Highmark Inc. is a national, diversified health care partner based in Pittsburgh that serves members across the United States through its businesses in health insurance, dental insurance, vision care and reinsurance.
Highmark, and its affiliates, operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.3 million members and employ approximately
20,000 people. It is among the ten largest health insurers in the United States and is the fourth largest Blue Cross and Blue Shield-affiliated company. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.
CGI Technologies and Solutions Inc. (CGI) will perform retrospective reviews for the following:
- Inpatient/outpatient hospital services
- Inpatient/outpatient laboratory services
- Physician services
- Ambulatory Surgical Center (ASC) services
Use of this Portal will enhance the audit program for the following reasons:
- Automatically updated via data feeds
- Faster access to audit status changes
- Reduce need to contact Highmark and/or CGI
- Improve productivity
- Put more information at your finger tips
Customer Service
Contact us online or reach us by phone, mail or in person at one of our service centers or satellite locations.
Call the number on the back of your ID card if you have a question about benefits or claims between 8am - 6pm EST. For website technical questions call 1-877-298-3918 between 8am - 6pm EST.
Online Form
Use our online form or send a message by selecting the customer service link when you log in.
Customer Service Phone Numbers
1-800-294-9568 8am to 6pm EST
The best time to call is Wednesday, Thursday or Friday afternoon. Please have your ID card ready when you call or a copy of your bill if you're calling about your premium.
Looking to Buy Highmark Coverage for Individuals and Families? Need Help with Enrolling?
Request a Call to talk to a Highmark licensed representative about our non-Medicare plans or to enroll.
Medicare Customer Service Phone Numbers
Blue Rx PDP | 1-800-290-3914 | 711 | Monday-Sunday | 8:00am - 8:00pm |
Freedom Blue PPO | 1-800-550-8722 | 711 | Monday-Sunday | 8:00am - 8:00pm |
Medigap Blue | 1-800-345-7808 | 1-800-345-3816 | Monday-Friday | 8:00am - 4:30pm |
Security Blue HMO | 1-800-935-2583 | 711 | Monday-Sunday | 8:00am - 8:00pm |
Community Blue Medicare HMO | 1-888-234-5397 | 711 | Monday-Sunday | 8:00am - 8:00pm |
Community Blue Medicare PPO | 1-888-757-2946 | 711 | Monday-Sunday | 8:00am - 8:00pm |
Not a Highmark member?
Call 1-866-488-7469 TTY: 711 (Monday - Sunday 8:00am to 8:00pm EST) to talk to a representative who can answer questions about our plans.
Mailing Address
Highmark Blue Cross Blue Shield
P.O. Box 226
Pittsburgh, PA 15230
Please include your group and ID number when you write.
Pittsburgh Service Center 120 Fifth Avenue Place Pittsburgh, PA 15222 | 800-816-5527 | Monday - Friday | 8:00am - 4:30pm |
Johnstown Service Center 1 Pasquerilla Plaza Johnstown, PA 15901 | 800-816-5527 | Monday - Friday | 8:00am - 4:30pm |
Erie Service Center 717 State Street Erie, PA 16501 | 800-816-5527 | Monday - Friday | 8:00am - 4:30pm |
Use MapQuest.
Telephone Numbers
Provider Service
Monday - Friday: 8 a.m. - 12 p.m., 1 p.m. - 5 p.m.
1-800-444-4552
Government Programs - Provider Service
Monday - Friday: 8 a.m. - 12 p.m., 1 p.m. - 5 p.m.
1-877-327-1395
BlueCard Provider Services
Monday - Friday: 8 a.m. - 12 p.m.; 1 p.m. - 5 p.m.
1-800-429-9886
Office & Mailing Addresses
Paper Claims Submission
Highmark Blue Shield of Northeastern New York
PO Box 80
Buffalo, New York 14240-0080
Provider Correspondence
Highmark Blue Shield of Northeastern New York
PO Box 15013
Latham, NY 12212
Government Programs Claims and Correspondence
Highmark Blue Shield of Northeastern New York
PO Box 80
Buffalo, NY 14240-0080
Provider Relations and Contracting Department
Highmark Blue Shield of Northeastern New York
40 Century Hill Drive
Latham, NY 12110