Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not 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 |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Plan the workflow
- Verify coverage and benefits through an approved alternative because 270/271 eligibility transactions are not supported.
- Submit 837I or 837P based on the billing type; 837D dental claims are unavailable.
- Complete payer enrollment before relying on electronic remittance, then confirm your ERA posting workflow.
- Use the payer's available process to check claim status because 276/277 transactions are not supported.
- Reconcile payments outside the electronic payer workflow because EFT and combined ERA/EFT are unavailable.
Common questions
Can I submit institutional and professional claims to this payer electronically?
Yes. Hero EMR supports 837I institutional claims and 837P professional claims for this payer.
Do I need payer enrollment to receive an ERA?
Yes. ERA (835) is supported only after the practice completes payer enrollment.
Can Hero EMR check eligibility or claim status for this payer?
No. Eligibility and benefits through 270/271 and claim status through 276/277 are not supported for this payer.
Can this payer send EFT with ERA?
No. EFT and combined ERA/EFT are not available for this payer, although ERA is supported after enrollment.
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