Coverage profile
Work Highmark Pennsylvania Southeastern Region 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.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Highmark Pennsylvania Southeastern Region.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Highmark Pennsylvania Southeastern Region.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Highmark Pennsylvania Southeastern Region.
Other aliases
Also known as
- 3619
- 54771S
- HIGHMARK BLUE SHIELD - SEPA
- HIGHMARK BLUE SHIELD
2027 maternity billing research
When does Highmark Pennsylvania Southeastern Region change OB/GYN billing?
Highmark reports an industry-wide maternity coding model effective January 1, 2027 and is reviewing its policies, procedures, and systems. This notice does not provide Highmark-specific claim-submission instructions or a payer billing implementation date.
- Transition start
- Not published
- Billing start
- Not published
- Published
- 2026-07-01
- Current As Of
- August 2026
Scope: General medical-provider awareness notice associated with the Highmark Blue Shield CPA/SEPA regional brand; individual Southeastern Pennsylvania products are not enumerated.
Maternity billing changes for 2027. Verify the payer source before claim submission.
Frequently asked questions
Highmark Pennsylvania Southeastern Region payer FAQs
How do I check claim status with Highmark Pennsylvania Southeastern Region?
Providers check Highmark Pennsylvania Southeastern Region via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Highmark Pennsylvania Southeastern Region 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 Pennsylvania Southeastern Region?
The primary payer ID for Highmark Pennsylvania Southeastern Region is 54771S. 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 Pennsylvania Southeastern Region?
The provider portal for Highmark Pennsylvania Southeastern Region is https://apps.availity.com/. Available features depend on the payer and your account.
What is the 837I payer ID for Highmark Pennsylvania Southeastern Region?
The 837I payer ID for Highmark Pennsylvania Southeastern Region is 54771S via Stedi.
What is the 835 payer ID for Highmark Pennsylvania Southeastern Region?
The 835 payer ID for Highmark Pennsylvania Southeastern Region is 54771S via Stedi.
What is the 270 payer ID for Highmark Pennsylvania Southeastern Region?
The 270 payer ID for Highmark Pennsylvania Southeastern Region is 54771S via Stedi.
What is the 276 payer ID for Highmark Pennsylvania Southeastern Region?
The 276 payer ID for Highmark Pennsylvania Southeastern Region is 54771S via Stedi.
What state does Highmark Pennsylvania Southeastern Region operate in?
Highmark Pennsylvania Southeastern Region operates in PA.
Routing reference
Highmark Pennsylvania Southeastern Region 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 Pennsylvania Southeastern RegionSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | PASource: Substrate payer directory · data last changed |
| 837I institutional claims payer IDStedi | 54771SSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 54771SEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 54771SEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 54771SEnrollment requiredSource: 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 Pennsylvania Southeastern Region. 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 Pennsylvania Southeastern Region 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 and fax numbers sourced directly from the payer response