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
2457 - Payer ID
PAMCR - Payer ID
SMPA0
Coverage states
Pennsylvania.
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
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