Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10597 - Payer ID
11018 - Payer ID
2408 - Payer ID
HLTHEX - Payer ID
JDLUF - Payer ID
THEXI - Also listed as Cerner HealthPlan Services
- Also listed as Healthe Exchange
- Also listed as The Health Exchange Cerner Corporation
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow guidance
- Use 270/271 for eligibility and benefits checks, and 276/277 for claim-status inquiries.
- Complete this payer's enrollment before setting up workflows for EFT or ERA 835.
- Do not send 837P, 837I, or 837D claims through this connection; use another claim-submission route.
- Use a separate process for COB inquiries and 275 attachments because those transactions are not supported.
- Handle EFT and ERA as separate supported transactions after enrollment; the combined option is not available.
Common questions
Can I verify eligibility and benefits electronically with this payer?
Yes. This payer supports electronic eligibility and benefits requests and responses through 270/271.
Can I check claim status electronically?
Yes. Claim-status inquiries and responses are supported through 276/277.
Are EFT and ERA 835 available for this payer?
Yes, both are supported after enrollment is completed. They are available as separate transactions, not as a combined ERA and EFT option.
Can I submit professional, institutional, or dental claims electronically?
No. 837P, 837I, and 837D claims are not supported through this payer connection, so use another claim-submission route.
Run this payer inside Hero EMR
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