Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not 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
- Also listed as Carolina SeniorCare PACE
Coverage states
North Carolina.
Plan Around Missing Transactions
- Confirm patient coverage and benefits through the payer’s approved alternative before submitting a claim, because 270/271 eligibility transactions are unavailable.
- Choose the correct 837 format for each claim type: 837D for dental, 837I for institutional, and 837P for professional claims.
- Track claim progress through another approved method because 276/277 claim-status transactions are unavailable.
- Plan a separate workflow for remittance and payment posting because ERA 835 and EFT transactions are unavailable.
- Collect and handle coordination-of-benefits information through another approved process because 271 support is unavailable.
Common questions
Can I submit electronic claims to this payer?
Yes. Hero EMR supports electronic dental claims through 837D, institutional claims through 837I, and professional claims through 837P.
Does Hero EMR support eligibility checks for this payer?
No. Eligibility and benefits transactions using 270/271 are unavailable, so use another approved method to verify coverage and benefits.
Can I check claim status electronically?
No. Hero EMR does not support 276/277 claim-status transactions for this payer, so track claims through another approved method.
Can I receive ERA or EFT from this payer in Hero EMR?
No. ERA 835, EFT, and combined ERA/EFT transactions are unavailable, so remittance and payment workflows must be handled elsewhere.
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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