Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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 |
Other payer IDs and names
- Payer ID
100005 - Payer ID
10007 - Payer ID
1271510177 - Payer ID
12K01 - Payer ID
4479 - Payer ID
5560 - Payer ID
5587 - Payer ID
75254 - Payer ID
ALMCD - Payer ID
CKAL1 - Payer ID
MCDAL - Also listed as Alabama Medicaid Agency
Coverage states
Alabama.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow guidance
- Run 270/271 eligibility checks before visits, then use your normal verification process for benefit details the electronic response does not provide.
- Choose 837I for institutional claims and 837P for professional claims before submission.
- Complete payer enrollment for ERA/835, and keep a manual remittance process until enrollment is approved.
- Do not plan on EFT or combined ERA and EFT; reconcile payments through your established deposit and remittance workflow.
- Route dental claims, coordination-of-benefits 271, and attachments (275) through a non-electronic process.
Common questions
Can I check eligibility and claim status electronically with this payer?
Yes. Use 270/271 for eligibility and benefits and 276/277 for claim status; coordination-of-benefits 271 is not available.
Can this payer receive both institutional and professional claims electronically?
Yes. Submit institutional claims as 837I and professional claims as 837P.
Do I need enrollment to receive ERA 835 files?
Yes. ERA/835 is supported only after your practice completes payer enrollment, so use your existing remittance workflow until enrollment is complete.
Which electronic transactions are unavailable with this payer?
Dental claims (837D), EFT, combined ERA and EFT, coordination-of-benefits 271, and attachments (275) are unavailable.
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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