Coverage profile
Work Highmark Blue Cross Blue Shield (Western and Northeastern NY) 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 (Western and Northeastern NY).
Available
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Highmark Blue Cross Blue Shield (Western and Northeastern NY).
Available
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Highmark Blue Cross Blue Shield (Western and Northeastern NY).
Available
Other aliases
Also known as
- 10500
- 3536
- 55204
- 7485
- HLTNOW
- Z1093
- HealthNow Commercial
- HealthNow New York Incorporated
- Highmark Blue Cross Blue Shield (New York) - Commercial and Medicare Advantage
- Highmark Blue Cross Blue Shield (Western and Northeastern NY) - Medicare Advantage
- Highmark Blue Cross Blue Shield of Western New York
- Highmark Blue Shield (New York) - Commercial and Medicare Advantage
- Highmark Blue Shield of Northeastern New York
- Highmark Western and Northeastern New York
- HIGHMARK BLUE CROSS BLUE SHIELD (NY) - COMMERCIAL AND MA
- HEALTHNOW NEW YORK
- HEALTHNOW
- HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA
BlueCard home-plan routing
BCBS prefixes for Highmark Blue Cross Blue Shield (Western and Northeastern NY)
These 504 member ID prefixes resolve to Highmark Blue Cross Blue Shield (Western and Northeastern NY) as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
AARBCBS prefixADFBCBS prefixAENBCBS prefixAFYBCBS prefixAKYBCBS prefixALJBCBS prefixALNBCBS prefixAMMBCBS prefixAOMBCBS prefixAPIBCBS prefixAPMBCBS prefixAPYBCBS prefixAQLBCBS prefixARABCBS prefixARZBCBS prefixAVFBCBS prefixAWMBCBS prefixAYQBCBS prefixAYWBCBS prefixBBMBCBS prefixBCEBCBS prefixBCMBCBS prefixBETBCBS prefixBFIBCBS prefixBFMBCBS prefixBFWBCBS prefixBGCBCBS prefixBJNBCBS prefixBLCBCBS prefixBMWBCBS prefixBPNBCBS prefixBQQBCBS prefixBRFBCBS prefixBRWBCBS prefixBSBBCBS prefixBUHBCBS prefixBUJBCBS prefixBXFBCBS prefixBXHBCBS prefixBXPBCBS prefixBXSBCBS prefixBYEBCBS prefixCBDBCBS prefixCCUBCBS prefixCDMBCBS prefixCKMBCBS prefixCMVBCBS prefixCNGBCBS prefixCNMBCBS prefixCQMBCBS prefixCQSBCBS prefixCRUBCBS prefixCRXBCBS prefixCTQBCBS prefixCUNBCBS prefixCURBCBS prefixCXKBCBS prefixDBDBCBS prefixDBJBCBS prefixDBMBCBS prefixDCDBCBS prefixDEFBCBS prefixDEJBCBS prefixDFEBCBS prefixDFLBCBS prefixDFRBCBS prefixDIEBCBS prefixDIHBCBS prefixDIKBCBS prefixDKXBCBS prefixDMRBCBS prefixDNVBCBS prefixDQMBCBS prefixDQNBCBS prefixDRHBCBS prefixDRMBCBS prefixDVSBCBS prefixDYLBCBS prefixDZDBCBS prefixDZHBCBS prefixEBUBCBS prefixEGBBCBS prefixEKSBCBS prefixEMJBCBS prefixEMXBCBS prefixEOMBCBS prefixEQLBCBS prefixETMBCBS prefixEXRBCBS prefixFBABCBS prefixFDHBCBS prefixFDVBCBS prefixFEBBCBS prefixFEHBCBS prefixFENBCBS prefixFFCBCBS prefixFFXBCBS prefixFGTBCBS prefixFKMBCBS prefixFKNBCBS prefixFRTBCBS prefixFYHBCBS prefixGBJBCBS prefixGBNBCBS prefixGDABCBS prefixGDMBCBS prefixGDRBCBS prefixGDYBCBS prefixGGMBCBS prefixGHQBCBS prefixGIWBCBS prefixGSCBCBS prefixGVEBCBS prefixGXGBCBS