Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | 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
14373 - Payer ID
6572 - Payer ID
9277 - Also listed as Great Plains Medicare Advantage
Coverage states
Iowa, Minnesota, North Dakota, Nebraska, South Dakota.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Considerations
- Complete the payer enrollment paperwork before relying on ERA 835; enrollment is required for electronic remittance.
- Use 270/271 for eligibility and benefits checks, but plan a separate workflow for coordination-of-benefits information.
- Send 837D, 837I, or 837P claims electronically based on the service type and setting.
- For claim status, use a non-electronic workflow because 276/277 transactions are not supported.
- Plan separate workflows for EFT and attachments; neither is available electronically, and ERA/EFT cannot be combined.
Common questions
Which claim formats can I submit electronically to this payer?
This payer supports dental (837D), institutional (837I), and professional (837P) claims electronically.
Can I verify eligibility and benefits electronically?
Yes. Eligibility and benefits are supported through 270/271 transactions, but coordination-of-benefits transactions are not available.
How do I get an ERA from this payer?
ERA (835) is supported, but the practice must complete payer enrollment first. Do not expect electronic remittance until that enrollment requirement is completed.
Does this payer support claim status, EFT, or attachments?
No. Claim status (276/277), EFT, combined ERA/EFT, and attachments (275) are not available electronically.
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