Pennsylvania Blue Shield: Highmark
Please follow the Enrollment Instructions below to become an electronic submitter for Pennsylvania Blue Shield Highmark.
Please Note: Highmark has undergone some chages that may require you to apply for a new Submitter ID and password. If you are sending to Highmark with Payer ID 54771 & Payer ID 15460, follow the instructions below. If not please see the enrollment instructions found here: http://solace-emc.com/highmark-plans
Required Documents for those applying for new Submitter IDs
The following documents are required enrollment documents that must be completed, signed and returned to the Highmark office prior to initiation of electronic claims submission or inquiry.
1. 5010 EDI Transaction Application to Create New Trading Partner
If the above link does not work properly, follow these steps:
To apply for a Highmark Blue Shield Submitter ID please go to the following site:
www.highmark.com/edi
- Click on "Sign Up" on the left-hand side then click "Continue to Application"
If you have any questions regarding any of the documents in this package, please phone the EDI Technology Support Center at 1-800-992-0246.
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
Our Vendor Information
| Vendor Name - AXIOM Systems, Inc. |
| Contact - EDI Team |
| Vendor Code - N/A |
| Phone - 602-439-2525 |
| Fax - 602-439-0808 |
| Address - 241 East 4th Street, Suite 200 Frederick, MD 21701 |
| Software Name - SolAce EMC |
| E-mail - [email protected] |
EDI Transaction Application
Section 1 (You are the Requester)
- Enter your name and title
- The name of the company you are representing
- Enter your phone number and email address
Section 2 & 3 (You are the Trading Partner and Administrator)
- Enter your business, group practice, or provider name
- Complete your demographic information
- Enter the name of the main contact person for your office
- Enter the contact person’s email address, phone, and fax numbers
- Enter your Tax ID number
Section 4
- Select the Trading Partner type that best fits YOUR line of business (Professional, Institutional, or Billing Service…)
- Select the plan types you would like to bill for (FYI: you will receive 2 separate submitter #s for BCBS and for Senior Health)
Section 5
- Choose “Internet/FTP”
Section 6
- For Name of Software enter: SolAce EMC
- For Vendor Name enter: AXIOM Systems Inc. formerly Ivertex
- Enter our Vendor information that’s provided on the table above.
- Do no check the box for self programming
Section 7
- Do not check the Testing box
- Since AXIOM is an approved vendor with Highmark, testing is not necessary for our clients.
Acceptance and Submission Section
- Please check the box to accept their terms
- Review your information and Submit
Waiting for a Response
Once the complete provider enrollment packet has been received, the documents will be processed. Processing will take approximately three to five business days from the date of receipt
After processing, a confirmation will be emailed to you as notification to begin filing claims electronically. If neither confirmation nor a returned packet is received after two weeks, contact the BCBS EDI Technology Support Center at 1-800-992-0246.
Testing
Once you have received your Submitter ID and Password from BCBS, please call the SolAce Support Team and set an appointment for a Mailbox setup and Test Transmission to BCBS.
Please have 25 test claims ready for testing. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information.
customer Testimonial
From our customers
I am very pleased with our SolAce billing software and how easy it is to navigate. They have a great team who can train you to do billing even if you don’t have billing experience. Special thanks to Cathy, Gigi, and Skyler who always helps me out every time I have issues.
SolAce is awesome software. I absolutely LOVE it. For over three years I have used this software daily for multiple long term care facilities to submit claims to various MACs, Medicaid, and Medicare Advantage and Supplemental Insurance carriers. It is convenient, simple to use and far less costly than any Clearing House software I had explored. The ability to import from my Practice Management Software and Therapy Providers has reduced any RTP claims edits and denials are a thing of the past. Customer Support is “Johnny on the spot”, but terrific as they may be, it gets better - RARELY do I need to call. LOVE IT, LOVE IT, AND LOVE IT.
I think our medical office was one of the first to use SolAce in the mid 1990’s and we are still using it today for all of our electronic billing because it works ! It was simple for our staff to learn and it integrated easily with our accounting/billing program. It has been especially nice to know that the Axiom staff is there when Medicare changes something and they are right on it. They made the 5010 change a simple process plus made educational seminars available to us. Thank you to all the Axiom/ Ivertex professionals who have helped us for the last 15+ years.
SolAce has been a valuable tool that has been a life saver for my billing service for years. It has allowed me to bill professional and institutional claims with ease. Customer service @ SolAce is top rated in my opinion. The SolAce product is very user friendly and affordable. Thank you SolAce team for a great product.
Easy to use, Customer support has always been excellent, Thanks SolAce Team.
I am a new client and was having a tough time getting everything set up just right. I had to make calls to CEDI and when I called back the rep I spoke with prior even helped the 2nd rep to make sure I got all the info I needed. They definitely work as a team. Within a short period of time they had my system up and running. I never could've done it without them.
Awesome customer service every time!
I can't tell you how wonderful it is to work with your agency. They are courteous, knowledgeable,friendly, and a joy to work with - I can't say enough. Thank you!!
The service was very good. Phone answered promptly even though it was around 6 p.m. my time. Very courteous and helpful. So far I have had really good experiences with your support team.
The follow-up is outstanding - whenever there is an issue I am contacted to be sure that all is working well and to my satisfaction.
Everyone in your company is very helpful and pleasant, and they always have the quickest response time on fixing the situation.
Tech was very helpful, very patient and very professional. She knew of the issue quickly and stayed at hand until issue was resolved. Very satisifed with the service.
