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) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
15537 - Payer ID
2967 - Payer ID
3266 - Also listed as RCI Group II
- Also listed as Regional Care Incorporated
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow notes for this payer
- Complete payer enrollment before relying on electronic eligibility checks or ERA delivery.
- Send institutional claims as 837I and professional claims as 837P; do not submit dental 837D claims through this connection.
- Until enrollment is complete, verify eligibility through another payer-approved method.
- Use another approved payer workflow for claim status because 276/277 transactions are not supported.
- If ERA is unavailable, obtain remittance details through another approved method; EFT is not supported.
Common questions
Can I submit 837I and 837P claims to this payer electronically?
Yes. Institutional claims use 837I, and professional claims use 837P; dental claims using 837D are not supported.
Does Hero EMR support eligibility checks for this payer?
Yes, eligibility and benefits transactions are supported after the practice completes payer enrollment. Before enrollment is complete, use another payer-approved verification method.
Can I receive an ERA 835 or EFT from this payer?
ERA 835 is supported after payer enrollment. EFT and combined ERA plus EFT are not supported.
Can I check claim status electronically?
No, 276/277 claim-status transactions are not supported. Use another approved workflow to check status with this payer.
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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