prefixGXMBCBS prefixGYUBCBS prefixGZGBCBS prefixGZPBCBS prefixHAUBCBS prefixHBCBCBS prefixHBEBCBS prefixHBNBCBS prefixHCTBCBS prefixHCYBCBS prefixHDFBCBS prefixHECBCBS prefixHEMBCBS prefixHETBCBS prefixHGXBCBS prefixHGZBCBS prefixHHFBCBS prefixHIMBCBS prefixHJGBCBS prefixHJXBCBS prefixHKMBCBS prefixHNGBCBS prefixHNLBCBS prefixHQRBCBS prefixHQTBCBS prefixHRTBCBS prefixHUBBCBS prefixHUMBCBS prefixHVRBCBS prefixHXLBCBS prefixHXMBCBS prefixHYPBCBS prefixHZMBCBS prefixICTBCBS prefixIFKBCBS prefixIFNBCBS prefixIFOBCBS prefixIFTBCBS prefixIHIBCBS prefixIHKBCBS prefixIIPBCBS prefixIJEBCBS prefixINHBCBS prefixIOPBCBS prefixIOTBCBS prefixIPBBCBS prefixIPDBCBS prefixIPMBCBS prefixIPNBCBS prefixISMBCBS prefixIVVBCBS prefixIWXBCBS prefixJAFBCBS prefixJDABCBS prefixJELBCBS prefixJIKBCBS prefixJKRBCBS prefixJMKBCBS prefixJMLBCBS prefixJOFBCBS prefixJOLBCBS prefixJOPBCBS prefixJOTBCBS prefixJRTBCBS prefixJSOBCBS prefixJSRBCBS prefixJUABCBS prefixJUCBCBS prefixJUDBCBS prefixJUEBCBS prefixJUFBCBS prefixJUHBCBS prefixJUJBCBS prefixJUKBCBS prefixJULBCBS prefixJUMBCBS prefixJUQBCBS prefixJURBCBS prefixJUSBCBS prefixJUTBCBS prefixJYXBCBS prefixKAKBCBS prefixKCMBCBS prefixKFABCBS prefixKLVBCBS prefixKMMBCBS prefixKOABCBS prefixKOTBCBS prefixKQQBCBS prefixKTEBCBS prefixKXABCBS prefixKXDBCBS prefixKZFBCBS prefixKZQBCBS prefixLAEBCBS prefixLAOBCBS prefixLBMBCBS prefixLCMBCBS prefixLCSBCBS prefixLGLBCBS prefixLHYBCBS prefixLJMBCBS prefixLKCBCBS prefixLKTBCBS prefixLLMBCBS prefixLNWBCBS prefixLOKBCBS prefixLPEBCBS prefixLPOBCBS prefixLPYBCBS prefixLRLBCBS prefixLTJBCBS prefixLTVBCBS prefixLWCBCBS prefixLWNBCBS prefixLWVBCBS prefixLXBBCBS prefixLXDBCBS prefixLXKBCBS prefixLYBBCBS prefixLZQBCBS prefixMEFBCBS prefixMFEBCBS prefixMFGBCBS prefixMFRBCBS prefixMGXBCBS prefixMIMBCBS prefixMJMBCBS prefixMJNBCBS prefixMLMBCBS prefixMLOBCBS prefixMMHBCBS prefixMNNBCBS prefixMRUBCBS prefixMUWBCBS prefixMZBBCBS prefixNAGBCBS prefixNDRBCBS prefixNEGBCBS prefixNESBCBS prefixNFBBCBS prefixNFLBCBS prefixNFMBCBS prefixNFNBCBS prefixNFPBCBS prefixNFTBCBS prefixNHJBCBS prefixNHKBCBS prefixNJBBCBS prefixNLMBCBS prefixNLNBCBS prefixNMEBCBS prefixNNFBCBS prefixNNRBCBS prefixNNUBCBS prefixNQPBCBS prefixNTJBCBS prefixNTQBCBS prefixNTVBCBS prefixNTYBCBS prefixOADBCBS prefixOAXBCBS prefixOBBBCBS prefixOBFBCBS prefixODSBCBS prefixOGTBCBS prefixOHLBCBS prefixOIBBCBS prefixOILBCBS prefixOINBCBS prefixOIRBCBS prefixOKSBCBS prefixOLWBCBS prefixOSQBCBS prefixOVLBCBS prefixOXABCBS prefixOXOBCBS prefixPDEBCBS prefixPEHBCBS prefixPGBBCBS prefixPGMBCBS prefixPGUBCBS prefixPHKBCBS prefixPHRBCBS prefixPJLBCBS prefixPJUBCBS prefixPMJBCBS prefixPNMBCBS prefixPNXBCBS prefixPOIBCBS prefixPPGBCBS prefixPPMBCBS prefixPPWBCBS prefixPQMBCBS prefixPRBBCBS prefixPRUBCBS prefixPTZBCBS prefixPUHBCBS prefixQDCBCBS prefixQDDBCBS prefixQDFBCBS prefixQDHBCBS prefixQDMBCBS prefixQDOBCBS prefixQDPBCBS prefixQDSBCBS prefixQDUBCBS prefixQDVBCBS prefixQDWBCBS prefixQDYBCBS prefixQDZBCBS