Supported transaction boundaries
| 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) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
1128 - Payer ID
3593
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan the electronic workflow
- Submit 837I and 837P claims through Hero EMR when the practice is set up for this payer.
- Complete payer enrollment before relying on EFT deposits or ERA 835 files for posting and reconciliation.
- Check eligibility through another payer-approved method before visits because 270/271 is not supported.
- Use another payer-approved process for claim status, since 276/277 is unavailable through this connection.
- Do not route dental claims or attachments through this connection, and do not expect combined ERA and EFT transactions.
Common questions
Can Hero EMR send both institutional and professional claims to this payer?
Yes. This payer supports 837I institutional claims and 837P professional claims.
How do I receive EFT and ERA from this payer?
EFT and ERA 835 are supported, but the practice must complete payer enrollment first. Do not expect these transactions until enrollment is complete.
Can I check eligibility or claim status electronically?
No, 270/271 eligibility and 276/277 claim status are not supported for this payer in Hero EMR. Use another payer-approved process for those checks.
Does this payer support dental claims, attachments, or combined ERA and EFT?
No. 837D dental claims, 275 attachments, and a combined ERA plus EFT transaction 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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