Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
11017 - Payer ID
2909 - Payer ID
5231 - Payer ID
95853 - Payer ID
ALOHA - Payer ID
Z1375
Coverage states
Hawaii.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow considerations
- Run eligibility and benefits before visits using 270/271; do not expect electronic claim-status responses from this payer.
- Complete payer enrollment before sending 837I or 837P claims or requesting EFT and ERA 835.
- Keep a manual process for claim follow-up because 276/277 status transactions are unavailable.
- Plan separate EFT and ERA workflows; this payer does not offer a combined ERA and EFT transaction.
- Route dental claims, COB 271 requests, and attachments through processes outside the supported electronic transactions.
Common questions
Can I check eligibility electronically with this payer?
Yes. Eligibility and benefits are available electronically through the 270/271 transaction.
Does this payer support electronic institutional and professional claims?
Yes, 837I institutional claims and 837P professional claims are supported. Payer enrollment must be completed before using these transactions.
Can I receive ERA and EFT electronically from this payer?
Yes, ERA 835 and EFT are supported separately after payer enrollment. A combined ERA and EFT transaction is not available.
Can I check claim status or send dental claims and attachments electronically?
No. Claim status through 276/277, dental claims through 837D, coordination-of-benefits 271, and attachments through 275 are 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.
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