Coverage profile
Work Highmark Blue Shield of Northeastern New York 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.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Highmark Blue Shield of Northeastern New York.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Highmark Blue Shield of Northeastern New York.
Other aliases
Also known as
- 00800
- 100954
- 10499
- CBNYW
- ILQGT
- LWTJN
- N5BLS
- NYBCNE
- SB800
- BCBS New York Northeastern
- HealthNow Blue Cross Blue Shield New York Northeastern
- HEALTHNOW BCBS NEW YORK NORTHEASTERN
- HIGHMARK BLUE SHIELD
BlueCard home-plan routing
BCBS prefixes for Highmark Blue Shield of Northeastern New York
These 80 member ID prefixes resolve to Highmark Blue Shield of Northeastern New York as their terminal payer. Open a prefix to review its home plan, state, payer ID, and published routes.
Member ID prefixes
AOPBCBS prefixAZPBCBS prefixBWBBCBS prefixBZFBCBS prefixCAEBCBS prefixCAKBCBS prefixCPGBCBS prefixCTOBCBS prefixDEABCBS prefixECDBCBS prefixECUBCBS prefixETLBCBS prefixF4EBCBS prefixFVGBCBS prefixG3TBCBS prefixGNKBCBS prefixGQXBCBS prefixGUABCBS prefixHFJBCBS prefixHQXBCBS prefixHVWBCBS prefixIOGBCBS prefixITOBCBS prefixJ3SBCBS prefixJ7EBCBS prefixJ7LBCBS prefixJAKBCBS prefixJAQBCBS prefixJCJBCBS prefixJIABCBS prefixJSSBCBS prefixJXYBCBS prefixKBYBCBS prefixKMGBCBS prefixKWYBCBS prefixL2PBCBS prefixLJIBCBS prefixLRMBCBS prefixM4RBCBS prefixMPMBCBS prefixMYABCBS prefixN4UBCBS prefixN7VBCBS prefixN7XBCBS prefixN9ABCBS prefixNCVBCBS prefixNOGBCBS prefixNQJBCBS prefixNRRBCBS prefixNYFBCBS prefixORMBCBS prefixOXBBCBS prefixP4UBCBS prefixPBEBCBS prefixPBNBCBS prefixPGFBCBS prefixQKTBCBS prefixS3ABCBS prefixSJBBCBS prefixSMVBCBS prefixSNFBCBS prefixTYOBCBS prefixU4VBCBS prefixUPOBCBS prefixVSSBCBS prefixW6KBCBS prefixWOLBCBS prefixY7GBCBS prefixZ4DBCBS prefixZ4FBCBS prefixZ4HBCBS prefixZ4QBCBS prefixZ4YBCBS prefixZ5KBCBS prefixZ7PBCBS prefixZQYBCBS prefixZWDBCBS prefixZWEBCBS prefixZWGBCBS prefixZWUBCBS prefix
2027 maternity billing research
When does Highmark Blue Shield of Northeastern New York change OB/GYN billing?
Medicaid products of this Highmark brand (MMC, HARP, CHPlus, EP) follow the NYS Medicaid directive: members who initiate prenatal care on/after 2026-06-01 and/or have an EDD on/after 2027-01-01 -> prenatal visits billed E/M + modifier TH with pregnancy O/Z diagnoses; full AMA 2027 code set from 2027-01-01. For commercial and Medicare Advantage members Highmark has announced only a review (2026-07-01 notice) and no operational change.
- Transition start
- 2026-06-01
- Billing start
- 2027-01-01
- Published
- 2026-07-01
- Current As Of
- August 2026
Scope: Split by product: NYS Medicaid cohort rules for MMC/HARP/CHPlus/EP only; commercial and Medicare Advantage remain under Highmark's awareness notice
2027 maternity care coding restructuring. Verify the payer source before claim submission.
Frequently asked questions
Highmark Blue Shield of Northeastern New York payer FAQs
Can I automate Highmark Blue Shield of Northeastern New York 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 of Northeastern New York?
The primary payer ID for Highmark Blue Shield of Northeastern New York is SB800. 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 of Northeastern New York?
The provider portal for Highmark Blue Shield of Northeastern New York is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Highmark Blue Shield of Northeastern New York?
The 837P and 837I payer ID for Highmark Blue Shield of Northeastern New York is SB800 via Stedi.
What is the 835 payer ID for Highmark Blue Shield of Northeastern New York?
The 835 payer ID for Highmark Blue Shield of Northeastern New York is SB800 via Stedi.
What is the 270 payer ID for Highmark Blue Shield of Northeastern New York?
The 270 payer ID for Highmark Blue Shield of Northeastern New York is SB800 via Stedi.
What state does Highmark Blue Shield of Northeastern New York operate in?
Highmark Blue Shield of Northeastern New York operates in NY.
Routing reference
Highmark Blue Shield of Northeastern New York 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 of Northeastern New YorkSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | NYSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | SB800Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | SB800Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | SB800Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | SB800Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Highmark Blue Shield of Northeastern New York. 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.
Payer contact directory
Highmark Blue Shield of Northeastern New York 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.
- Other stated context phone
- (800) 452-8507HIGHMARK MEDICAL MANAGEMENT & POLICY
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 452-8507 | Other stated contextBenefit context: Active Coverage |
| Hospital |
| phone(855) 550-3733 | Other stated contextBenefit context: Active Coverage |
| Hospital |
Phone and fax numbers sourced directly from the payer response