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) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
36117 - Payer ID
9180 - Payer ID
ZP4023
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Guidance
- Route institutional services through 837I and professional services through 837P; confirm the claim type before submission.
- Complete payer enrollment before relying on EFT or ERA 835, and retain enrollment records for reconciliation.
- Because eligibility and benefits 270/271 is unsupported, verify coverage through another payer-specified method before appointments or claim submission.
- Use another payer-specified method for claim status because 276/277 is unavailable through this connection; keep submission identifiers for follow-up.
- Handle dental claims, coordination of benefits, and attachments outside this electronic connection according to payer instructions.
Common questions
Can I submit 837I or 837P claims electronically?
Yes. This payer supports institutional claims (837I) and professional claims (837P) electronically.
Do I need payer enrollment for EFT and ERA?
Yes. EFT and ERA 835 are supported only after the practice completes the payer's enrollment process.
Can I check patient eligibility electronically?
No, eligibility and benefits transactions (270/271) are not supported for this payer. Use another process specified by this payer and record the result before billing.
Can I check claim status or send attachments electronically?
Claim status (276/277) and attachments (275) are not supported. Follow this payer's instructions for another submission or follow-up method.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to, and our team works your denials and prior authorizations.*
*With Hero RCM. RCM contracts are negotiated based on specialty and payer mix.