Did They Pay?

Highmark Blue Cross Blue Shield

Healthcare payer profile

Highmark Blue Cross Blue Shield

Private Health Insurance Companies

Use the moderated experience form below to describe whether your health coverage or claim was approved, denied, delayed, or paid after an appeal.

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Official websitehighmark.com
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Payer details and reviews

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Reviews from patients and healthcare professionals

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Health insurance organization: Highmark Blue Cross Blue Shield

Primary service area: Pennsylvania and other Highmark service areas

Type: Blue Cross and Blue Shield

Official insurer website: https://www.highmark.com/

Use the moderated experience form below to describe whether your health coverage or claim was approved, denied, delayed, or paid after an appeal. Patients and healthcare professionals are welcome. Do not include confidential patient information, policy identifiers, claim numbers, or medical records.

This is an independent directory profile. Availability and legal underwriting entities vary by plan, state, and year. This page is not affiliated with Highmark Blue Cross Blue Shield. No payment-performance rating has been calculated.

Payer Accountability Report Card

Listed payer or program: Highmark Blue Cross Blue Shield (brand; legal issuer varies by state) · Scope: Pennsylvania and other Highmark service states; policy-specific

Verified public metrics and source references; these measures are not interchangeable.
Measure Reported value Year and source
NY DFS complaints closed 48 NY DFS 2025 Consumer Guide, 2024 EPO/PPO Complaints, printed p. 6 (2024) · New York EPO/PPO and commercial business; Highmark Western and Northeastern New York Inc. legal issuer only; not all Highmark Blue Cross Blue Shield plans
NY DFS complaints upheld 23 NY DFS 2025 Consumer Guide, 2024 EPO/PPO Complaints, printed p. 6 (2024) · New York EPO/PPO and commercial business; Highmark Western and Northeastern New York Inc. legal issuer only; not all Highmark Blue Cross Blue Shield plans
NY DFS upheld complaints per $1M premiums 0.0199 NY DFS 2025 Consumer Guide, 2024 EPO/PPO Complaints, printed p. 6 (2024) · New York EPO/PPO and commercial business; Highmark Western and Northeastern New York Inc. legal issuer only; not all Highmark Blue Cross Blue Shield plans
NY DFS reported premiums 1,154.6 NY DFS 2025 Consumer Guide, 2024 EPO/PPO Complaints, printed p. 6 (2024) · New York EPO/PPO and commercial business; Highmark Western and Northeastern New York Inc. legal issuer only; not all Highmark Blue Cross Blue Shield plans
NY DFS complaints closed 3 NY DFS 2025 Consumer Guide, 2024 HMO Complaints, printed p. 5 (2024) · 2024 New York HMO business of Highmark Western and Northeastern New York Inc. only; distinct HMO product from EPO/PPO; not nationwide Highmark
NY DFS complaints upheld 0 NY DFS 2025 Consumer Guide, 2024 HMO Complaints, printed p. 5 (2024) · 2024 New York HMO business of Highmark Western and Northeastern New York Inc. only; distinct HMO product from EPO/PPO; not nationwide Highmark
NY DFS upheld complaints per $1M premiums 0.0000 NY DFS 2025 Consumer Guide, 2024 HMO Complaints, printed p. 5 (2024) · 2024 New York HMO business of Highmark Western and Northeastern New York Inc. only; distinct HMO product from EPO/PPO; not nationwide Highmark
NY DFS reported premiums 139.0 NY DFS 2025 Consumer Guide, 2024 HMO Complaints, printed p. 5 (2024) · 2024 New York HMO business of Highmark Western and Northeastern New York Inc. only; distinct HMO product from EPO/PPO; not nationwide Highmark
Regulator-confirmed complaints 13 NY DFS 2025 Consumer Guide — 2024 Prompt Pay Complaints, printed p. 11 (2024) · New York EPO/PPO and commercial business; Highmark Western and Northeastern New York Inc. legal issuer only; 2024 NY DFS upheld prompt-payment complaints (late claims processing); excludes other affiliates, Medicare and Medicaid
Regulator-confirmed complaints 0 NY DFS 2025 Consumer Guide — 2024 Prompt Pay Complaints, printed p. 10 (2024) · 2024 New York HMO; Highmark Western and Northeastern New York Inc. reporting row only; NY DFS upheld prompt-payment complaints; excludes EPO/PPO, Medicare, Medicaid and other affiliates

Official complaint, appeal and oversight resources

Measures may cover different plans, years and jurisdictions. External quality ratings, government complaint findings and anonymous Did They Pay? reviews describe different things. An absence of reported data does not mean zero complaints or zero denials.

Reviews and payment experiences

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