Coverage profile
How Substrate can help you with Highmark Wholecare Medicare Assured
Substrate can help practices and billers with the following claims tasks for Highmark Wholecare Medicare Assured.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Highmark Wholecare Medicare Assured.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Highmark Wholecare Medicare Assured.
Frequently asked questions
Highmark Wholecare Medicare Assured payer FAQs
How do I check claim status with Highmark Wholecare Medicare Assured?
Providers check Highmark Wholecare Medicare Assured 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 Wholecare Medicare Assured?
The primary payer ID for Highmark Wholecare Medicare Assured is 60550. 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 Wholecare Medicare Assured?
The 837P and 837I payer ID for Highmark Wholecare Medicare Assured is 60550 via Stedi.
What is the 835 payer ID for Highmark Wholecare Medicare Assured?
The 835 payer ID for Highmark Wholecare Medicare Assured is 60550 via Stedi.
What is the 270 payer ID for Highmark Wholecare Medicare Assured?
The 270 payer IDs for Highmark Wholecare Medicare Assured are 60550 via Stedi and 60550 via Availity.
What is the 276 payer ID for Highmark Wholecare Medicare Assured?
The 276 payer IDs for Highmark Wholecare Medicare Assured are 60550 via Stedi and 60550 via Availity.
What state does Highmark Wholecare Medicare Assured operate in?
Highmark Wholecare Medicare Assured operates in PA.
Routing reference
Highmark Wholecare Medicare Assured 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 Wholecare Medicare AssuredSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | PASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 60550Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 60550Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 60550Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 60550Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 60550Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 60550Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 60550Source: Availity payer catalog · catalog dated · matched by payer ID |
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 Wholecare Medicare Assured. 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 ID; matched records: GATEWAY HEALTH PLAN MEDICARE ASSURED, HIGHMARK WHOLECARE (MEDICAID). 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.
Payer contact directory
Highmark Wholecare Medicare Assured 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.
- Payer phone
- (800) 685-5205Gateway Health Plan, HIGHMARK WHOLECARE (FKA GATEWAY HP)
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 685-5205 |
|
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 2298
- 2912
- 60550
- 60550MA
- GHPMCR
- Gateway Health Plan Medicare Assured
- GTWYMCRASU
- HIGHMARK WHOLECARE (MEDICAID)
- HIGHMARK WHOLECARE (MEDICARE)