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
10200 - Payer ID
12K28 - Payer ID
2477 - Payer ID
5532 - Payer ID
CKWV1 - Payer ID
SKWV0 - Payer ID
WVMCD - Payer ID
WV_MES_4_MMS_IG - Also listed as Medicaid West Virginia
- Also listed as West Virginia Bureau for Medical Services
Coverage states
West Virginia.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow guidance
- Send 837I or 837P claims according to the setting, then use 276/277 transactions to check claim status.
- Use 270/271 for eligibility and benefits, but handle coordination-of-benefits information through a separate process.
- Complete payer enrollment before setting up 835 ERA workflows; use another remittance process while enrollment is pending.
- Route dental 837D claims, EFT, and 275 attachments through a separate channel because they are not supported here.
- Do not expect a combined ERA and EFT transaction; plan separate remittance and payment workflows.
Common questions
Can I submit institutional and professional claims electronically to this payer?
Yes. Institutional claims use 837I, while professional claims use 837P.
Can I check claim status and eligibility electronically?
Yes, claim status uses 276/277, and eligibility and benefits use 270/271. The coordination-of-benefits 271 transaction is not available through this connection.
Is ERA available for this payer?
Yes, ERA 835 is supported after the practice completes payer enrollment. Until enrollment is complete, use a non-ERA remittance workflow.
Can I send dental claims or attachments, or receive EFT?
No. Dental claims (837D), EFT, combined ERA and EFT, and attachments (275) are not available through this connection.
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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