Electronic Claims (Submission, Status, and Inquiry)

Last Updated: Thursday, December 04, 2025

Highmark uses Availity Essentials, a secure, full-service web portal that offers electronic solutions at no charge for providers to perform essential claim processes. Use the links below to access Availity for submitting claims, training, and direct support. Also find Highmark's essential guides on electronic submissions.

Use the links below to access Availity for submitting claims, training, and direct support. Also find Highmark's essential guides on electronic submissions.

I Want No results were found for the keyword entered.	More Details No results were found for the keyword entered.
To Register and Get Started with Availity Essentials No results were found for the keyword entered.	You must be registered with Availity, a secure portal, to electronically submit claims. No results were found for the keyword entered.
Technical Help on Claims & Encounters No results were found for the keyword entered.	Find technical assistance and troubleshooting information on claim submissions and encounters. No results were found for the keyword entered.
Training on Claim Submissions No results were found for the keyword entered.	Access specific training modules within the Availity “Help & Training” section to learn how to use the claims features effectively. No results were found for the keyword entered.
Direct Support from Availity No results were found for the keyword entered.	For live assistance on platform related help, contact Availity via Help & Training > Availity Support, or call 800-282-4548. No results were found for the keyword entered.
Guide to Submit Claims in Availity (Including Zero-Dollar Claims) No results were found for the keyword entered.	Comprehensive guide that includes step by step instructions for submitting zero-dollar claims. No results were found for the keyword entered.
Guide To Submit 1500 Claim Form (Including Zero-Dollar Claims) No results were found for the keyword entered.	Specific guide that helps you quickly submit the 1500 professional claim form in Availity. No results were found for the keyword entered.
To Understand Clean Claim Requirements and Submission Guidelines No results were found for the keyword entered.	Avoid delays and denials by submitting complete, accurate claims. No results were found for the keyword entered.

Alternate Ways to Submit

Submit Using HIPAA 837 Electronic Transactions

You may be able to submit claims requests through your clearinghouse or practice management system leveraging Highmark's Electronic Data Interchange (EDI).

Click on the applicable link to access the Highmark EDI Services website directly:

Claim Status: How to Check

You can check the status of a claim in two ways—using:

Availity Essentials (Electronic) | TRACK CLAIM STATUS

Availity offers real-time, detailed claim information for any Highmark member, whether the claim was submitted electronically or on paper. Track claims from the start of adjudication through final payment.

What You Can Do
- View up-to-date claim details for any Highmark member.
- Track a claim’s progress from submission to payment.
How to Access
- Go to Claims & Payments in the Availity main menu.
- Select Claim Status to search for and view claims.
Additional Support
- A demo video is available to guide you through the process.
- More training resources are available under Help & Training.

Interactive Voice Response (IVR) System | CALL PROVIDER SERVICE

Our automated telephone system is available 24/7 to provide quick claim updates.

What You Need Before Calling
- Provider’s NPI number
- Member’s Highmark ID number or Social Security number
- Member’s birthdate
- Date of service

Information You Can Access
- Charges
- Process date
- Member responsibility
- Paid amount
- Claim number
- Number of charges on the claim
- Provider responsibilities
- Who the claim is paid to

Back to Top

Claim Inquiries

Back to TopAuthentication Required

This link requires authentication. If you are not already logged in you will need to log into Availity and link to this site from there.