Transactions this payer supports
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | 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
10871 - Payer ID
2494 - Payer ID
2509 - Payer ID
524 - Payer ID
77950MA - Payer ID
HALLS - Payer ID
HLTAIL - Payer ID
OEMZG - Also listed as Health Alliance Medical Plans of Illinois
Coverage states
Iowa, Illinois, Indiana.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan the electronic workflow
- Send facility claims as 837I and professional claims as 837P; do not use this connection for dental 837D claims.
- Run standard eligibility and benefits checks through 270/271 before visits, but do not expect coordination-of-benefits data through 271.
- Complete payer enrollment before scheduling EFT or ERA workflows; plan for both transactions to remain unavailable until enrollment is complete.
- If ERA is not enabled, reconcile payments using available payer or practice records and do not assume EFT alone supplies remittance details.
- Track claims outside this connection because 276/277 status transactions are unavailable, and use the payer's designated alternative process.
Common questions
Does this payer accept electronic institutional and professional claims?
Yes. 837I institutional and 837P professional claims are supported, but dental 837D claims are not.
Can we receive EFT and ERA from this payer?
Yes, both are supported after the practice completes payer enrollment. ERA and EFT are not offered as a combined transaction, so plan for them as separate workflows.
Can we check claim status electronically?
No, 276/277 claim-status transactions are unavailable through this support profile. Use the payer's designated non-276/277 process for status follow-up.
Does electronic eligibility include coordination of benefits and attachments?
Eligibility and benefits checks use 270/271, but coordination-of-benefits 271 and 275 attachments are not available. Submit or obtain those items through a separate payer-approved process.
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