Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | 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) | Supported |
Other payer IDs and names
- Also listed as DeCare FEP Dental
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow Guidance
- Run eligibility and benefits through 270/271, but use a separate process for coordination-of-benefits work because that transaction is not supported.
- Complete payer enrollment before relying on ERA 835; enrollment is required even though ERA is supported.
- Route only dental claims through 837D; professional 837P and institutional 837I submissions are unavailable.
- Keep a separate workflow for claim status, EFT, and combined ERA/EFT because these transactions are not supported.
- Use the supported 275 transaction for electronic attachments when your workflow calls for them.
Common questions
Does this payer support electronic eligibility and benefits checks?
Yes. Eligibility and benefits transactions use the 270/271 workflow, but coordination-of-benefits transactions are not supported.
Can I receive an ERA from this payer?
Yes, but only after the practice completes payer enrollment. ERA 835 is supported once that enrollment requirement is met.
Can I send professional claims electronically to this payer?
No. Professional 837P and institutional 837I claims are unavailable, while dental 837D claims are supported.
Does this payer support EFT or electronic claim status?
No. EFT, combined ERA/EFT, and claim status transactions using 276/277 are not supported, so your practice needs a separate workflow for those functions.
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