Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| 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) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
16569 - Payer ID
2898 - Payer ID
7552 - Payer ID
HLTDS1 - Also listed as Contigo Health
- Also listed as Health Design Plus (Hudson, Ohio)
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow notes for this payer
- Route institutional encounters through 837I and professional encounters through 837P; verify the claim type before submission.
- Complete payer enrollment before relying on EFT, eligibility and benefits (270/271), or ERA 835 in your workflow.
- If eligibility is not yet available, verify coverage through your established non-EMR process rather than expecting an in-system 270/271 response.
- If an ERA or EFT is missing, confirm enrollment is complete before treating the transaction as unavailable.
- Plan a separate process for claim status, dental claims, coordination of benefits, and attachments because 276/277, 837D, 271, and 275 are unsupported.
Common questions
Can I submit institutional and professional claims electronically?
Yes. This payer supports institutional claims through 837I and professional claims through 837P.
Is electronic eligibility verification available for this payer?
Yes, but only after the practice completes payer enrollment. The supported eligibility transaction is 270/271.
Are ERA and EFT available for this payer?
Yes, EFT and ERA 835 are supported after payer enrollment. Hero EMR does not support a combined ERA and EFT transaction for this payer.
Can I check claim status or send attachments electronically?
No. Claim status (276/277) and attachments (275) are not supported for this payer, and dental claims (837D) and coordination of benefits (271) are also unavailable.
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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