Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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 | Enrollment required |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
00453 - Payer ID
10477 - Payer ID
1285 - Payer ID
54154MA - Payer ID
5415M - Payer ID
7499 - Payer ID
OPTSNT - Payer ID
ULACG - Payer ID
VACMS - Payer ID
YEXEB - Also listed as Optima Health Behavioral Health
- Also listed as Optima Health Community Care
- Also listed as Sentara Behavioral Health Services
- Also listed as Sentara Health Administration
- Also listed as Sentara Health Insurance Company
- Also listed as Sentara Health Management
Coverage states
Virginia.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Guidance
- Use 270/271 for eligibility and benefits checks, and 276/277 to follow claim status after submitting 837I or 837P claims.
- Submit institutional claims as 837I and professional claims as 837P; confirm the claim format matches the billed service.
- Complete payer enrollment before setting up EFT, ERA 835, or combined ERA/EFT; retain enrollment records with payer setup documentation.
- If ERA is not active, plan for manual remittance retrieval and payment posting until enrollment is complete.
- For dental claims, COB details, or attachments, use the payer's required non-electronic process; these transactions cannot be sent through this connection.
Common questions
Which electronic transactions does this payer support?
You can send 837I institutional and 837P professional claims, request eligibility and benefits with 270/271, and check claim status with 276/277. EFT, ERA 835, and combined ERA/EFT are supported only after payer enrollment.
Do I need enrollment for ERA or EFT?
Yes. The practice must complete payer enrollment before using EFT, ERA 835, or the combined ERA/EFT option.
Can I submit dental claims or attachments electronically?
No. Dental claims 837D and attachments 275 are not supported through this payer connection, so use the payer's required alternative process.
Can I send coordination-of-benefits information electronically?
No, the separate coordination-of-benefits 271 transaction is not available through this connection. Standard eligibility and benefits 270/271 is supported, but it does not include the unavailable COB transaction.
Run this payer inside Hero EMR
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