Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not 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) | Not supported |
| Attachments (275) | Not supported |
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan around unsupported transactions
- Choose the 837I workflow for institutional claims and the 837P workflow for professional claims before submitting.
- Do not use Hero EMR for eligibility or claim-status checks; establish a separate process for 270/271 and 276/277 needs.
- Complete payer enrollment paperwork before relying on electronic remittance, and prepare a non-ERA posting process during enrollment.
- Because EFT and combined ERA/EFT are unavailable, reconcile deposits and remittance records outside those transaction workflows.
- Route dental claims and coordination-of-benefits work through separate processes because those transactions are not supported.
Common questions
Can I submit 837I and 837P claims to this payer?
Yes. Use 837I for institutional claims and 837P for professional claims.
Is an ERA available for this payer?
Yes, but only after the practice completes payer enrollment paperwork. Until enrollment is complete, do not expect Hero EMR to receive the payer's 835 remittance electronically.
Can Hero EMR verify eligibility and check claim status for this payer?
No. Eligibility and benefits 270/271 and claim status 276/277 are unavailable, so those checks require a separate process.
Can I use EFT or combined ERA and EFT with this payer?
No. EFT and combined ERA/EFT are not supported, so payment deposit reconciliation must be handled separately from the supported claim and ERA workflows.
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.
See a demo