Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | 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
- Payer ID
16606
Workflow guidance
- Use 270/271 eligibility and benefits transactions before visits, then verify coverage details and patient responsibility through your normal workflow.
- Submit 837P, 837I, or 837D based on the service setting and use 276/277 to track claim status.
- Because ERA 835 is unavailable, retrieve remittance details through your established alternative and post payments through your existing workflow.
- Because EFT is unavailable, reconcile payer payments using your current banking and payment-posting process.
- Send required attachments through a separate supported method because 275 transactions are unavailable.
Common questions
Which claim types can I submit electronically to this payer?
This payer supports electronic professional claims using 837P, institutional claims using 837I, and dental claims using 837D.
Can I check eligibility and claim status electronically?
Yes. Eligibility and benefits are supported through 270/271 transactions, and claim status is supported through 276/277 transactions.
Does this payer support ERA or EFT?
No. ERA 835, EFT, and combined ERA and EFT transactions are unavailable through this connection, so use your existing alternative processes.
Can I send attachments or coordination-of-benefits information electronically?
No. Attachments through 275 and coordination-of-benefits 271 transactions are unavailable, so handle those requirements through separate processes.
Run this payer inside Hero EMR
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