Supported Electronic Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not 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) | Supported |
Other payer IDs and names
- Payer ID
16578 - Payer ID
1828 - Payer ID
3615
Coverage states
Oklahoma.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Considerations
- Use 270/271 eligibility transactions before visits, but do not treat that support as coverage for coordination-of-benefits transactions.
- Submit 837I or 837P claims electronically and include required attachments through the supported attachment workflow.
- Complete payer enrollment before relying on ERA/835; keep a manual remittance-posting process until enrollment is active.
- For claim follow-up, use a non-276/277 process and maintain internal submission records because electronic claim status is unavailable.
- Plan payment reconciliation without EFT or combined ERA/EFT support; ERA can still be used separately after enrollment.
Common questions
Can I submit medical claims to this payer electronically?
Yes. Institutional claims use 837I, professional claims use 837P, and supported attachments can be sent electronically.
Does this payer support electronic eligibility checks?
Yes, eligibility and benefits are supported through 270/271 transactions. That does not include coordination-of-benefits transactions, which are unavailable.
How do I receive ERA from this payer?
ERA/835 is supported only after the practice completes payer enrollment. Until enrollment is complete, use a remittance workflow outside ERA.
Can I check claim status, submit dental claims, or use EFT?
No. Claim-status transactions (276/277), dental claims (837D), EFT, and combined ERA/EFT are unavailable for 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.
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