Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
00425 - Payer ID
9402
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow guidance
- Run 270/271 eligibility and benefits checks before visits; use a separate workflow for coordination-of-benefits information or attachments.
- Use 837D for dental claims; route professional 837P and institutional 837I claims through another available submission method.
- Complete payer enrollment before depending on EFT deposits or ERA 835 files for payment posting.
- Until enrollment is complete, plan a separate remittance workflow, since ERA 835 and EFT will not yet be available.
- Use 276/277 to check claim status and retain returned responses for follow-up.
Common questions
Does this payer support electronic eligibility and benefits checks?
Yes. The 270/271 transaction supports eligibility and benefits, but coordination-of-benefits information is not available through this connection.
How can I check claim status electronically?
Use the 276/277 claim-status transaction to submit a status inquiry and receive the payer's response.
Which claim types can be submitted electronically?
Dental claims (837D) are supported. Professional claims (837P) and institutional claims (837I) are not available through this connection.
Can I receive ERA and EFT electronically?
Yes, but both require completion of payer enrollment paperwork first. ERA 835 and EFT are supported separately; a combined ERA and EFT transaction is not available.
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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