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INSURER FILING GUIDE

Highmark Blue Cross Blue Shield (New York)

Use this public information to prepare your packet, then confirm the route on the insurer's own page.

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AT A GLANCE

Claim facts

Member form

Subscriber Claim Form

Number: ENR-444

Revision: 2024-01 (printed in month/year order)

Open the insurer form
Portal uploadYES
Portal pathSurprise Billing > Claim and Assignment of Benefits Form Submission > submit a claim > log in; signed-in controls UNREADABLE
Mail addressHighmark Blue Cross Blue Shield, PO Box 4208, Buffalo, NY 14240
FaxNot published by the insurer
AttachmentsPatient full name; amount charged for each service or supply; date each service or supply was rendered; description of each service or supply; diagnosis or nature of illness for each service; provider or supplier name and address; prescription number and prescribing physician when applicable
Deadline12 months for Major Medical claims under the current Highmark provider manual
Outcome and statusMy Highmark > recent claims activity
Processing time30 days for an electronically submitted clean claim; 45 days for another clean claim under New York prompt-pay rules
CaveatsUse ENR-444 for Western New York and ENR-445 for Northeastern New York. HMO and EPO out-of-network benefits are plan-dependent. Medicare Advantage and Medicaid are outside this read.

STEP BY STEP

Filing steps

Source: https://www.highmark.com/content/dam/digital-marketing/en/highmark/highmarkdotcom/member/forms/wny-forms/medical/non-medicare-subscriber-claim-wny.pdf

Read date: 10-09-2026

Research steps

  1. Select the regional Subscriber Claim Form shown on the member card: ENR-444 for Western New York or ENR-445 for Northeastern New York. Complete every question. https://www.highmark.com/member/bcbswny/forms
  2. Attach itemized bills showing patient full name, each charge and service date, each service description, diagnosis or nature of illness, provider or supplier name and address, and the named prescription details when applicable. A claim form and itemized bill are required, so a superbill alone is not enough. https://www.highmark.com/content/dam/digital-marketing/en/highmark/highmarkdotcom/member/forms/wny-forms/medical/non-medicare-subscriber-claim-wny.pdf
  3. Open Surprise Billing, Claim and Assignment of Benefits Form Submission, select submit a claim, then log in to the My Highmark member account. The signed-in controls are UNREADABLE. https://www.highmark.com/member/bcbswny/surprise-billing
  4. NOT PUBLISHED: accepted file types, file-size limit, maximum files, whether one PDF or separate files are expected, and submission confirmation. https://www.highmark.com/member/bcbswny/surprise-billing
  5. Review recent claims activity in My Highmark. New York publishes 30 days for an electronically submitted clean claim and 45 days for another clean claim. https://www.dfs.ny.gov/consumers/health_insurance/rights_responsibilities

Filing facts

  • Portal upload: YES
  • Portal: My Highmark member account
  • Portal path: Surprise Billing > Claim and Assignment of Benefits Form Submission > submit a claim > log in; signed-in controls UNREADABLE
  • Mail address: Highmark Blue Cross Blue Shield, PO Box 4208, Buffalo, NY 14240
  • Fax: NOT PUBLISHED
  • Attach: patient full name; amount charged for each service or supply; date each service or supply was rendered; description of each service or supply; diagnosis or nature of illness for each service; provider or supplier name and address; prescription number and prescribing physician when applicable
  • File types: NOT PUBLISHED
  • File size limit: NOT PUBLISHED
  • Maximum files: NOT PUBLISHED
  • One file or separate files: NOT PUBLISHED
  • Confirmation: NOT PUBLISHED
  • Status check: My Highmark > recent claims activity
  • Processing time: 30 days for an electronically submitted clean claim; 45 days for another clean claim under New York prompt-pay rules
  • Member deadline: 12 months for Major Medical claims under the current Highmark provider manual
  • Deadline basis: Member contract and product control; the provider manual distinguishes claim types
  • Mental health route: Highmark behavioral health

Confirm the address, fax number or portal path on the insurer's own claims page before you send; read on 10-09-2026.

Read on 10-09-2026 from https://www.highmark.com/content/dam/digital-marketing/en/highmark/highmarkdotcom/member/forms/wny-forms/medical/non-medicare-subscriber-claim-wny.pdf. Confirm the address, fax number or portal path on the insurer's own claims page before you send.