Get the free Highmark Blue Shield Enrollment Application - home moravian

This document provides detailed instructions for filling out the Highmark Blue Shield Enrollment Application, including the required employee information and dependent details.

How to fill out highmark blue shield enrollment

How to fill out Highmark Blue Shield Enrollment Application

1. Obtain the Highmark Blue Shield Enrollment Application form from the official website or a local office.
2. Fill in your personal information including name, address, and contact details.
3. Provide details about your health insurance coverage needs and any existing conditions.
4. Select the desired health plan option and level of coverage.
5. Include information about any dependents you wish to enroll.
6. Review the application for accuracy and completeness.
7. Sign and date the application form.
8. Submit the completed application via email, online submission, or by mailing it to the designated address.

Who needs Highmark Blue Shield Enrollment Application?

1. Individuals seeking health insurance coverage.
2. Families needing coverage for all members.
3. Employees looking for employer-sponsored health plans.
4. People transitioning from other health plans or losing coverage.
5. Residents in areas where Highmark Blue Shield operates.

People Also Ask about

What is the payer ID for 54704?

Independence Blue Cross Blue Shield.

What is the payer ID for Highmark BCBS?

Your Payer Name is Highmark Blue Cross Blue Shield, and the Payer ID is 00246. (If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID they want you to use). To send claims via the Availity EDI Gateway, log in to the Availity site.

What is the phone number for Highmark BCBS PA member services?

If you have questions, call Member Services at 1-800-392-1147 TTY 711. All fields required. May we leave a message if you are not available?

How to find the payer ID?

The payer ID is generally five characters, but it may be longer. It may also be alpha, numeric, or a combination. The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section.

What is the payer ID for Highmark?

Payer name and ID Your Payer Name is Highmark Blue Cross Blue Shield, and the Payer ID is 00246.

For pdfFiller’s FAQs

What is Highmark Blue Shield Enrollment Application?

The Highmark Blue Shield Enrollment Application is a form used by individuals to apply for health insurance coverage provided by Highmark Blue Shield.

Who is required to file Highmark Blue Shield Enrollment Application?

Individuals seeking health insurance coverage through Highmark Blue Shield are required to file the Enrollment Application, including new applicants, employees of sponsoring organizations, and family members who wish to enroll.

How to fill out Highmark Blue Shield Enrollment Application?

To fill out the Highmark Blue Shield Enrollment Application, provide personal information such as name, date of birth, contact details, and any relevant health information. Follow the instructions on the form carefully and ensure all required fields are completed.

What is the purpose of Highmark Blue Shield Enrollment Application?

The purpose of the Highmark Blue Shield Enrollment Application is to collect necessary information to evaluate eligibility for health insurance coverage and to facilitate the enrollment process.

What information must be reported on Highmark Blue Shield Enrollment Application?

Information required on the Highmark Blue Shield Enrollment Application includes personal identification details, demographic information, health status, and other pertinent information that may affect coverage eligibility.