Coverage profile
Work HIGHMARK BLUE CROSS BLUE SHIELD 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.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA.
Other aliases
Also known as
- 54828
BlueCard home-plan routing
BCBS prefixes for HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA
These 23 member ID prefixes resolve to HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
D2KBCBS prefixD2XBCBS prefixF3ABCBS prefixG6JBCBS prefixG7LBCBS prefixJ5MBCBS prefixJ6GBCBS prefixJ6ZBCBS prefixJ7DBCBS prefixJ7TBCBS prefixJ9PBCBS prefixO2NBCBS prefixP5QBCBS prefixP9UBCBS prefixQ8BBCBS prefixT6RBCBS prefixT6ZBCBS prefixU5KBCBS prefixV9GBCBS prefixW2RBCBS prefixW3UBCBS prefixW5VBCBS prefixW5XBCBS prefix
2027 maternity billing research
When does HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA change OB/GYN billing?
Highmark reports an industry-wide maternity coding model effective January 1, 2027 and is reviewing its policies, procedures, and systems. This notice does not specify Highmark claim-submission rules or a payer billing implementation date.
- Transition start
- Not published
- Billing start
- Not published
- Published
- 2026-07-01
- Current As Of
- August 2026
Scope: General Highmark Blue Cross Blue Shield West Virginia medical-provider awareness notice; individual products and subsidiaries are not enumerated.
Maternity billing changes for 2027. Verify the payer source before claim submission.
Frequently asked questions
HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA payer FAQs
Can I automate HIGHMARK BLUE CROSS BLUE SHIELD 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 WEST VIRGINIA?
The primary payer ID for HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA is 54828P. 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 WEST VIRGINIA?
The provider portal for HIGHMARK BLUE CROSS BLUE SHIELD 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 WEST VIRGINIA?
The 837P and 837I payer ID for HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA is 54828 via Stedi.
What is the 835 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA?
The 835 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA is 54828 via Stedi.
What is the 270 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA?
The 270 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA is 54828 via Stedi.
What is the 276 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA?
The 276 payer ID for HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA is 54828 via Stedi.
What state does HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA operate in?
HIGHMARK BLUE CROSS BLUE SHIELD WEST VIRGINIA operates in WV.
Routing reference
HIGHMARK BLUE CROSS BLUE SHIELD 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 WEST VIRGINIASource: Substrate payer directory · data last changed |
|---|---|
| Operating states | WVSource: Stedi payer catalog · catalog dated · matched by payer name |
| 837P professional claims payer IDStedi | 54828Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 837I institutional claims payer IDStedi | 54828Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 835 ERA payer IDStedi | 54828Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | 54828Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 54828Source: 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 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 ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.