Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10500 - Payer ID
3536 - Payer ID
7485 - Payer ID
HLTNOW - Payer ID
Z1093 - Also listed as HealthNow Commercial
- Also listed as HealthNow New York Incorporated
- Also listed as Highmark Blue Cross Blue Shield (New York) - Commercial and Medicare Advantage
- Also listed as Highmark Blue Cross Blue Shield (Western and Northeastern NY) - Medicare Advantage
- Also listed as Highmark Blue Cross Blue Shield of Western New York
- Also listed as Highmark Blue Shield (New York) - Commercial and Medicare Advantage
- Also listed as Highmark Blue Shield of Northeastern New York
- Also listed as Highmark Western and Northeastern New York
Coverage states
New York.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow considerations
- Use 270/271 for eligibility and benefits checks, and 276/277 to track submitted claims.
- Confirm whether your practice needs 837P, 837I, or ERA 835, then complete payer enrollment before using those transactions.
- Plan a separate fallback process for EFT, combined ERA/EFT, coordination-of-benefits 271, and attachments 275.
- Do not treat missing ERA as permanent. Complete enrollment, then verify 835 setup before posting remittances electronically.
Common questions
Can I submit 837P and 837I claims electronically to this payer?
Yes, both professional claims through 837P and institutional claims through 837I are supported after the practice completes payer enrollment.
Does this payer support electronic eligibility checks?
Yes, eligibility and benefits inquiries use the 270/271 transaction pair. The separate coordination-of-benefits 271 transaction is not supported.
Can I receive ERA 835 from this payer?
Yes, ERA 835 is supported after payer enrollment. EFT and combined ERA/EFT are not supported, so electronic remittance does not provide electronic funds transfer.
Can I send attachments or coordination-of-benefits information electronically?
No. Electronic attachments through 275 and coordination-of-benefits 271 are not supported, so use your established alternative workflow.
Run this payer inside Hero EMR
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