Claims submissions and disputes

Highmark Blue Cross Blue Shield uses Availity, a secure, full-service website that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. Use Availity to submit claims, check the status of all your claims, appeal a claim decision and much more .

Don’t have an Availity account?

Finding claims tools on Availity

Submit claims

1. From the Availity homepage, select Claims & Payments from the top navigation.
2. Select Type of Claim from the drop-down menu.

Claims status inquiry

1. From the Availity home page, select Claims & Payments from the top navigation.
2. Select Claims Status Inquiry from the drop-down menu.

Claims dispute

To check claims status or dispute a claim:

1. From the Availity homepage, select Claims & Payments from the top navigation.
2. Select Claim Status Inquiry from the drop-down menu.
3. Submit an inquiry and review the Claims Status Detail page.
4. If the claim is denied or final, there will be an option to dispute the claim. Select Dispute the Claim to begin the process. You will be redirected to the payer site to complete the submission.

Clear Claims Connection

To use Clear Claims Connection

1. From the Availity home page, select Payer Spaces from the top navigation.
2. Select Highmark Blue Cross Blue Shield.
3. From the Payer Spaces home page, select the Applications tab.
4. Select the Clear Claims Connection tile.

Related information

Provider tools and resources

• Log in to Availity
• Launch Provider Learning Hub Now
• Learn about Availity
• Precertification lookup tool
• Precertification requirements
• Claims overview
• Member eligibility & pharmacy overview
• Provider manual and guides
• Referrals
• Forms
• Training Academy
• Pharmacy information
• Electronic Data Interchange (EDI)

Interested in becoming a provider in the Highmark BCBS network?

We look forward to working with you to provide quality service for our members.

Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield is an independent licensee of the Blue Cross Blue Shield Association.

Wellpoint Partnership Plan, LLC is an independent company providing management services on behalf of Highmark Blue Cross Blue Shield. Wellpoint Partnership Plan, LLC brinda servicios administrativos para Medicaid administrado de Highmark Blue Cross Blue Shield.

Availity, LLC is an independent company providing administrative support services on behalf of Highmark Blue Cross Blue Shield.

You're leaving our site

Would you like to continue?