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) | Not supported |
| 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
1823 - Payer ID
3601 - Also listed as State of South Dakota DOH/AWC!
Coverage states
South Dakota.
Workflow When Transactions Are Missing
- Submit institutional encounters as 837I and professional encounters as 837P, and confirm the claim type before transmission.
- Verify eligibility and benefits outside Hero EMR before visits, because electronic 270/271 transactions are unavailable for this payer.
- Track submitted claims through the payer's non-EDI process because electronic 276/277 status checks are unavailable.
- Prepare for manual remittance posting and payment handling; ERA (835) and EFT are unavailable.
- Route dental claims through a separate process; 837D is not supported in this connection.
Common questions
Can I submit institutional and professional claims electronically?
Yes. Hero EMR supports institutional claims (837I) and professional claims (837P) for this payer, and no payer enrollment is required for these transactions.
Is electronic eligibility and benefits verification available?
No. Electronic eligibility and benefits transactions (270/271) are not supported, so use another workflow to verify coverage.
Can I check claim status electronically?
No. Electronic claim status transactions (276/277) are not supported for this payer, so track claims through another process.
Does this payer support ERA or EFT?
No. ERA (835), EFT, and combined ERA and EFT transactions are not supported, so plan for separate remittance and payment workflows.
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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