prefixQFWBCBS prefixQGCBCBS prefixQIWBCBS prefixQJOBCBS prefixQJPBCBS prefixQJSBCBS prefixQJWBCBS prefixQKSBCBS prefixQNLBCBS prefixQNWBCBS prefixQNZBCBS prefixQPQBCBS prefixQPTBCBS prefixQQZBCBS prefixQYABCBS prefixQYCBCBS prefixQYDBCBS prefixQYEBCBS prefixQYFBCBS prefixQYGBCBS prefixQYZBCBS prefixRDMBCBS prefixRDRBCBS prefixRHMBCBS prefixRHNBCBS prefixRHVBCBS prefixRJLBCBS prefixRKFBCBS prefixRKMBCBS prefixROVBCBS prefixRPLBCBS prefixRPTBCBS prefixRQGBCBS prefixRSHBCBS prefixRSMBCBS prefixRVDBCBS prefixRWDBCBS prefixRWOBCBS prefixRZWBCBS prefixRZYBCBS prefixSDRBCBS prefixSEIBCBS prefixSJZBCBS prefixSLFBCBS prefixSLWBCBS prefixSRLBCBS prefixSTMBCBS prefixSTNBCBS prefixSUJBCBS prefixSWZBCBS prefixSZMBCBS prefixTBMBCBS prefixTDLBCBS prefixTEJBCBS prefixTEYBCBS prefixTFXBCBS prefixTGDBCBS prefixTGIBCBS prefixTIDBCBS prefixTLWBCBS prefixTLYBCBS prefixTPPBCBS prefixTUEBCBS prefixTWYBCBS prefixTXKBCBS prefixTXUBCBS prefixTZBBCBS prefixTZUBCBS prefixTZWBCBS prefixTZYBCBS prefixUAMBCBS prefixUFZBCBS prefixULKBCBS prefixUMDBCBS prefixUPQBCBS prefixUQABCBS prefixUQTBCBS prefixURSBCBS prefixUSWBCBS prefixUWRBCBS prefixUWTBCBS prefixUWVBCBS prefixUWYBCBS prefixUWZBCBS prefixUXLBCBS prefixVEYBCBS prefixVFFBCBS prefixVFVBCBS prefixVFZBCBS prefixVGEBCBS prefixVJCBCBS prefixVPPBCBS prefixVPTBCBS prefixWAMBCBS prefixWBEBCBS prefixWBFBCBS prefixWBSBCBS prefixWCMBCBS prefixWCWBCBS prefixWECBCBS prefixWFWBCBS prefixWGTBCBS prefixWHQBCBS prefixWJIBCBS prefixWJOBCBS prefixWNMBCBS prefixWOHBCBS prefixWQDBCBS prefixWQGBCBS prefixWQHBCBS prefixWQIBCBS prefixWQJBCBS prefixWQOBCBS prefixWQQBCBS prefixWQRBCBS prefixWRMBCBS prefixWTBBCBS prefixWUMBCBS prefixWVFBCBS prefixWVVBCBS prefixWXMBCBS prefixWXPBCBS prefixXLSBCBS prefixYJEBCBS prefixYJFBCBS prefixYJLBCBS prefixYJPBCBS prefixYJUBCBS prefixYJXBCBS prefixYOBBCBS prefixYOLBCBS prefixYQZBCBS prefixYRIBCBS prefixYYABCBS prefixYYBBCBS prefixYYCBCBS prefixYYDBCBS prefixYYGBCBS prefixYYHBCBS prefixYYIBCBS prefixYYJBCBS prefixYYKBCBS prefixYYMBCBS prefixYYNBCBS prefixYYPBCBS prefixYYQBCBS prefixYYRBCBS prefixYYSBCBS prefixYYTBCBS prefixYYUBCBS prefixYYWBCBS prefixYYXBCBS prefixYZWBCBS prefixZAOBCBS prefixZAUBCBS prefixZAYBCBS prefixZAZBCBS prefixZDMBCBS prefixZDQBCBS prefixZFMBCBS prefixZMCBCBS prefixZOABCBS prefixZONBCBS prefixZOQBCBS prefixZORBCBS prefixZPBBCBS prefixZPMBCBS prefixZQDBCBS prefixZQKBCBS prefixZQMBCBS prefixZQWBCBS prefixZQXBCBS prefixZSNBCBS prefixZSRBCBS prefixZSZBCBS prefixZTSBCBS prefixZVSBCBS prefixZXTBCBS prefixZZSBCBS prefix
2027 maternity billing research
When does Highmark Blue Cross Blue Shield (Western and Northeastern NY) change OB/GYN billing?
Confirmed 2027 guidance
This notice is limited to Highmark BCBS MMC, HARP, CHPlus and EP maternity services; it is not commercial or Medicare guidance. It states a January 1, 2027 CPT restructuring effective date and directs all NYS Medicaid-enrolled providers of the listed maternity 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: Only the medical maternity portion of this record corresponding to MMC, HARP, CHPlus or EP. This source does not establish commercial, Medicare, dental, vision or other Highmark-market implementation.
