Supported transactions and enrollment requirements
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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
100199 - Payer ID
10124 - Payer ID
23210 - Payer ID
2905 - Payer ID
4491 - Payer ID
4492 - Payer ID
5529I - Payer ID
70001 - Payer ID
AID45 - Payer ID
CKMA1 - Payer ID
MACAID - Payer ID
MAMCD - Payer ID
PTFCR - Payer ID
SKMA0 - Also listed as MassHealth
- Also listed as Medicaid of Massachusetts (Mass Health)
Coverage states
Massachusetts.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Plan your payer workflow
- Complete payer enrollment before configuring 837P, 837I, or 835 workflows, and confirm enrollment before sending claims or expecting ERAs.
- Use 270/271 for eligibility and benefits; do not assume a separate coordination-of-benefits 271 transaction is available.
- Use 276/277 to check claim status electronically when tracking submitted claims.
- If an ERA is unavailable, plan a non-electronic remittance workflow because EFT and combined ERA/EFT are not supported.
- Route dental claims and attachments through another payer-approved process because 837D and 275 are not supported.
Common questions
Does this payer support electronic eligibility verification?
Yes. Eligibility and benefits transactions using 270/271 are available.
Can I submit 837P or 837I claims electronically?
Yes, both professional and institutional claims are supported. Payer enrollment must be completed before using these transactions.
Can I receive ERA 835 and EFT?
ERA 835 is supported after payer enrollment. EFT and combined ERA/EFT are not available.
Does this payer support dental claims, attachments, or coordination of benefits?
No. Dental claims using 837D, attachments using 275, and the coordination-of-benefits 271 transaction are not available electronically.
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