Coverage profile
Work Highmark Senior Solutions 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 Senior Solutions.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Highmark Senior Solutions.
Other aliases
Also known as
- 15459
- Highmark Senior Solutions Company West Virginia
2027 maternity billing research
When does Highmark Senior Solutions change OB/GYN billing?
Highmark's 2026-07-01 notice says it is conducting a comprehensive review of policies, procedures and systems for the 2027 CPT maternity changes and will formally notify providers of any claim-submission changes. No operational billing change, transition date or billing start has been published; continue current billing until Highmark notifies you.
- 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
Maternity billing changes for 2027. Verify the payer source before claim submission.
Frequently asked questions
Highmark Senior Solutions payer FAQs
How do I check claim status with Highmark Senior Solutions?
Providers check Highmark Senior Solutions 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 Senior Solutions?
The primary payer ID for Highmark Senior Solutions is 15459. 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 Senior Solutions?
The 837P and 837I payer ID for Highmark Senior Solutions is 15459 via Stedi.
What is the 835 payer ID for Highmark Senior Solutions?
The 835 payer ID for Highmark Senior Solutions is 15459 via Stedi.
What is the 270 payer ID for Highmark Senior Solutions?
The 270 payer ID for Highmark Senior Solutions is 15459 via Stedi.
What is the 276 payer ID for Highmark Senior Solutions?
The 276 payer ID for Highmark Senior Solutions is 15459 via Stedi.
What state does Highmark Senior Solutions operate in?
Highmark Senior Solutions operates in WV.
Routing reference
Highmark Senior Solutions 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 Senior SolutionsSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | WVSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 15459Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 15459Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 15459Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 15459Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 15459Enrollment 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 Senior Solutions. 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.