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 |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow considerations
- Check coverage and benefits through your existing payer or clearinghouse workflow because 270/271 eligibility transactions are unavailable here.
- Route facility claims as 837I and professional claims as 837P, matching the format to the service and billing entity.
- Complete payer enrollment before expecting ERA/835 files, and confirm your posting process can use the enrolled remittance connection.
- Use an alternate process for claim status requests, dental claims, EFT, and combined ERA/EFT because these transactions are unavailable.
- Handle coordination-of-benefits work outside this connection; the 271 COB transaction is unavailable.
Common questions
Can this payer receive professional claims electronically?
Yes. Professional claims can be submitted electronically as 837P.
Can this payer receive institutional claims electronically?
Yes. Institutional claims can be submitted electronically as 837I.
Is ERA available for this payer?
Yes, but only after the practice completes payer enrollment. ERA is not available before that enrollment is completed.
Can I check eligibility, claim status, or send EFT through this connection?
No. Eligibility and benefits (270/271), claim status (276/277), EFT, and combined ERA/EFT are not available; dental claims (837D) and coordination of benefits (271) are also unavailable.
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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