Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| 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) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10126 - Payer ID
10911 - Payer ID
14458 - Payer ID
31117 - Payer ID
4423 - Payer ID
9753 - Payer ID
CB833 - Payer ID
MMPHX - Payer ID
MMUTOH - Payer ID
SX057 - Payer ID
SX057MA - Payer ID
TLU03 - Payer ID
TNXLZ - Payer ID
TSTMED - Also listed as Consumer's Life
- Also listed as Medical Mutual of Ohio
Coverage states
Ohio, Wisconsin.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Practice Workflow
- Run 270/271 eligibility and benefits checks before visits, and use 276/277 transactions when claim-status follow-up is needed.
- Submit institutional claims as 837I and professional claims as 837P; handle dental claims through a separate accepted workflow.
- Complete payer enrollment before expecting ERA 835 files; plan a non-ERA remittance workflow until enrollment is complete.
- Use a separate payment workflow because EFT and combined ERA/EFT are unavailable.
- Keep an alternative document-submission workflow for attachments because 275 transactions are unavailable.
Common questions
Which claim types can I submit electronically?
Institutional claims use 837I and professional claims use 837P. Dental claims using 837D are not available through this payer's electronic support.
Can I check claim status electronically?
Yes. Use 276/277 transactions for electronic claim-status inquiries and responses.
Can I verify eligibility and coordination of benefits electronically?
Yes. Eligibility and benefits use 270/271 transactions, while coordination-of-benefits information is supported through 271.
How do ERA, EFT, and attachments work?
ERA 835 is supported after the practice completes payer enrollment. EFT, combined ERA/EFT, and 275 electronic attachments are not available.
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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