Supported transactions
| 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) | Not supported |
| Electronic remittance (ERA 835) | Not supported |
| 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
- Also listed as Blue Shield of PA - Dental Plus
- Also listed as Highmark
- Also listed as United Concordia
Coverage states
Pennsylvania.
Plan the remaining workflow
- Run eligibility and benefits inquiries in Hero EMR before visits, then review the 271 response for coverage details and follow up on unclear results.
- Send claim status requests through a separate payer workflow because Hero EMR does not support 276/277.
- Submit professional, institutional, and dental claims outside Hero EMR using the submission route your practice uses for this payer.
- Track remittance and deposits outside Hero EMR because ERA 835 and EFT are not supported, then reconcile them with posted payments.
Common questions
Can Hero EMR check eligibility for this payer?
Yes. Eligibility and benefits are supported electronically through the 270/271 transaction.
Can I submit a claim to this payer from Hero EMR?
No. Professional, institutional, and dental claim transactions, including 837P, 837I, and 837D, are not supported, so use a separate submission workflow.
How can I check claim status for this payer?
Hero EMR does not support 276/277 claim-status transactions for this payer. Check status through a separate workflow.
Does Hero EMR support ERA or EFT for this payer?
No. Electronic remittance, or 835, and electronic funds transfer are not supported, so handle remittance and payment reconciliation outside Hero EMR.
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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