Supported 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
7040 - Payer ID
9423
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Considerations
- Submit facility services as 837I and professional services as 837P; confirm the claim type before sending.
- Complete payer enrollment before expecting ERA 835 files, and track remittance manually until enrollment is active.
- Use the payer’s other eligibility process because 270/271 eligibility transactions are unavailable in Hero EMR.
- Use the payer’s designated claim-status process because 276/277 status requests are not supported.
- Do not plan EFT or combined ERA/EFT; arrange payment posting and reconciliation separately.
Common questions
Can I send both institutional and professional claims electronically?
Yes. This payer connection supports 837I institutional claims and 837P professional claims.
How do I receive ERA files for this payer?
ERA (835) is supported, but only after payer enrollment is completed. Complete the enrollment paperwork before relying on electronic remittance delivery.
Can Hero EMR check eligibility or claim status for this payer?
No. 270/271 eligibility and 276/277 claim-status transactions are unavailable, so use the payer’s designated alternative processes.
Does this payer support dental claims, EFT, or coordination of benefits?
No. 837D dental claims, EFT, combined ERA/EFT, and coordination-of-benefits (271) transactions are unavailable.
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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