Supported Electronic 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) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10853 - Also listed as Washington National Insurance Company
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Considerations
- Run 270/271 eligibility checks before visits; coordination-of-benefits 271 is a separate transaction and is not supported.
- Use 837P for professional claims and 837I for institutional claims; dental claims require a different workflow because 837D is unavailable.
- Submit payer enrollment paperwork before configuring ERA 835, and keep another remittance-posting workflow available during enrollment.
- Use 276/277 to check claim status electronically rather than treating a missing ERA as a status response.
- Plan payment and attachment workflows outside EFT, electronic attachments, and combined ERA/EFT transactions.
Common questions
What medical claim formats can I send electronically to this payer?
837P is supported for professional claims, and 837I is supported for institutional claims. Dental claims must not be sent as 837D because that transaction is unavailable.
Can I check eligibility and claim status electronically?
Yes. Use 270/271 for eligibility and benefits and 276/277 for claim status, but electronic coordination-of-benefits 271 is not supported.
How do I receive an ERA 835 from this payer?
Complete the payer enrollment process before using ERA 835. ERA is supported after enrollment, so maintain another remittance workflow until enrollment is complete.
Does this payer support EFT, attachments, or combined ERA and EFT?
No. EFT, combined ERA and EFT, and electronic attachments through 275 are not available, so payment and attachment workflows must use other methods.
Run this payer inside Hero EMR
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