Supported transaction types
| 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
CSQTM - Payer ID
SMDE0 - Also listed as Novitas - Delaware
Coverage states
Delaware.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Enrollment and fallback workflow
- Complete enrollment paperwork before sending 837P claims, submitting 270/271 eligibility requests, or setting up ERA 835 delivery.
- When enrollment is pending, use your existing manual or payer-approved process to verify coverage and benefits.
- Track claims through a non-276/277 workflow, since electronic claim-status requests are not supported for this payer.
- Use a separate workflow for institutional or dental claims because this support is limited to professional claims.
- Plan for a separate payment workflow when EFT is needed; ERA 835 does not include EFT support.
Common questions
Can I submit 837P claims electronically to this payer?
Yes, professional claims are supported after your practice completes payer enrollment. Institutional 837I and dental 837D claims are not supported.
Can I run eligibility and benefits checks electronically?
Yes, 270/271 eligibility and benefits transactions are supported after enrollment. That support does not include coordination-of-benefits transactions, which are not available.
Does this payer support ERA or EFT?
ERA 835 is supported after enrollment. EFT and combined ERA plus EFT are not supported.
Can I check claim status electronically?
No, electronic claim-status transactions 276/277 are not supported. Use a separate permitted workflow 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.