Highmark
Blue Cross Blue ShieldVERIFIEDOverview
Payer
- States / regions
- DE, PA, WV
- Lines of business
- Commercial, Managed Medicaid
- Directory entries
- 2
Verified contacts
Contact information
- Provider portalNational · Commercial
- https://providers.highmark.com/ (opens in a new tab)Verified · August 2026
- Provider portalPennsylvania · Managed Medicaid
- https://providers.highmark.com/wholecare.html (opens in a new tab)Verified · August 2026
- Provider ServicesPennsylvania · Managed Medicaid
- 800-392-1147Verified · August 2026
Every contact is individually source-tracked with its verification date. A green “Verified” badge only appears when a source and date exist — see the payer contacts page for full source detail.
State / LOB scopes
Directory entries
AR workflows
Payer-specific denial guidance
Under development: Note
Payer-specific workflows — corrected claims, reconsideration, appeals, timely filing, eligibility and related CARC/RARC guidance — appear here only after they are verified against an authoritative source. Nothing is published speculatively.
Highmark has 847 BCBS prefixes in the research registry — try the BCBS Prefix Lookup.
Source & verification
Official sources
- Highmark — official website — https://www.highmark.com
- Highmark — Provider Manual: General Claim Submission Guidelines — https://providers.highmark.com/resources-and-education/highmark-provider-manual/chapter-6-billing-and-payment/unit-1-general-claim-submission-guidelines.html
- Highmark — Provider Manual: Denials, Adverse Benefit Determinations, Grievances and Appeals — https://providers.highmark.com/resources-and-education/highmark-provider-manual/chapter-5-care-and-quality-management/unit-5-denials-adverse-benefit-determinations-grievances-and-app.html
- Highmark Wholecare — Contact Us — https://www.highmark.com/wholecare/contact-us
- Highmark Wholecare — November 2025 Provider Newsletter (timely filing) — https://providers.highmark.com/wholecare/newsletter-archive/november-2025.html