Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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
14315 - Payer ID
14408 - Payer ID
3437 - Payer ID
4093 - Payer ID
8834 - Payer ID
A2793MA - Payer ID
ISCWA - Payer ID
SCNCA
Coverage states
California, Massachusetts, Rhode Island.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow Considerations
- Use 270/271 eligibility checks before visits, but confirm coordination-of-benefits details through your established payer or registration workflow.
- Submit 837P for professional services and 837I for institutional services, then use 276/277 to track claim status.
- Complete this payer’s enrollment paperwork before expecting ERA 835 delivery in Hero EMR.
- Until enrollment is complete, retrieve remittance through your existing process and post payments manually.
- Do not plan electronic dental claims, EFT, combined ERA/EFT, or attachments through this payer connection.
Common questions
What claim types can I submit electronically to this payer?
Hero EMR supports electronic professional claims through 837P and institutional claims through 837I. Dental claims through 837D are not available.
Can I check eligibility and benefits electronically?
Yes. Eligibility and benefits checks use 270/271, but coordination-of-benefits transactions are not supported.
How do I receive ERA 835 from this payer?
ERA 835 is supported after you complete this payer’s enrollment paperwork. Until enrollment is complete, use your existing remittance workflow.
Does this payer support EFT through Hero EMR?
No. EFT and combined ERA/EFT are not available through Hero EMR for this payer.
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