2027 maternity care coding restructuring. Verify the payer source before claim submission.
Frequently asked questions
Highmark Blue Cross Blue Shield (Western and Northeastern NY) payer FAQs
How do I check claim status with Highmark Blue Cross Blue Shield (Western and Northeastern NY)?
Providers check Highmark Blue Cross Blue Shield (Western and Northeastern NY) 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 (Western and Northeastern NY) 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 (Western and Northeastern NY)?
The primary payer ID for Highmark Blue Cross Blue Shield (Western and Northeastern NY) is 55204. 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 (Western and Northeastern NY)?
The provider portal for Highmark Blue Cross Blue Shield (Western and Northeastern NY) 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 (Western and Northeastern NY)?
The 837P and 837I payer ID for Highmark Blue Cross Blue Shield (Western and Northeastern NY) is 55204 via Stedi.
What is the 835 payer ID for Highmark Blue Cross Blue Shield (Western and Northeastern NY)?
The 835 payer ID for Highmark Blue Cross Blue Shield (Western and Northeastern NY) is 55204 via Stedi.
What is the 270 payer ID for Highmark Blue Cross Blue Shield (Western and Northeastern NY)?
The 270 payer IDs for Highmark Blue Cross Blue Shield (Western and Northeastern NY) are 55204 via Stedi and 10500 via Availity.
What is the 276 payer ID for Highmark Blue Cross Blue Shield (Western and Northeastern NY)?
The 276 payer ID for Highmark Blue Cross Blue Shield (Western and Northeastern NY) is 55204 via Stedi.
What state does Highmark Blue Cross Blue Shield (Western and Northeastern NY) operate in?
Highmark Blue Cross Blue Shield (Western and Northeastern NY) operates in NY.
Routing reference
Highmark Blue Cross Blue Shield (Western and Northeastern NY) 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 (Western and Northeastern NY)Source: Substrate payer directory · last refreshed |
|---|---|
| Operating states | NYSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 55204Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 55204Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 55204Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 55204Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 10500Source: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 55204Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Highmark Blue Cross Blue Shield (Western and Northeastern NY). 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 name; matched record: HEALTHNOW. 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 (Western and Northeastern NY). 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.
