Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | 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
GI813 - Also listed as Guardian Retail
- Also listed as The Guardian Life Insurance Company of America
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the electronic workflow
- Submit dental claims electronically through Hero EMR, and confirm each claim is a dental transaction rather than a professional or institutional claim.
- Use the payer’s approved alternative for eligibility and benefits before scheduling or treating, since Hero EMR does not support 270/271.
- Check claim status through the payer’s approved alternative because Hero EMR does not support 276/277 transactions.
- Complete payer enrollment paperwork before expecting ERA 835 files, and plan how remittance information will be handled until enrollment is complete.
- Do not plan EFT or combined ERA/EFT setup through Hero EMR; arrange payment handling separately.
Common questions
Can I submit dental claims to this payer through Hero EMR?
Yes. Hero EMR supports electronic dental claim submission using the 837D transaction.
Does Hero EMR support ERA for this payer?
Yes, but the practice must complete payer enrollment first. ERA uses the 835 transaction.
Can I check eligibility or claim status electronically through Hero EMR?
No. Hero EMR does not support eligibility and benefits transactions 270/271 or claim status transactions 276/277 for this payer.
Can I submit professional or institutional claims through Hero EMR?
No. Professional claims 837P and institutional claims 837I are not supported; electronic claim submission is limited to dental claims 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.
See a demo