Supported Transactions and Limits
| 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) | 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 hours
Workflow When Support Is Limited
- Submit institutional claims as 837I and professional claims as 837P through the supported electronic workflows.
- Verify eligibility through the payer’s available process before scheduling or billing, because 270/271 is not supported here.
- Complete payer enrollment before expecting ERA 835 delivery, and track enrollment separately from claim submission.
- If an ERA is unavailable, use the payer’s non-EMR remittance process and post payment information manually.
- Check claim status outside Hero EMR because 276/277 is unavailable.
Common questions
Can I submit 837I and 837P claims to this payer?
Yes. Hero EMR supports electronic institutional claims using 837I and professional claims using 837P for this payer.
Does this payer support ERA 835 in Hero EMR?
Yes, but ERA 835 requires payer enrollment first. Complete the enrollment process before relying on electronic remittance delivery.
Can I check eligibility, claim status, or coordination of benefits electronically?
No. Hero EMR does not support this payer’s 270/271 eligibility and benefits, 276/277 claim status, or coordination of benefits transactions.
Does Hero EMR support dental claims or EFT for this payer?
No. Dental claims, EFT, and combined ERA and EFT transactions are not available electronically for this payer.
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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