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 | Not supported |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Supported |
Other payer IDs and names
- Payer ID
00198 - Payer ID
10002 - Payer ID
10122 - Payer ID
10187 - Payer ID
10192 - Payer ID
10318 - Payer ID
10636 - Payer ID
10655 - Payer ID
10806 - Payer ID
11076 - Payer ID
11077 - Payer ID
14339 - Payer ID
2721 - Payer ID
3429 - Payer ID
3550 - Payer ID
4523 - Payer ID
62183 - Payer ID
6442 - Payer ID
6847 - Payer ID
6889 - Also listed as Neighborhood Health Partnership
- Also listed as AARP MedicareComplete insured through UnitedHealthcare
- Also listed as AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network
- Also listed as AARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network
- Also listed as AmeriChoice by UnitedHealthcare New York
- Also listed as Arnett Health Plans
- Also listed as Care Improvement Plus
- Also listed as Care Improvement Plus South Central Insurance Co.
- Also listed as Empire Plan (NYSHIP)
- Also listed as Harvard Pilgrim Passport Connect
- Also listed as Medica Behavioral Health
- Also listed as Metropolitan Property and Casualty Insurance Company
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow guidance
- Submit 837I or 837P based on the care setting, and use 275 attachments when documentation must accompany a claim.
- Check eligibility and benefits electronically with 270/271 before scheduling or billing, and use the supported 271 transaction for coordination of benefits.
- Complete payer enrollment before relying on ERA 835 or EFT; until then, plan another process for remittance and payment information.
- Track claims with 276/277 rather than waiting for remittance information.
- If dental claims are in scope, confirm a separate process because 837D is not available electronically through this payer.
Common questions
Can I submit professional claims electronically to this payer?
Yes. This payer supports 837P professional claims and 837I institutional claims.
Does this payer support electronic eligibility verification?
Yes. Electronic eligibility and benefits are supported through 270/271, and coordination of benefits is supported through 271.
How do I receive ERA and EFT from this payer?
Both are supported, but the practice must complete payer enrollment first. ERA 835 and EFT should not be expected before enrollment is completed.
Does this payer support dental claims or combined ERA and EFT?
No. Dental claims using 837D and a combined ERA plus EFT option are not available electronically through 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