Western & Northeastern New York: Highmark
Please follow the Enrollment Instructions below to become an electronic submitter to New York Blue Cross Blue Shield Highmark. This is specifically for Payer IDs: 00301, 00801, 00800, and 55204.
Required Enrollment for those applying for new Submitter ID's
The following process is required prior to initiation of electronic claims submission or inquiry to Highmark.
1. Online Trading Partner Agreement
Please click this link to get to their Sign-Up page: https://edi.highmark.com/edi-ny/home/sign-up
then scroll down and click the link that says, "Click here to get started
with the Application".
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 - Support@SolAce-emc.com |
Online EDI Enrollment Form
Section 1: Administrator Information
- Enter your name and title
- Enter your Business/Practice or Provider name
- Enter your phone number
- Enter your e-mail address
- Select then answer your security question
Section 2: Delegate Information
(A "Delegate" is a representative of your company that you're listing as an authorized contact with Highmark. This section is optional; however, it is recommended to have at least one additional authorized contact as a backup.)
- Enter your delegates name and title
- Enter their phone number
- Enter their email address
- Repeat process for an additional delegate if desired
Section 3: Trading Partner Information
- Enter your company name
- Enter your address
- Enter your phone number
- Enter your e-mail address
- Enter your Tax ID
Section 4: Trading Partner Type
- Select the appropriate option for your organization
- (Professional Provider's bill on a CMS 1500 and Institutional Providers bill on a UB 04)
Section 5: Software Vendor Information
- Please enter the Software Vendor information provided above for Axiom Systems Inc.
- Do not check the box at the bottom
Section 6: Additional Comments
- You may skip this section
Section 6: Acceptance and Submission
- Check the box then click the link for the Highmark EDI Trading Partner Agreement
- Press Submit
Waiting for a Response
Once the online application has been received, Highmark EDI Operations will review and validate your submitted application. Please keep in mind that submitting complete and accurate information will ensure that your application is processed in a timely manner. Upon successful validation, the following information will be sent via secure email to the Trading Partner Administrator:
- Trading Partner ID
- Login ID ("V" login)
- Login Password
- Written authorization for the trading partner to submit production EDI transactions
Testing and Mailbox Setup
Once you have received your Trading Partner ID, Login ID, and Login Password from Highmark please call our SolAce Support Team at 602-439-2525 and set an appointment for a Mailbox Setup. Testing is not required for this Payer.