Coverage profile
Work HIGHMARK BLUE SHIELD 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 SHIELD.
Other aliases
Also known as
- 54771
BlueCard home-plan routing
BCBS prefixes for HIGHMARK BLUE SHIELD
These 50 member ID prefixes resolve to HIGHMARK BLUE SHIELD as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
A8FBCBS prefixAYRBCBS prefixB2EBCBS prefixB4BBCBS prefixB4CBCBS prefixB4DBCBS prefixB4EBCBS prefixB7MBCBS prefixC2IBCBS prefixD2GBCBS prefixD2ZBCBS prefixE5MBCBS prefixE6SBCBS prefixF5XBCBS prefixG2HBCBS prefixH6LBCBS prefixH7QBCBS prefixH7SBCBS prefixH7UBCBS prefixH8FBCBS prefixJ5QBCBS prefixJ5YBCBS prefixJ6EBCBS prefixK3HBCBS prefixK3LBCBS prefixK3RBCBS prefixKMDBCBS prefixL3EBCBS prefixM4BBCBS prefixMRCBCBS prefixN6SBCBS prefixN9SBCBS prefixNNXBCBS prefixP3EBCBS prefixP4BBCBS prefixP4DBCBS prefixP5LBCBS prefixP5NBCBS prefixP5XBCBS prefixP6ABCBS prefixP7JBCBS prefixP8UBCBS prefixR2LBCBS prefixR4ABCBS prefixS3OBCBS prefixS3VBCBS prefixS5FBCBS prefixT6VBCBS prefixT6WBCBS prefixUOZBCBS 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
7 days- 10% of adjudications by
- 6 days
- 90% of adjudications by
- 13 days
- Applicable state coverage
- PA
- 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 | 10 days | 7 days | 17 days | 182 | PA |
| May | 10 days | 6 days | 14 days | 462 | PA |
| Jun | 10.6 days | 6 days | 14 days | 414 | PA |
| Jul | 7 days | 6 days | 13 days | 254 | PA |
| Aug | No qualified data | ||||
2027 maternity billing research
When does HIGHMARK BLUE SHIELD 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 provides no Highmark-specific claim-submission instructions or 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 Shield 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 SHIELD payer FAQs
Can I automate HIGHMARK BLUE SHIELD 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 SHIELD?
The primary payer ID for HIGHMARK BLUE SHIELD is 54771P. 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 SHIELD?
The provider portal for HIGHMARK BLUE SHIELD is https://apps.availity.com/. Available features depend on the payer and your account.
What is the 837P payer ID for HIGHMARK BLUE SHIELD?
The 837P payer ID for HIGHMARK BLUE SHIELD is 54771 via Stedi.
What is the 835 payer ID for HIGHMARK BLUE SHIELD?
The 835 payer ID for HIGHMARK BLUE SHIELD is 54771 via Stedi.
What is the 270 payer ID for HIGHMARK BLUE SHIELD?
The 270 payer ID for HIGHMARK BLUE SHIELD is 54771 via Stedi.
What is the 276 payer ID for HIGHMARK BLUE SHIELD?
The 276 payer ID for HIGHMARK BLUE SHIELD is 54771 via Stedi.
What state does HIGHMARK BLUE SHIELD operate in?
HIGHMARK BLUE SHIELD operates in PA.
Routing reference
HIGHMARK BLUE SHIELD 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 SHIELDSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | PASource: Stedi payer catalog · catalog dated · matched by payer name |
| 837P professional claims payer IDStedi | 54771Source: Stedi payer catalog · catalog dated · matched by payer name |
| 835 ERA payer IDStedi | 54771Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | 54771Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 54771Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .
- Stedi payer catalogMatched by payer name; matched record: Highmark of Pennsylvania. 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.