Highmark Plans (various)
Please follow the Enrollment Instructions below to become an electronic submitter for Highmark.
Please Note: These instructions are specifically for EDI Submission to Highmark under the following Payer IDs:
| PAYER | ID |
|---|---|
| AmeriHealth Delaware | 93688 |
| AmeriHealth NJ Non HMO | 60061 |
| AmeriHealth DE & NJ HMO | 95044 |
Required Documents for those applying for new Submitter IDs
The following documents are required enrollment documents that must be completed, signed and returned to the Highmark office prior to initiation of electronic claims submission or inquiry.
1. New DataStream Trading Partner Application
If the above link does not work properly, follow these steps:
To apply for a Highmark Blue Shield Submitter ID please go to the following site:
https://www.highmark.com/edi-ibc/index.shtml
-Click on Sign Up
Scroll down to the bottom and click "Continue to Application"
If you have any questions regarding any of the documents in this package, please phone the BCBS EDI Technology Support Center at 1-800-922-0246.
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
Trading Partner Application
Administrator Information
Enter your name and title
The name of the company you are representing
Enter your phone number and email address
Select and answer a security question
Delegate Information
Enter the name, title and function of two delegates for your office
Enter their email address and phone numbers
Trading Partner
This is the provider or organization information. The trading partner is the entity that will be submitting claims and receiving reimbursement
Enter the demographic and contact information for the trading partner along with the Tax ID
Trading Partner Type
Select the Trading Partner type that best fits YOUR line of business (Professional, Institutional, or Billing Service…)
Software Vendor Information
For Name of Software please enter the information for the software or vendor that creates your 837 files you need Claimshuttle to transfer for you. If you have paid for our SolAce billing software please call our support line for our SolAce software information.
Acceptance and Submission Section
Please check the boxs to accept their terms
Review your information and Submit
Waiting for a Response
Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately three to five business days from the date of receipt
After processing, a confirmation will be emailed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the BCBS EDI Technology Support Center at 1-800-992-0246.
Testing
Once you have received your Submitter ID and Password from BCBS, please call the Claimshuttle Support Team and set an appointment for a Mailbox setup and Test Transmission to BCBS.
Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.