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HIGHMARK BLUE SHIELD

The provider portal for HIGHMARK BLUE SHIELD is https://apps.availity.com/

Primary payer ID
54771PCompare transaction IDs ↓
Last successful claim statusWithin the past weekObserved across Substrate's claim-status network.
SupportedBrowser automation

Is your practice experiencing high volumes of no response claims or denials from HIGHMARK BLUE SHIELD? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with HIGHMARK BLUE SHIELD

Substrate can help practices and billers with the following claims tasks for HIGHMARK BLUE SHIELD.

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for HIGHMARK BLUE SHIELD.

Available

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 payment
HIGHMARK BLUE SHIELD median observed adjudication timingMonthly median days from payer receipt to 835 payment from April 2026 through August 2026. Missing qualified months are shown as gaps.07.515AprMayJunJulAug
View chart data as a table
HIGHMARK BLUE SHIELD observed adjudication timing by service month
Service monthMedian10% of adjudications by90% of adjudications byCompleted claimsCoverage
Apr10 days7 days17 days182PA
May10 days6 days14 days462PA
Jun10.6 days6 days14 days414PA
Jul7 days6 days13 days254PA
AugNo qualified data

2027 maternity billing research

When does HIGHMARK BLUE SHIELD change OB/GYN billing?

Confirmed 2027 guidance

The CPT maternity code changes take effect 2027-01-01, but Highmark has not announced an operational billing change and is still reviewing implementation.

Transition start
Not published
Billing start
Not published
Published
2026-07-01
Current As Of
August 2026

Scope: payer-family guidance across named Highmark markets

Open HIGHMARK BLUE SHIELD in the payer explorer →
View Payer Policy ↗Upstream page ↗

Maternity billing changes for 2027. Verify the payer source before claim submission.

Frequently asked questions

HIGHMARK BLUE SHIELD payer FAQs

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.

Resource library

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.

HIGHMARK BLUE SHIELD payer name, operating states, and transaction-specific payer IDs
Payer nameHIGHMARK BLUE SHIELDSource: Substrate payer directory · last refreshed
Operating statesPASource: Stedi payer catalog · catalog dated · matched by payer name
837P professional claims payer IDStedi54771Source: Stedi payer catalog · catalog dated · matched by payer name
835 ERA payer IDStedi54771Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name
270 eligibility payer IDStedi54771Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name
276 claim status payer IDStedi54771Enrollment 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.

Other aliases

Also known as

  • 54771