Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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) | Supported |
Other payer IDs and names
- Payer ID
4657 - Payer ID
6183 - Payer ID
PFMCR - Payer ID
PRFCR - Also listed as AmeriHealth PerformCare
- Also listed as CBHNP HealthChoices
- Also listed as Community Behavioral Health Network of Pennsylvania HealthChoices
Coverage states
Pennsylvania.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan your electronic workflow
- Use electronic 270/271 eligibility and benefits transactions for coverage checks, but do not rely on this payer's connection for coordination-of-benefits responses.
- Submit 837P for professional services and 837I for institutional services, then use 276/277 for claim-status follow-up.
- Send 275 attachments electronically when documentation is required for a claim or payer request.
- Complete payer enrollment before expecting 835 ERA files, and plan a separate remittance workflow until enrollment is active.
- Do not plan electronic EFT, combined ERA and EFT, or 837D dental claims through this connection.
Common questions
Can I submit electronic claims to this payer?
Yes. This connection supports 837P professional claims and 837I institutional claims, along with electronic attachments when needed.
Does this payer support electronic remittance advice?
Yes, but ERA 835 is available only after your practice completes payer enrollment. Complete enrollment before relying on electronic remittance files in your posting workflow.
Can I check eligibility and benefits electronically?
Yes, 270/271 eligibility and benefits transactions are supported. Coordination-of-benefits transactions are not available through this connection.
Can I receive EFT with ERA?
No. EFT and an ERA plus EFT combined option are not available through this connection, so payment handling must be planned separately.
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