Coverage profile
How Substrate can help you with Highmark Health Options Duals West Virginia
Substrate can help practices and billers with the following claims tasks for Highmark Health Options Duals West Virginia.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Highmark Health Options Duals West Virginia.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Highmark Health Options Duals West Virginia.
Frequently asked questions
Highmark Health Options Duals West Virginia payer FAQs
How do I check claim status with Highmark Health Options Duals West Virginia?
Providers check Highmark Health Options Duals West Virginia via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for Highmark Health Options Duals West Virginia?
The primary payer ID for Highmark Health Options Duals West Virginia is 88831. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Highmark Health Options Duals West Virginia?
The 837P and 837I payer ID for Highmark Health Options Duals West Virginia is 88831 via Stedi.
What is the 835 payer ID for Highmark Health Options Duals West Virginia?
The 835 payer ID for Highmark Health Options Duals West Virginia is 88831 via Stedi.
What is the 270 payer ID for Highmark Health Options Duals West Virginia?
The 270 payer IDs for Highmark Health Options Duals West Virginia are 88831 via Stedi and 10629T via Availity.
What is the 276 payer ID for Highmark Health Options Duals West Virginia?
The 276 payer IDs for Highmark Health Options Duals West Virginia are 88831 via Stedi and 10629T via Availity.
What state does Highmark Health Options Duals West Virginia operate in?
Highmark Health Options Duals West Virginia operates in PA.
Routing reference
Highmark Health Options Duals West Virginia 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 Health Options Duals West VirginiaSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | PASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 88831Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 88831Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 88831Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 88831Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 10629TSource: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 88831Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 10629TSource: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Highmark Health Options Duals West Virginia. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer name; matched record: GATEWAY HEALTH PLAN. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity 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
- 88831
- Gateway Health Plan
- HIGHMARK HEALTH OPTIONS DUALS - WEST VIRGINIA