Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not 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) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
50 - Also listed as Amerigroup
- Also listed as WellPoint
Plan the external steps
- Run a 270/271 eligibility and benefits inquiry before visits, then document the response for scheduling and coverage review.
- Use 276/277 to follow claim status, but submit the underlying claim through another approved channel.
- For 837P, 837I, or 837D claims, establish an external submission workflow and retain confirmation with the claim record.
- Because ERA and EFT are unavailable, retrieve remittance information and payments through other methods, then reconcile postings manually.
Common questions
Can I submit professional claims electronically to this payer in Hero EMR?
No. 837P, 837I, and 837D claim transactions are not supported, so claims must use another approved submission method.
How do I check eligibility and benefits for this payer?
Use Hero EMR's supported 270/271 eligibility and benefits transaction. Payer enrollment is not required for this available transaction.
Can I check claim status electronically?
Yes. Hero EMR supports 276/277 claim status transactions for this payer.
Does Hero EMR support ERA and EFT for this payer?
No. ERA 835, EFT, and combined ERA/EFT transactions are not supported, so remittance and payment workflows need another method.
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