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
Review HIGHMARK BLUE SHIELD’s 2027 OB/GYN billing guidance, plan-specific updates and policy sources.
- Policy Updated At
- July 1, 2026
Maternity billing changes for 2027. Verify the payer source before claim submission.
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 · data last changed |
|---|---|
| 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. Data last changed ; checked .
- 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.