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Highmark Blue Shield of Northeastern New York

New York • 104 prefixes

Also known as: Highmark Blue Shield NENY, Highmark Northeastern NY

Billing reference

Provider phone: (866) 231-0847
Verified Aug 2026 · source
2 exceptions — check before you submit
Depends on the claim type
(866) 803-3708 — facility providers (generic Highmark contact)
(866) 731-8080 — professional providers (generic Highmark contact)
Electronic payer ID: 55204
Verified Aug 2026 · source
1 exception — check before you submit
Depends how you submit
55204 — Electronic Remittance Advice (835) / ECHO Health
Claims mailing address: P.O. Box 4208, Buffalo, NY 14240
Verified Aug 2026 · source
Timely filing limit: 365 daysCompare all plans
Verified Aug 2026 · source
1 exception — check before you submit
Depends on the claim stage
455 days — corrected claims (15 months from finalization date of original claim, effective Sept. 1, 2026)
Prior authorization phone: (866) 459-4418
Provider website: https://hnenybs.highmarkprc.com/

Billing Highmark Blue Shield of Northeastern New York from outside New York?

Usually you do not send the claim to Highmark Blue Shield of Northeastern New York. 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 of Northeastern New York for processing.

The payer ID and claims address above are for filing within New York. Filing from elsewhere, use your local plan's details instead.
Prior authorizationis generally handled by the member's home plan — so Highmark Blue Shield of Northeastern New York, 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 of Northeastern New York

Billing reference

Billing Highmark Blue Shield of Northeastern New York from outside New York?

About Highmark Blue Shield of Northeastern New York

All 104 prefixes for Highmark Blue Shield of Northeastern New York