Supported transactions
| 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
11328MA - Payer ID
1723 - Payer ID
2920 - Payer ID
HCP01 - Also listed as HealthCare Partners IPA
- Also listed as HealthCare Partners, MSO
Coverage states
New York.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow considerations
- Route institutional encounters through 837I and professional encounters through 837P; use 270/271 before visits or when coverage needs verification.
- Complete this payer’s enrollment paperwork before configuring EFT deposits or ERA 835 delivery in your practice workflow.
- Since 276/277 is unavailable, maintain a manual or alternate process for claim-status follow-up.
- Plan a manual or alternate workflow for dental claims, attachments, coordination-of-benefits 271, and requests for combined ERA and EFT.
Common questions
Can I submit both institutional and professional claims electronically?
Yes. This payer supports institutional claims through 837I and professional claims through 837P.
Does this payer support electronic eligibility and benefits checks?
Yes, eligibility and benefits transactions use 270/271. Coordination-of-benefits 271 is not supported, so do not treat that transaction as available.
Do I need payer enrollment for EFT and ERA?
Yes. EFT and ERA 835 are supported only after the practice completes this payer’s enrollment process.
Can I check claim status or send attachments electronically?
No. Claim status 276/277 and attachments 275 are not available through this payer’s supported electronic transactions.
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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