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
10180 - Payer ID
12K36 - Payer ID
4478 - Payer ID
SD48MED - Payer ID
SDCAID - Payer ID
SDMCD - Payer ID
SKSD0 - Payer ID
TLZ29 - Also listed as South Dakota Department of Social Services
- Also listed as South Dakota Medicaid
Coverage states
South Dakota.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow guidance
- Complete this payer's enrollment paperwork before sending institutional or professional claims or receiving electronic remittance.
- Run eligibility and benefits electronically before visits, then follow your usual payer process if a response is unavailable or needs review.
- Track claims through your normal payer workflow because electronic claim status transactions (276/277) are not supported.
- Plan a separate payment-posting process because EFT and combined ERA and EFT are unavailable, even though ERA is supported after enrollment.
- Route dental claims, coordination-of-benefits transactions, and attachments through another approved process when needed.
Common questions
Can I check eligibility and benefits electronically for this payer?
Yes. Eligibility and benefits transactions are available in Hero EMR for this payer.
Can I submit 837P and 837I claims electronically?
Yes, but only after the practice completes this payer's enrollment. Enrollment is required for both professional (837P) and institutional (837I) claims.
Can I receive an ERA from this payer?
Yes, after completing the required enrollment. EFT and combined ERA and EFT transactions are not supported.
Can I check claim status electronically?
No. Electronic claim status transactions (276/277) are not supported for this payer, so use your practice's other approved status-check workflow.
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