Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not 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
5239
Workflow guidance
- Use 837P for professional services and 837I for institutional billing, and confirm the claim type before submitting.
- Send a 270 eligibility inquiry and review the 271 response when electronic coverage verification is needed.
- For status requests, save the submission control number and use your established non-electronic payer follow-up process.
- Plan to receive and reconcile remittance and payment outside Hero EMR because ERA 835 and EFT are unavailable.
- Collect coordination-of-benefits details through your established non-electronic process; COB 271 transactions are unavailable.
Common questions
Which claim formats can I submit electronically to this payer?
Institutional claims in 837I and professional claims in 837P are supported. Dental claims in 837D are not available.
Can I check eligibility electronically for this payer?
Yes. Standard eligibility inquiries and responses are supported through 270/271, but coordination-of-benefits 271 transactions are not available.
Can I check claim status electronically?
No. Claim status transactions using 276/277 are not available, so use your established non-electronic payer follow-up process.
Does this payer support ERA and EFT?
No. ERA 835, EFT, and combined ERA and EFT transactions are not available through this support. Plan to receive and reconcile remittance and payment through another process.
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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