Sign Up to Conduct Electronic Transactions for Highmark West Virginia. Submitting claims may be one of the most common, time consuming, and complex administrative tasks that your office staff performs. However, using an electronic method, known as Electronic Data Interchange (EDI), can result in increased accuracy of claims, better tracking ability, and greater office efficiency and productivity.
In addition, you’ll also benefit from error reporting, which allows you to easily correct claims before submission. You will experience fewer payer rejections and administrative concerns, resulting in faster claim payments.Register to do business with Highmark West Virginia via the Highmark Gateway
The Highmark Gateway, managed and maintained by Highmark, Inc. (Highmark), an independent company, provides EDI capabilities for Highmark West Virginia.
In order to conduct EDI business with any of the payers listed above, you will need to register as a trading partner with Highmark using the EDI Transaction Application online form ("Application").
When you fill out the Application, you will:
Trading Partner Agreements
Contained within the Application is a Trading Partner Agreement with Highmark that must be accepted before the Application can be submitted. The Trading Partner Agreement, among other things, sets forth the general terms and conditions under which the trading partner agrees to exchange information electronically.
Only authorized representatives of your organization may complete this Application. Please keep in mind that complete and accurate entering of your information will ensure that your Application is processed in a timely manner.Timing considerations
Completing the Application should take 10 - 15 minutes.
Gathering trading partner information and provider data
Prior to beginning the Application, trading partners should be prepared with the following pieces of information:
Once you submit your Application, Highmark EDI Operations will review and validate it.
Upon completion of the authorization process, a Highmark West Virginia Trading Partner ID and password will be assigned to the trading partner.
The Highmark West Virginia Trading Partner ID and password allow access to a secure website where trading partners can upload and download their EDI transactions.