Payer transaction support
| 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
Plan the supporting workflow
- Use the 837I workflow for institutional claims and the 837P workflow for professional claims; verify the claim type before transmission.
- Gather eligibility and benefits through the payer’s other approved channel or a separate service, because 270/271 transactions are unavailable here.
- Track claims through the payer’s other approved channel or a separate service; 276/277 claim-status responses are unavailable in this connection.
- Complete payer enrollment paperwork before depending on ERA/835 files; until enrollment is active, plan how staff will obtain and post remittances.
- Arrange EFT separately if needed. This connection supports neither EFT nor a combined ERA/EFT transaction.
Common questions
Can Hero EMR send institutional and professional claims to this payer?
Yes. Institutional claims use 837I, and professional claims use 837P.
Is ERA available for this payer?
Yes, ERA (835) is supported after payer enrollment is completed. The practice must finish the enrollment process before relying on electronic remittance files.
Can I check eligibility or claim status in Hero EMR?
No. Eligibility and benefits (270/271) and claim status (276/277) are not available through this connection, so use another approved workflow.
Does this connection support dental claims or EFT?
No. Dental claims (837D), EFT, and combined ERA/EFT are not available through this connection.
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