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
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.