Supported and Unavailable Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Not supported |
| 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
5066 - Payer ID
9111
Workflow When Support Is Limited
- Submit medical claims as 837I or 837P based on the claim type, and confirm claim data is complete before transmission.
- Verify eligibility and benefits through a payer-approved method outside Hero EMR before scheduling or billing when coverage information is needed.
- Use the payer's approved process to check claim status because 276/277 status transactions are unavailable in Hero EMR.
- Plan to retrieve remittance and payment information outside the connection, then post payments manually because ERA and EFT are unavailable.
- Route dental claims through a separate workflow because 837D is not supported by this payer connection.
Common questions
Which electronic claim formats can I send to this payer?
Hero EMR supports institutional claims in the 837I format and professional claims in the 837P format. Both are available immediately without payer enrollment.
Can I check eligibility and claim status electronically?
No. Eligibility and benefits transactions (270/271) and claim status transactions (276/277) are not available through this payer connection.
Are dental claims supported electronically?
No. Dental claims in the 837D format are not available through this payer connection.
Does this payer support ERA or EFT?
No. ERA (835), EFT, and combined ERA/EFT transactions are not available through this connection, so payment and remittance details must come through another approved channel.
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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