Supported payer transactions
| 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
Workflow notes for this payer
- Submit 837I or 837P claims through Hero EMR based on the billing type for each encounter.
- Complete payer enrollment before relying on ERA (835) files for remittance posting or reconciliation.
- Verify eligibility and benefits through another approved process because 270/271 transactions are not supported.
- Track claim status outside Hero EMR because 276/277 transactions are unavailable.
- Use separate workflows for dental claims, EFT, combined ERA and EFT, and coordination of benefits.
Common questions
Can I submit 837I and 837P claims to this payer through Hero EMR?
Yes. Hero EMR supports electronic institutional claims (837I) and professional claims (837P) for this payer.
Does this payer support ERA in Hero EMR?
Yes, ERA (835) is supported after the practice completes payer enrollment. Enrollment paperwork must be completed before using the ERA workflow.
Can Hero EMR check eligibility and benefits for this payer?
No. Eligibility and benefits transactions (270/271) are not supported, so use another approved verification process.
Can Hero EMR check claim status or send EFT for this payer?
No. Claim status (276/277), EFT, and combined ERA plus EFT are not supported for this payer in Hero EMR.
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