Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Enrollment required |
| 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
12X29 - Also listed as Health Solutions
- Also listed as WPS
- Also listed as Wisconsin Commercial
- Also listed as Wisconsin Physicians Service Commercial
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes days
Plan your payer workflow
- Run eligibility and benefits checks before visits, but do not rely on the unsupported coordination-of-benefits transaction.
- Complete payer enrollment before sending institutional claims electronically or expecting ERA setup to be available.
- Submit professional claims electronically; route dental claims and attachments through your practice’s other workflows.
- If ERA is missing, check enrollment first; EFT is unavailable, so use a separate remittance and payment process.
- Track claim status outside Hero EMR because 276/277 transactions are unavailable.
Common questions
Can I submit professional claims electronically to this payer?
Yes. Professional claims use 837P and are available immediately in Hero EMR.
Can I send institutional claims electronically to this payer?
Yes, after payer enrollment is completed. Do not expect 837I submission to be available before the enrollment paperwork is finished.
Why am I not receiving an ERA from this payer?
ERA (835) requires payer enrollment before it is available. Confirm that enrollment is complete; EFT is not available, so ERA cannot be paired with EFT through this payer.
Does this payer support eligibility, claim status, or attachments electronically?
Eligibility and benefits inquiries (270/271) are available, but claim status (276/277) and attachments (275) are not. Coordination of benefits (271) is also unavailable.
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