Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Enrollment required |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Enrollment required |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10046 - Payer ID
100900 - Payer ID
10264 - Payer ID
10524 - Payer ID
2413 - Payer ID
95462 - Payer ID
PABCBS - Payer ID
PABLS - Payer ID
SB865 - Payer ID
SB865MA - Payer ID
SZXAY - Also listed as First Priority Life Insurance Company (FPLIC) Out-of-Area Claims
- Also listed as Highmark Blue Cross Blue Shield
- Also listed as Highmark Blue Cross Blue Shield Pennsylvania
- Also listed as Highmark Blue Cross Blue Shield Pennsylvania Professional
- Also listed as Highmark Blue Shield
- Also listed as Highmark of Pennsylvania - Medicare Advantage
- Also listed as Keystone Health Plan West - Community Blue HMO
Coverage states
Pennsylvania.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan around enrollment and gaps
- Submit professional claims (837P) electronically; route institutional (837I) and dental (837D) claims through a separate process.
- Complete payer enrollment before using electronic claim status, eligibility and benefits, ERA, EFT, or combined ERA/EFT.
- Until enrollment is active, maintain a separate workflow for status checks, eligibility inquiries, remittance, and payment information.
- When attachments are required, use a separate submission method because 275 attachments are not supported by this connection.
- Use the available 271 coordination-of-benefits transaction for COB work in this payer workflow.
Common questions
Can I submit professional claims (837P) electronically to this payer?
Yes. Professional claims (837P) are available through Hero EMR without completing payer enrollment first.
What transactions require payer enrollment?
Claim status (276/277), eligibility and benefits (270/271), ERA (835), EFT, and combined ERA/EFT are supported after payer enrollment is completed.
Does this payer support electronic coordination of benefits?
Yes. Coordination-of-benefits transactions (271) are available without prior payer enrollment.
Are institutional, dental, or attachment transactions supported?
No. Institutional claims (837I), dental claims (837D), and attachments (275) are not available through this connection.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
See a demo