H
Payer Directory
How to check Highmark Blue Cross Blue Shield (Western and Northeastern NY) 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
55204Real-time 270/271Commercial · Medicare · MedicaidThree ways to verify Highmark Blue Cross Blue Shield (Western and Northeastern NY) 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 (Western and Northeastern NY) at a glance
What billers need before running a check.
Payer ID
55204Also known as 10500, 3536, 7485, HLTNOW
Real-time eligibility
Available
Responses return in seconds, 24/7.
Coverage
dental, medical, vision
Commercial · Medicare · Medicaid
Operating area
New York
Payer website
www.highmark.comSupported transactions
What can be exchanged electronically with Highmark Blue Cross Blue Shield (Western and Northeastern NY) today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | SUPPORTED |
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 | SUPPORTED |
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 (Western and Northeastern NY)?+–
Highmark Blue Cross Blue Shield (Western and Northeastern NY) uses payer ID 55204. It also appears as 10500, 3536, 7485, HLTNOW in some systems.
Does Highmark Blue Cross Blue Shield (Western and Northeastern NY) support real-time eligibility verification?+–
Yes. Highmark Blue Cross Blue Shield (Western and Northeastern NY) accepts real-time 270/271 eligibility transactions, so a check returns plan status and benefit detail in seconds instead of the 10–15 minutes a portal login takes.
How long does a Highmark Blue Cross Blue Shield (Western and Northeastern NY) 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 (Western and Northeastern NY) 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
