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Highmark Blue Shield

Pennsylvania • 54 prefixes

Also known as: Highmark Pennsylvania, Highmark Blue Shield PA

Billing reference

Provider phone: (866) 731-8080
Verified Aug 2026 · source
3 exceptions — check before you submit
Depends on the region
(844) 945-5525 — Southeastern PA all providers
Depends on the claim type
(866) 803-3708 — Central PA facility providers
(866) 731-8080 — Central PA professional providers
Electronic payer ID: 54771
Verified Aug 2026 · source
2 exceptions — check before you submit
Depends on the plan type
47181 — Highmark Health Options (Medicaid product line)
Depends how you submit
SB865 — Pennsylvania claims via certain clearinghouses (Claim.MD, MBPractice)
Claims mailing address: P.O. Box 890089, Camp Hill, PA 17089-0089
2 exceptions — check before you submit
Depends on the plan type
P.O. Box 890062, Camp Hill, PA 17089-0062 — behavioral health claims (Traditional Indemnity, PPOBlue, BlueCard PPO, and Federal Employee Program)
Depends on the region
P.O. Box 898819, Camp Hill, PA 17089-8819 — western region claims
Timely filing limit: 365 daysCompare all plans
Verified Aug 2026 · source
2 exceptions — check before you submit
Depends on the plan type
90 days — EPSDT claims (Pennsylvania Medicaid)
Changes on a date
455 days — Corrected claims (effective Sept 1, 2026)
Prior authorization phone: (866) 763-3224
Provider website: https://providers.highmark.com/

Billing Highmark Blue Shield from outside Pennsylvania?

Usually you do not send the claim to Highmark Blue Shield. Under the BlueCard program, a provider treating a member from another Blue plan submits the claim to their own local Blue Cross Blue Shield plan, which then routes it to Highmark Blue Shield for processing.

The payer ID and claims address above are for filing within Pennsylvania. Filing from elsewhere, use your local plan's details instead.
Prior authorizationis generally handled by the member's home plan — so Highmark Blue Shield, wherever you are.
Your timely filing limit is set by your own contract with your local Blue plan, not by the figure above. 365 days is customary but contracts vary.
To check eligibility and benefits for an out-of-area Blue member, call 1-800-676-BLUE (1-800-676-2583).

Arrangements vary by contract, and self-funded (ASO) accounts can differ — confirm with your local Blue plan before filing. See the BlueCard Program Provider Manual for the full rules.

Highmark Blue Shield

Billing reference

Billing Highmark Blue Shield from outside Pennsylvania?

About Highmark Blue Shield

All 54 prefixes for Highmark Blue Shield