Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | 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 |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow considerations
- Send dental claims as 837D, and confirm the claim is dental before selecting this electronic route.
- Complete payer enrollment paperwork before expecting ERA/835 files in Hero EMR.
- Check eligibility and benefits outside this connection before visits, then document the verification source.
- Monitor claim status through another workflow because 276/277 is unavailable here.
- Plan manual payment posting or another remittance workflow because EFT and combined ERA/EFT are not supported.
Common questions
Can I submit claims to this payer electronically?
Yes, Hero EMR supports electronic dental claims using 837D. Professional 837P and institutional 837I claims are not supported.
How do I receive an ERA from this payer?
ERA/835 is supported after the practice completes the payer enrollment process. It is not available before that enrollment is complete.
Can I check eligibility and benefits electronically?
No. Eligibility and benefits transactions using 270/271 are not supported through this connection, so use another verification workflow.
Can I check claim status or receive EFT?
No. Claim status 276/277, EFT, and combined ERA/EFT are not supported 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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