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, and our team works your denials and prior authorizations.*
*With Hero RCM. RCM contracts are negotiated based on specialty and payer mix.