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) | 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
00385 - Payer ID
1861 - Payer ID
3909 - Also listed as NextPA
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the workflow
- Submit medical claims electronically with 837I for institutional billing and 837P for professional billing; select the format that matches the claim.
- Complete payer enrollment before expecting ERA (835) files; until enrollment is completed, plan to retrieve or reconcile remittance information another way.
- Verify coverage and benefits outside Hero EMR before service because 270/271 eligibility transactions are unavailable for this payer.
- Track claim progress through the payer's available non-electronic process because 276/277 claim-status transactions are unavailable.
- Use a separate process for EFT, dental claims, and coordination of benefits (271), which this payer does not support electronically.
Common questions
Can I submit 837I and 837P claims to this payer?
Yes. Hero EMR supports both institutional (837I) and professional (837P) claim submissions for this payer.
How do I receive ERA 835 files from this payer?
ERA (835) is supported, but the practice must complete payer enrollment first. Do not expect electronic remittance files until that enrollment requirement is completed.
Can I check eligibility or claim status electronically?
No. Eligibility and benefits (270/271) and claim status (276/277) transactions are unavailable for this payer, so use a separate process.
Does this payer support EFT or dental claims?
No. EFT, combined ERA plus EFT, and dental claims (837D) are not available electronically 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