Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| 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 |
Coverage states
Texas.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Guidance
- Complete enrollment paperwork before setting up 837I, 837P, or ERA workflows for this payer.
- Use a separate process for eligibility and benefits because 270/271 transactions are not supported here.
- Check claim status outside this connection because 276/277 transactions are not supported.
- Use ERA for remittance details after enrollment, but plan payment handling separately because EFT and combined ERA/EFT are not supported.
- Do not send dental claims through this connection; 837D is not supported.
Common questions
Can this payer receive professional and institutional claims electronically?
Yes. Professional claims (837P) and institutional claims (837I) are supported after payer enrollment, so complete enrollment before sending either transaction.
Does this payer support electronic remittance advice?
Yes, ERA (835) is supported after enrollment. EFT and an ERA plus EFT combination are not supported through this connection.
Can I verify eligibility or check claim status electronically?
Not through this connection. Eligibility and benefits (270/271) and claim status (276/277) are not supported.
Are electronic payments available with this payer?
EFT is not supported through this connection. ERA may be available after enrollment, but payment handling must be arranged separately.
Run this payer inside Hero EMR
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