Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Not 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
- Payer ID
00544 - Payer ID
14331 - Payer ID
8870
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Considerations
- Use 276/277 to check claim status instead of calling for routine status updates.
- Run eligibility and benefits checks through 270/271 before appointments or billing.
- Complete payer enrollment paperwork before expecting ERA 835 transactions.
- Use another approved submission method for professional, institutional, or dental claims.
- Handle coordination-of-benefits information through another available process because COB 271 is not supported.
Common questions
Can I check claim status electronically with this payer?
Yes. Claim status is supported through the 276/277 transaction.
Can I verify eligibility and benefits electronically?
Yes. Eligibility and benefits are supported through 270/271. This does not include coordination-of-benefits 271.
Is ERA available for this payer?
Yes, ERA 835 is supported after your practice completes the payer enrollment process. It is not available through this connection before enrollment is completed.
Can I submit claims electronically to this payer?
No. This connection does not support professional, institutional, or dental claims through 837P, 837I, or 837D.
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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