Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Not supported |
| 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
6208 - Payer ID
NAPHC
Plan separate workflows
- Match the claim to the supported format: use 837P for professional services and 837I for institutional services.
- Use 276/277 to check claim status after submission; it will not return eligibility or benefits information.
- Verify coverage and benefits through a separate workflow because 270/271 eligibility transactions are not supported.
- Set up separate remittance and payment-posting steps because ERA 835 and EFT, including combined ERA/EFT, are unavailable.
- Send dental claims and coordination-of-benefits work through another process.
Common questions
Which claim types can I submit electronically to this payer?
This connection supports professional claims (837P) and institutional claims (837I). Dental claims (837D) are not supported.
Can I check claim status electronically?
Yes. Claim-status requests use 276/277, but this transaction does not provide eligibility or benefits information.
How can I verify eligibility and benefits?
Eligibility and benefits transactions (270/271) are not available through this connection. Use a separate workflow or source to verify coverage and benefits.
Does this payer support ERA or EFT?
No. ERA (835), EFT, and combined ERA/EFT are not available through this connection, so remittance and payment handling require a separate process.
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.