Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | 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
10973 - Payer ID
1627 - Payer ID
57115MA - Payer ID
6114 - Also listed as Care1st Health Plan California
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow considerations
- Match 837I or 837P to the claim type, then monitor your normal submission acknowledgments.
- Run standard 270/271 eligibility checks, but handle coordination-of-benefits needs outside this connection.
- Complete payer enrollment paperwork before relying on ERA/835; maintain a separate remittance workflow while enrollment is pending.
- Use another payer-approved route for claim status, dental claims, attachments, or EFT.
Common questions
Which claims can I submit electronically?
You can submit institutional claims through 837I and professional claims through 837P. Dental claims using 837D are not available through this connection.
Can I verify eligibility and benefits electronically?
Yes, standard eligibility and benefits inquiries use 270/271. A coordination-of-benefits 271 is not available through this connection.
How do I get an ERA for this payer?
ERA/835 is supported only after the practice completes payer enrollment paperwork. Until enrollment is complete, use a separate remittance workflow.
Does this connection support claim status, EFT, or attachments?
No. Claim status 276/277, EFT, combined ERA/EFT, and attachments 275 are not available 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.
See a demo