Supported transactions and enrollment
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Enrollment required |
| 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): multi step enrollment, typically takes days
Workflow when support is limited
- Complete payer enrollment before sending institutional claims or setting up ERA for this payer.
- Confirm that an encounter requires institutional billing; professional 837P and dental 837D claims cannot be sent electronically through Hero EMR.
- Use a separate workflow for eligibility and benefits because 270/271 transactions are not supported.
- Track claim status outside Hero EMR because 276/277 transactions are not supported.
- If ERA is missing after enrollment, verify enrollment status and use manual remittance posting while investigating.
Common questions
Can I submit 837I institutional claims electronically to this payer?
Yes, institutional claims are supported after your practice completes payer enrollment. They are not available for immediate use before enrollment.
Can I send professional or dental claims electronically?
No. Professional claims (837P) and dental claims (837D) are not supported electronically for this payer.
Can I check eligibility or claim status electronically?
No. Eligibility and benefits (270/271) and claim status (276/277) are not supported for this payer, so use a separate workflow.
How do I receive ERA or EFT from this payer?
ERA (835) is supported only after payer enrollment. EFT and combined ERA plus EFT are not available through Hero EMR.
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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