Supported Transactions
| 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
9469 - Also listed as CareCentrix BCBSM
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Considerations
- Use 837I for institutional services and 837P for professional services, selecting the claim format that matches the billed care.
- Run standard eligibility and benefits checks through 270/271, but use a separate process to confirm coordination-of-benefits details.
- Complete payer enrollment before expecting ERA 835 transactions; until enrollment is active, plan how remittance information will be received and posted.
- For claim status, dental claims, attachments, EFT, or combined ERA and EFT, maintain a separate workflow because this payer does not support those transactions.
Common questions
Can I submit 837P claims to this payer through Hero EMR?
Yes. Professional claims use 837P, and institutional claims use 837I.
Does this payer support electronic eligibility verification?
Yes, standard eligibility and benefits exchanges use 270/271. Coordination-of-benefits 271 is not available, so COB details need another process.
How do I receive an ERA 835 from this payer?
ERA 835 is supported only after the practice completes the payer's enrollment paperwork. Do not expect electronic remittance through this connection until enrollment is complete.
Does this payer support claim status, dental claims, EFT, or attachments?
No. Claim status 276/277, dental claims 837D, EFT, combined ERA and EFT, and attachments 275 are not available.
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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