Supported Transactions and Limits
| 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): multi step enrollment, typically takes weeks
Practical Workflow Notes
- Submit institutional and professional claims electronically as 837I or 837P, matching the transaction to the service and billing entity.
- Complete payer enrollment before relying on ERA (835); retain enrollment records and verify the connection is active.
- After enrollment, monitor for ERA files; if they do not arrive, verify enrollment status and use your existing remittance workflow.
- Check eligibility and benefits through another permitted process before service, because Hero EMR does not support 270/271 transactions.
- Track claim status outside Hero EMR, and use separate workflows for dental claims, EFT, combined ERA/EFT, and coordination-of-benefits 271 transactions.
Common questions
Can I send institutional claims to this payer electronically?
Yes. Hero EMR supports this payer’s institutional claim transaction, 837I.
Can I send professional claims to this payer electronically?
Yes. Hero EMR supports this payer’s professional claim transaction, 837P.
How do I get ERA files for this payer?
ERA (835) is supported after your practice completes payer enrollment. Complete that enrollment before expecting electronic remittance in Hero EMR.
Can Hero EMR check eligibility or claim status for this payer?
No. Eligibility and benefits (270/271) and claim status (276/277) are not available through Hero EMR for this payer, so use another permitted workflow.
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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