Transaction support for this payer
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Enrollment required |
| 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
10055 - Payer ID
1473 - Payer ID
3447 - Payer ID
610442 - Payer ID
CACAID - Payer ID
CAMCD - Payer ID
MC051 - Payer ID
MDCAL - Payer ID
MPM18 - Payer ID
SKCA0 - Also listed as California Medicaid (Medi-Cal)
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Plan the billing workflow
- Use the 270/271 workflow to verify eligibility and benefits before scheduling or billing when the patient’s coverage needs confirmation.
- Complete payer enrollment before using 837I, 837P, or ERA 835 transactions.
- Because 276/277 is unavailable, track claim progress internally and use your established payer follow-up process.
- Plan payment reconciliation without EFT by matching ERA records to deposits through your normal accounting workflow after enrollment.
- Route dental claims, coordination-of-benefits transactions, and attachments through a separate process because 837D, COB 271, and 275 are unavailable.
Common questions
How do I verify eligibility and benefits with this payer?
Eligibility and benefits are available electronically through the 270/271 transaction.
Are 837P and 837I claims supported?
Yes. Professional claims through 837P and institutional claims through 837I are supported after the practice completes this payer’s enrollment paperwork.
Is ERA available, and does it include EFT?
ERA through the 835 transaction is supported after enrollment. EFT is not available, and this connection does not offer a combined ERA and EFT option.
Does this payer support claim status or attachments?
No. Claim status through 276/277 and attachments through 275 are unavailable; dental claims through 837D and coordination-of-benefits transactions through 271 are also 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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