Supported transaction types
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the workflow
- Complete payer enrollment before configuring 837I, 837P, or ERA workflows, and confirm each needed transaction is included.
- Use your established non-EDI process for eligibility and benefits because 270/271 is unavailable through this connection.
- Check claim status through a non-EDI workflow because 276/277 is not supported.
- Plan manual payment posting or reconciliation because EFT and combined ERA/EFT are unavailable, even when ERA is enrolled.
- Do not route dental claims (837D) to this connection; use a separate process.
Common questions
Which claim types can I submit electronically?
Institutional (837I) and professional (837P) claims are supported after payer enrollment is complete. Dental claims (837D) are not available through this connection.
Does this payer support electronic eligibility verification?
No. Eligibility and benefits transactions 270/271 are not available through this connection, so use a non-EDI workflow.
Can I receive an ERA from this payer?
Yes, ERA 835 is supported after payer enrollment. EFT is not supported, so ERA availability does not provide electronic funds transfer.
Does this payer support electronic claim status?
No. Claim status transactions 276/277 are not available through this connection, so use your established non-EDI status workflow.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
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