Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Not 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
10990 - Payer ID
14298 - Payer ID
55004 - Payer ID
8179 - Payer ID
UNAMN - Payer ID
UNTDA - Payer ID
UNTDA1
Coverage states
Georgia, North Carolina, New Jersey, Oklahoma, South Carolina, Tennessee, West Virginia, Wyoming.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow considerations
- Use the 837P workflow for professional services; do not route institutional or dental encounters to this payer electronically.
- Run 270/271 eligibility and benefits checks before visits or billing when coverage details are needed.
- Complete payer enrollment before relying on ERA 835 for electronic remittance processing.
- If an ERA is missing, verify that payer enrollment is complete and use your manual remittance process until it is active.
- Plan payment reconciliation without EFT or the combined ERA/EFT transaction; ERA 835 remains available after enrollment.
Common questions
Can I submit professional claims electronically to this payer?
Yes. Professional claims use the 837P transaction, which is available through Hero EMR for this payer.
Can I check eligibility and benefits electronically?
Yes. Hero EMR supports 270/271 eligibility and benefits transactions for this payer.
How do I receive an ERA from this payer?
ERA (835) is supported, but the practice must complete payer enrollment before using this electronic remittance workflow. If enrollment is not complete, do not expect ERA delivery through this setup.
Can I check claim status or receive EFT electronically?
No. This setup does not support 276/277 claim status, EFT, or the combined ERA/EFT transaction for 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.
See a demo