Supported Transactions and Enrollment
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | 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 |
Other payer IDs and names
- Payer ID
10121 - Payer ID
12K13 - Payer ID
5259 - Payer ID
CKME1 - Payer ID
MEMCD - Payer ID
SKME1 - Also listed as Maine Department of Health and Human Services
- Also listed as MaineCare
- Also listed as Medicaid Maine
Coverage states
Maine.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes days
Workflow Notes for This Payer
- Use electronic eligibility and benefits checks before visits when coverage information is needed.
- Submit professional services as 837P claims; complete payer enrollment before sending institutional 837I claims.
- Finish payer enrollment if you want ERA 835 files, then confirm your posting workflow can use them.
- Plan a non-EFT payment workflow because electronic funds transfer and combined ERA/EFT are unavailable.
- Use the payer’s designated alternative process for dental claims, coordination of benefits, or attachments.
Common questions
Can I submit professional claims electronically to this payer?
Yes. Professional claims are supported through the 837P transaction.
Does this payer support institutional claims?
Yes, institutional claims are supported through 837I after your practice completes payer enrollment.
Can I receive electronic remittance advice from this payer?
Yes, ERA 835 is supported after payer enrollment. ERA is not available until the required enrollment is completed.
Does this payer support EFT or electronic attachments?
No. EFT, combined ERA and EFT, and electronic attachments through 275 are unavailable for this payer.
Run this payer inside Hero EMR
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