Coverage profile
Work HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA 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 (NY) - COMMERCIAL AND MA.
Other aliases
Also known as
- HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA
- HIGHMARK
2027 maternity billing research
When does HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA change OB/GYN billing?
Highmark reports an industry-wide maternity coding model effective January 1, 2027 and is reviewing implementation. This notice supplies no Highmark-specific claim-submission rules and does not separately establish applicability to NY Commercial and Medicare Advantage products.
- Transition start
- Not published
- Billing start
- Not published
- Published
- 2026-07-01
- Current As Of
- August 2026
Scope: Regional Highmark Blue Shield awareness notice; NENY is named in site navigation. Commercial and Medicare Advantage applicability is not expressly specified.
Maternity billing changes for 2027. Verify the payer source before claim submission.
Frequently asked questions
HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA payer FAQs
Can I automate HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA 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 (NY) - COMMERCIAL AND MA?
The primary payer ID for HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA is 55204W. 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 (NY) - COMMERCIAL AND MA?
The provider portal for HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA is https://apps.availity.com/. Available features depend on the payer and your account.
What is the 270 payer ID for HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA?
The 270 payer ID for HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA is CBPA2 via Stedi.
What state does HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA operate in?
HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA operates in PA.
Routing reference
HIGHMARK BLUE SHIELD (NY) - COMMERCIAL AND MA 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 SHIELD (NY) - COMMERCIAL AND MASource: Substrate payer directory · data last changed |
|---|---|
| Operating states | PASource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | CBPA2Source: 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: Blue Shield of Pennsylvania - Dental Plus. 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.