Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| 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 |
Other payer IDs and names
- Payer ID
00096 - Payer ID
2876 - Payer ID
8080
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow by transaction type
- Route facility and professional billing to 837I and 837P respectively, confirming the claim type before submission.
- Complete payer enrollment before relying on ERA (835); until it is active, use your existing process to obtain and post remittance information.
- Verify coverage through a separate workflow because Hero EMR does not support eligibility and benefits transactions (270/271).
- Track claim progress outside Hero EMR because electronic claim-status transactions (276/277) are unavailable.
- Plan payment reconciliation separately because EFT and ERA/EFT combined processing are unavailable in Hero EMR.
Common questions
Can I submit 837P claims to this payer?
Yes. Hero EMR supports professional claims using the 837P transaction for this payer.
Can I submit 837I claims to this payer?
Yes. Institutional claims can be submitted electronically using 837I.
Can I receive an ERA from this payer?
Yes, but your practice must complete payer enrollment first. ERA processing is not available until that enrollment requirement is met.
Can I verify eligibility or check claim status in Hero EMR?
No. Hero EMR does not support this payer's eligibility and benefits transactions (270/271) or claim-status transactions (276/277), so use a separate workflow.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to, and our team works your denials and prior authorizations.*
*With Hero RCM. RCM contracts are negotiated based on specialty and payer mix.