Supported Electronic 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) | 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 Equitable (UCCI)
- Also listed as Equitable America
- Also listed as Equitable Financial Life Insurance Company
- Also listed as Equitable Financial Life Insurance Company of America
- Also listed as Equitable Holdings, Inc.
Workflow for Unsupported Transactions
- Send dental claims as 837D, and confirm the claim is dental before submission because professional (837P) and institutional (837I) claim transactions are unavailable.
- Run eligibility and benefits checks with 270/271 before visits or billing, then document any coverage details returned.
- For claim status, use your existing payer process because 276/277 transactions are unavailable in Hero EMR.
- Prepare a non-ERA posting workflow because 835 remittance is unavailable; reconcile payments using the information available outside Hero EMR.
- Handle EFT and combined ERA/EFT outside Hero EMR, and keep deposit reconciliation aligned with your payment workflow.
Common questions
Which electronic transactions are available for this payer?
Hero EMR supports 837D dental claims and 270/271 eligibility and benefits transactions for this payer. These supported transactions are available immediately.
Can I submit professional or institutional claims electronically?
No. 837P professional claims and 837I institutional claims are not available for this payer in Hero EMR, so use a separate submission workflow.
Can I check claim status electronically?
No. 276/277 claim-status transactions are unavailable, so use the payer's other status process for follow-up.
Will I receive ERA or use EFT for this payer?
No. ERA (835), EFT, and combined ERA/EFT are unavailable in Hero EMR for this payer, so use a separate remittance and payment workflow.
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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