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
4442
Coverage states
New York.
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. The first physician is free.
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