540- How to Enter Out of State Blue Cross/Blue Shield Insurance in the EI-Hub

Jan 16, 2025

How to Enter Out of State Blue Cross/Blue Shield Insurance in the EI-Hub

Entering Out of State Blue Cross Blue Shield (BLUE CROSS BLUE SHIELD) Commercial Insurance for Children:  

There are 3 main Blue Cross Blue Shield payers for the State of New York:  
·Empire
·Excellus
·Highmark 

For out-of-state Blue Cross Blue Shield plans, Empire, Excellus or Highmark, handle the insurance entry depending on the county the child resides in.  Eastern and Western counties are typically handled by Highmark and the central counties are typically Excellus.   When entering a child’s insurance information, Service Coordinators should select the Blue Cross Blue Shield plan that corresponds to the child’s county.  Refer to the table below for county-specific plan details.

Child's Location

Blue Cross Plan

Albany

Highmark Blue Shield of Northeastern NY

Allegany

Highmark BC/BS of Western New York

Broome

Excellus

Cattaraugus

Highmark BC/BS of Western New York

Cayuga

Excellus

Chautauqua

Highmark BC/BS of Western New York

Chemung

Excellus

Chenango

Excellus

Clinton

Highmark Blue Shield of Northeastern NY

Columbia

Highmark Blue Shield of Northeastern NY

Cortland

Excellus

Delaware

Highmark Blue Shield of Northeastern NY

Dutchess

Empire

Erie

Highmark BC/BS of Western New York

Essex

Highmark Blue Shield of Northeastern NY

Franklin

Excellus

Fulton

Highmark Blue Shield of Northeastern NY

Genesee

Highmark BC/BS of Western New York

Greene

Highmark Blue Shield of Northeastern NY

Hamilton

Excellus

Herkimer

Excellus

Jefferson

Excellus

Lewis

Excellus

Livingston

Excellus

Madison

Highmark Blue Shield of Northeastern NY

Monroe

Excellus

Montgomery

Highmark Blue Shield of Northeastern NY

Nassau

Empire

New York City (all boroughs)

Empire

Niagara

Highmark BC/BS of Western New York

Oneida

Excellus

Onondaga

Excellus

Ontario

Excellus

Orange

Empire

Orleans

Highmark BC/BS of Western New York

Oswego

Excellus

Otsego

Highmark BC/BS of Western New York

Putnam

Empire

Rensselaer

Highmark Blue Shield of Northeastern NY

Rockland

Empire

Saratoga

Highmark Blue Shield of Northeastern NY

Schenectady

Highmark Blue Shield of Northeastern NY

Schoharie

Highmark Blue Shield of Northeastern NY

Schuyler

Excellus

Seneca

Excellus

St Lawrence

Excellus

Steuben

Excellus

Suffolk

Empire

Sullivan

Empire

Tioga

Excellus

Tompkins

Excellus

Ulster

Empire

Warren

Highmark Blue Shield of Northeastern NY

Washington

Highmark Blue Shield of Northeastern NY

Wayne

Excellus

Westchester

Empire

Wyoming

Highmark BC/BS of Western New York

Yates

Excellus


If you have questions, please reach out to the PCG Call Center at 866-315-3747. Users can also submit help desk tickets directly to the PCG Call Center using the 'Web to Case' feature, accessible under the 'Help' section (blue menu bar) in the EI-Hub.