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Payer Directory
How to check Highmark Blue Cross Blue Shield of West Virginia eligibility
A portal or phone check takes a front-desk staffer 10–15 minutes per patient. A real-time 270/271 check returns plan status, copays, deductibles, and out-of-pocket maximums in seconds.
Payer ID
54828Real-time 270/271Enrollment required · daysThree ways to verify Highmark Blue Cross Blue Shield of West Virginia coverage
- Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
- Phone (IVR) — hold times vary; no written record for the chart.
- Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.
Highmark Blue Cross Blue Shield of West Virginia at a glance
What billers need before running a check.
Payer ID
54828Also known as 100947, 10462, 11024, 12B28
Real-time eligibility
After enrollment
A one-time enrollment is required before checks can run (about days).
Coverage
dental, medical, vision
Operating area
West Virginia
Payer website
www.highmark.comSupported transactions
What can be exchanged electronically with Highmark Blue Cross Blue Shield of West Virginia today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | ENROLLMENT REQUIRED |
Claim status (276/277) Where a submitted claim stands | SUPPORTED |
Professional claims (837P) Physician and outpatient claims | ENROLLMENT REQUIRED |
Institutional claims (837I) Facility claims | ENROLLMENT REQUIRED |
Dental claims (837D) Dental claims | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | ENROLLMENT REQUIRED |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Portal vs. phone vs. automated
The same verification, three ways.
| Payer portal | Phone / IVR | Automated check | |
|---|---|---|---|
| Time per patient | 10–15 min | 15–30 min | Seconds |
| Cost per check | ~$6.72 staff time* | ~$6.72+ staff time* | from $0.50 |
| Record for the chart | Screenshot | None | Full audit trail |
| Whole-day schedule | One at a time | One at a time | Batched overnight |
*CAQH Index benchmark for a manual eligibility verification.
Frequently asked questions
What is the payer ID for Highmark Blue Cross Blue Shield of West Virginia?+–
Highmark Blue Cross Blue Shield of West Virginia uses payer ID 54828. It also appears as 100947, 10462, 11024, 12B28 in some systems.
Does Highmark Blue Cross Blue Shield of West Virginia support real-time eligibility verification?+–
Yes. Highmark Blue Cross Blue Shield of West Virginia supports real-time 270/271 eligibility checks after a one-time enrollment that typically takes days. Once enrolled, checks return in seconds.
How long does a Highmark Blue Cross Blue Shield of West Virginia eligibility check take?+–
A portal check takes 10–15 minutes of staff time per patient. An automated real-time check returns in seconds and can run for an entire day's schedule overnight.
Run your first Highmark Blue Cross Blue Shield of West Virginia eligibility check in 5 minutes
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production
