Supported transactions and enrollment
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Not 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) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
04102 - Payer ID
1449 - Payer ID
MR004 - Payer ID
SMCO0 - Also listed as Novitas - Colorado
Coverage states
Colorado.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Plan around enrollment and gaps
- Complete payer enrollment before configuring production workflows for 837P claims, 270/271 eligibility, or 835 ERA delivery.
- Until enrollment is complete, follow this payer's approved non-electronic process for claims, eligibility, and remittance.
- Use a payer-approved alternative to monitor claims because electronic claim status, 276/277, is unavailable.
- Reconcile 835 remittances with bank deposits separately because EFT and combined ERA/EFT are unavailable.
- Handle coordination-of-benefits information outside the electronic COB 271 workflow; standard eligibility 270/271 remains available after enrollment.
Common questions
Can I send professional claims to this payer electronically?
Yes, 837P professional claims are supported after your practice completes payer enrollment. They are not available electronically before enrollment is complete.
Can I verify eligibility and benefits electronically?
Yes, eligibility and benefits transactions use 270/271 after payer enrollment. This support does not include the separate COB 271 transaction.
Can I receive an ERA or EFT from this payer?
After enrollment, 835 ERA is supported. EFT and the combined ERA plus EFT option are not available, so payment deposits require a separate reconciliation workflow.
Can I check claim status electronically?
No, 276/277 claim-status transactions are unavailable for this payer. Use the payer's approved alternative for status follow-up.
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.