Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not 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 |
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Plan the workflow
- Check eligibility and benefits electronically before appointments, and review the response for coverage details that need follow-up.
- Submit payer enrollment paperwork before relying on ERA for payment posting.
- Use a separate process for claim submission because 837P, 837I, and 837D are not supported for this payer.
- Use a separate process for claim-status inquiries because 276/277 is not supported.
- Reconcile payments without EFT or combined ERA/EFT; use ERA only after enrollment is complete.
Common questions
Can I verify eligibility for this payer in Hero EMR?
Yes. Eligibility and benefits transactions 270/271 are available immediately.
How do I receive ERA from this payer?
Complete the payer enrollment paperwork first. After enrollment, Hero EMR supports ERA 835 for this payer.
Can I submit claims electronically to this payer?
No. Hero EMR does not support professional, institutional, or dental claim transactions, including 837P, 837I, or 837D, for this payer.
Can I check claim status or receive EFT?
No. Claim status 276/277, EFT, and combined ERA/EFT are not supported 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