Transaction support
| 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 |
Other payer IDs and names
- Payer ID
1255 - Payer ID
12550 - Payer ID
4587 - Payer ID
KPJVL - Also listed as Blue Cross Complete (KP) - Joint Venture Hospital Laboratory
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow when support is limited
- Complete payer enrollment before configuring 837I, 837P, or ERA 835 workflows for this connection.
- Use another payer-supported method to verify eligibility because 270/271 transactions are unavailable.
- Use a non-276/277 workflow to check claim status, and record the result in your billing system.
- Route dental claims through a different supported channel because 837D is unavailable through this connection.
- Plan payment posting around ERA 835 after enrollment; EFT and combined ERA/EFT are unavailable.
Common questions
Which electronic claims can I send to this payer?
After completing payer enrollment, you can send institutional claims (837I) and professional claims (837P). Dental claims (837D) are not supported through this connection.
Can I verify eligibility electronically?
No. Eligibility and benefits transactions (270/271), including the listed coordination-of-benefits (271) transaction, are unavailable through this connection.
Does this payer support electronic claim status?
No. Claim status transactions (276/277) are not supported, so use another payer-supported process to check claim progress.
Can I receive ERA or EFT from this payer?
ERA (835) is supported after completing payer enrollment. EFT and combined ERA/EFT are not supported through this connection.
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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