Electronic Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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 |
Other payer IDs and names
- Payer ID
10815 - Payer ID
6794 - Payer ID
MLNSC - Payer ID
MOLINA_SC - Payer ID
SCMLNA
Coverage states
South Carolina.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan Your Workflow
- Send 837I and 837P claims electronically, then use 276/277 transactions to check claim status.
- Run 270/271 eligibility and benefits checks before visits, but do not expect coordination-of-benefits information through this payer's 271 support.
- Complete payer enrollment before relying on 835 ERA, and maintain a manual remittance process until enrollment is active.
- Plan another approved workflow for 837D claims, EFT, combined ERA and EFT, and 275 attachments.
Common questions
Can I submit professional and institutional claims electronically to this payer?
Yes. Hero EMR supports 837P professional claims and 837I institutional claims for this payer.
Can I check eligibility and claim status electronically?
Yes. Use 270/271 for eligibility and benefits and 276/277 for claim status. Coordination-of-benefits information through 271 is not supported.
Do I need to enroll for ERA with this payer?
Yes. ERA 835 is supported only after the practice completes payer enrollment, so finish the required paperwork before relying on electronic remittance.
Does this payer support dental claims, EFT, or attachments?
No. 837D dental claims, EFT, combined ERA and EFT, and 275 attachments are not available through Hero EMR for this payer.
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