Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | 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 |
Other payer IDs and names
- Also listed as Evernorth Health Services
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow considerations
- Run 270/271 eligibility and benefits checks, but use a separate process for coordination-of-benefits information because COB 271 is not supported.
- Send professional claims through 837P; route institutional and dental claims through another process.
- Use 276/277 for electronic claim-status inquiries before pursuing manual follow-up.
- Complete payer enrollment before relying on ERA 835; use your existing remittance process while enrollment is pending.
- Plan payment handling separately because EFT, ERA plus EFT, and attachments through 275 are not supported.
Common questions
Can I check claim status electronically with this payer?
Yes. This payer supports electronic claim-status inquiries through 276/277.
Which claim types can I submit electronically?
Professional claims can be submitted electronically as 837P. Institutional 837I and dental 837D claims are not available through this connection.
Does this payer support electronic eligibility and benefits verification?
Yes, eligibility and benefits are available through 270/271. Coordination-of-benefits 271 transactions are not supported.
Can I receive ERA and EFT from this payer?
ERA 835 is supported after your practice completes payer enrollment. EFT and combined ERA plus EFT are not available through this connection.
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