Payer contact directory
Highmark Blue Cross Blue Shield (Western and Northeastern NY) 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.
- Eligibility / benefits phone
- (800) 676-2583HIGHMARK BLUE CROSS BLUE SHIELD (WESTERN AND NORTHEASTERN NY
- Payer fax
(888) 282-1321HIGHMARK BLUE CROSS BLUE SHIELD (WESTERN AND NORTHEASTERN NY
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
fax(800) 453-4341 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
fax(833) 938-9934 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
fax(844) 295-4637 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
fax(866) 606-6021 | Other stated contextBenefit context: Coverage Basis |
| |
fax(877) 663-7526 | Other stated contextBenefit context: Co-Payment |
| Hospital |
fax(888) 282-1321 |
| ||
| phone(516) 794-7700 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 255-5681 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 321-0935 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 441-9188 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 450-8753 | Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment |
| Hospital, Pharmacy |
| phone(800) 524-0149 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 631-7780 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 676-2583 | Eligibility / benefits, Other stated contextBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Insurance |
| Chiropractic, Chiropractic, Hospital, Hospital - Inpatient, Hospital - Outpatient, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Professional (Physician) Visit - Office |
| phone(800) 972-4226 | Eligibility / benefits, Other stated contextBenefit context: Co-Payment; Benefit context: Contact Following Entity for Eligibility or Benefit Information |
| Chiropractic |
| phone(800) 972-8088 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 981-3546 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(800) 987-8357 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(833) 293-0659 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(844) 770-1500 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(866) 343-3709 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Hospital, Hospital - Inpatient |
| phone(866) 819-4298 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(877) 241-7123 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(877) 306-3093 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(877) 718-2375 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 352-7924 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Dental Care |
| phone(800) 274-7767 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(800) 305-4271 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(800) 832-7850 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(855) 343-4851 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 231-0847 | Utilization managementBenefit context: Co-Payment |
| Chiropractic |
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(866) 678-7970 | Utilization managementBenefit context: Co-Insurance |
| Hospital, Hospital - Inpatient, Hospital - Outpatient |
| phone(877) 450-9355 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(888) 235-4713 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(888) 322-0928 | Utilization managementBenefit context: Co-Payment |
| Professional (Physician) Visit - Office |
| phone(951) 371-8440 | Utilization managementBenefit context: Limitations |
| Chiropractic |
| phone(800) 452-8507 | Behavioral health, Other stated contextBenefit context: Active Coverage |
| Hospital, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Mental Health, Hospital - Inpatient |
| phone(855) 339-8558 | Behavioral healthBenefit context: Active Coverage |
| Mental Health |
| phone(484) 862-3506 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 344-5245 | Other stated contextBenefit context: Active - Pending Investigation |
| Hospital |
| phone(800) 351-2370 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 397-7337 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment; Benefit context: Deductible |
| Hospital - Inpatient, Hospital - Outpatient |
| phone(800) 424-8270 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(800) 480-6658 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(800) 541-6652 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 664-2583 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 780-7881 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 920-2485 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 922-8778 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(800) 952-3404 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(833) 639-1634 | Other stated contextBenefit context: Co-Insurance |
| Hospital, Hospital - Inpatient |
| phone(833) 647-9355 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(833) 663-8703 | Other stated contextBenefit context: Co-Insurance |
| Hospital |
| phone(855) 243-3326 | Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment |
| Hospital - Inpatient, Hospital - Outpatient |
| phone(855) 288-8356 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(855) 550-3733 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(866) 205-5107 | Other stated contextBenefit context: Coverage Basis |
| |
| phone(877) 599-2911 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(888) 849-3682 | Other stated contextBenefit context: Co-Payment |
| Hospital |
| phone(800) 214-4844 |
| ||
| phone(800) 327-6716 |
| ||
| phone(800) 727-2227 |
| ||
| phone(877) 444-2374 |
| ||
| phone(888) 233-8351 |
|
Phone and fax numbers sourced directly from the payer response