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 |
Other payer IDs and names
- Payer ID
00240 - Payer ID
1923 - Payer ID
2267 - Also listed as MBA Wyoming
- Also listed as Prodegi Benefits
Coverage states
Alaska, Idaho, Montana, North Dakota, Oregon, South Dakota, Washington, Wyoming.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the remaining workflow
- Use 837I for institutional claims and 837P for professional claims, and select the transaction that matches the claim.
- Complete payer enrollment before setting up an ERA posting workflow; 835 files depend on that enrollment.
- Verify eligibility and benefits through a separate process because Hero EMR does not support 270/271 for this payer.
- Follow up on claim status outside Hero EMR because 276/277 is unavailable for this payer.
- Keep dental billing, EFT receipt, and combined ERA/EFT reconciliation in separate workflows because those transactions are unavailable.
Common questions
Can I submit institutional claims electronically to this payer?
Yes. Institutional claims use the 837I transaction in Hero EMR.
Can I submit professional claims electronically to this payer?
Yes. Professional claims use the 837P transaction in Hero EMR.
Does this payer support electronic remittance advice?
Yes, but only after the practice completes payer enrollment. The enrollment must be completed before relying on 835 files.
Can I check eligibility or claim status electronically?
No. Hero EMR does not support this payer's 270/271 eligibility and benefits or 276/277 claim status transactions.
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