- 100947
- 10462
- 11024
- 12B28
- 3589
- 54828
- 7131
- 7474
- 7680
- MTNST
- PVNMB
- SB941
- SB941MA
- TDBAF
- WVBCBS
- WVBLS
- Highmark Blue Cross Blue Shield West Virginia
- Highmark Blue Cross Blue Shield of West Virginia - Medicare Advantage
- Mountain State Blue Cross Blue Shield West Virginia
- HIGHMARK SENIOR SOLUTIONS
- 15459
- HIGHMARK SENIOR SOLUTIONS COMPANY WEST VIRGINIA
- HIGHMARK BCBS WEST VIRGINIA
- HIGHMARK BLUE CROSS BLUE SHIELD
BlueCard home-plan routing
BCBS prefixes for Highmark Blue Cross Blue Shield of West Virginia
These 37 member ID prefixes resolve to Highmark Blue Cross Blue Shield of West Virginia as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
AQMBCBS prefixAWHBCBS prefixAWUBCBS prefixBSTBCBS prefixBTCBCBS prefixCAMBCBS prefixCMKBCBS prefixCOFBCBS prefixCWCBCBS prefixCWFBCBS prefixCYHBCBS prefixCYWBCBS prefixDLRBCBS prefixDSHBCBS prefixGMRBCBS prefixHOVBCBS prefixMCJBCBS prefixMXCBCBS prefixNUBBCBS prefixOUWBCBS prefixOVWBCBS prefixSSJBCBS prefixVDLBCBS prefixVWOBCBS prefixWBHBCBS prefixWTKBCBS prefixWVHBCBS prefixYCHBCBS prefixZPABCBS prefixZPDBCBS prefixZPEBCBS prefixZPGBCBS prefixZPNBCBS prefixZPOBCBS prefixZPPBCBS prefixZPTBCBS prefixZPWBCBS prefix
Payer intelligence
Observed adjudication timing
How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.
Median time to payment
11 days- 10% of adjudications by
- 7 days
- 90% of adjudications by
- 14 days
- Applicable state coverage
- WV
- Current As Of
- July 2026
Five-month median trend
Days to 835 paymentView chart data as a table
| Service month | Median | 10% of adjudications by | 90% of adjudications by | Completed claims | Coverage |
|---|---|---|---|---|---|
| Apr | 11 days | 6 days | 20 days | 298 | WV |
| May | 11 days | 6 days | 14 days | 490 | WV |
| Jun | 11 days | 7 days | 14 days | 445 | WV |
| Jul | 11 days | 7 days | 14 days | 460 | WV |
| Aug | No qualified data | ||||
2027 maternity billing research
When does Highmark Blue Cross Blue Shield of West Virginia change OB/GYN billing?
Highmark reports an industry-wide maternity coding model effective January 1, 2027 and is reviewing implementation. This notice supplies no Highmark-specific claim-submission rules or payer billing implementation date.
- Transition start
- Not published
- Billing start
- Not published
- Published
- 2026-07-01
- Current As Of
- August 2026
Scope: General maternity-services awareness notice associated with Highmark Blue Cross Blue Shield West Virginia. Individual medical products are not enumerated; Dental and Vision policies are not addressed.
Maternity billing changes for 2027. Verify the payer source before claim submission.
Frequently asked questions
Highmark Blue Cross Blue Shield of West Virginia payer FAQs
How do I check claim status with Highmark Blue Cross Blue Shield of West Virginia?
Providers check Highmark Blue Cross Blue Shield of West Virginia 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 of West Virginia 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 of West Virginia?
The primary payer ID for Highmark Blue Cross Blue Shield of West Virginia is 54828. 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 of West Virginia?
The provider portal for Highmark Blue Cross Blue Shield of West Virginia 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 of West Virginia?
The 837P and 837I payer ID for Highmark Blue Cross Blue Shield of West Virginia is 54828 via Stedi.
What is the 835 payer ID for Highmark Blue Cross Blue Shield of West Virginia?
The 835 payer ID for Highmark Blue Cross Blue Shield of West Virginia is 54828 via Stedi.
What is the 270 payer ID for Highmark Blue Cross Blue Shield of West Virginia?
The 270 payer IDs for Highmark Blue Cross Blue Shield of West Virginia are 54828 via Stedi and 54828 via Availity.
What is the 276 payer ID for Highmark Blue Cross Blue Shield of West Virginia?
The 276 payer IDs for Highmark Blue Cross Blue Shield of West Virginia are 54828 via Stedi and 54828 via Availity.
What state does Highmark Blue Cross Blue Shield of West Virginia operate in?
Highmark Blue Cross Blue Shield of West Virginia operates in WV.
Routing reference
Highmark Blue Cross Blue Shield of West Virginia 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 of West VirginiaSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | WVSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 54828Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 54828Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 54828Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 54828Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 54828Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 54828Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 54828Source: 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 .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Highmark Blue Cross Blue Shield of West Virginia. 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 WEST VIRGINIA. 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 ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
Highmark Blue Cross Blue Shield of West Virginia phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Other stated context phone
- (740) 455-5199MEDICAL MANAGEMENT & POLICY
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(740) 455-5199 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 344-5245 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 920-2485 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response