This Payer's Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Enrollment required |
| 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
10088 - Payer ID
12K05 - Payer ID
1494 - Payer ID
1499 - Payer ID
77034 - Payer ID
CKGA1 - Payer ID
GACAID - Payer ID
GAMCD - Payer ID
SKGA0 - Also listed as Georgia DCH
- Also listed as Georgia Department of Community Health
- Also listed as Georgia Health Partnership
- Also listed as Georgia Medicaid
Coverage states
Georgia.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Enrollment and Workflow Notes
- Run eligibility and benefits electronically before visits using the available 270/271 workflow.
- Complete payer enrollment before submitting 276/277, 837P, 837I, or 835 ERA transactions.
- Maintain a separate process for dental claims, EFT, combined ERA/EFT, coordination-of-benefits responses, and attachments.
- Before ERA enrollment is complete, plan for another permitted remittance process and manual payment posting.
Common questions
Can I check eligibility electronically with this payer?
Yes. Eligibility and benefits are available through 270/271 without payer enrollment.
Do I need enrollment to submit claims electronically?
Yes, enrollment is required before submitting professional 837P or institutional 837I claims. Enrollment is also required for 276/277 claim status and 835 ERA.
Does this payer support ERA and EFT?
ERA, or 835, is supported after payer enrollment. EFT and combined ERA/EFT are not available through this integration.
Can I send dental claims or attachments electronically?
No. Dental claims, or 837D, and attachments, or 275, are not available electronically for this payer. Coordination of benefits through 271 is 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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