Supported 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
4020 - Payer ID
8749 - Payer ID
ANTHME
Coverage states
Maine.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes unknown
Workflow Considerations
- Use 270/271 eligibility and benefits transactions before visits; do not expect the connection to return coordination-of-benefits 271 information.
- Send attachments through 275 with 837P or 837I claims when documentation is needed.
- Complete payer enrollment before configuring ERA 835 workflows, and keep a manual posting plan until enrollment is active.
- Route 276/277 claim-status requests, dental 837D claims, and EFT needs through your established alternative process.
- Do not build workflows that depend on EFT or ERA/EFT pairing; plan payment handling separately from ERA receipt.
Common questions
Can this payer receive professional and institutional claims electronically?
Yes. Professional claims use 837P, institutional claims use 837I, and 275 attachments are also available.
Can I verify eligibility and benefits electronically with this payer?
Yes, 270/271 eligibility and benefits transactions are available. Coordination-of-benefits 271 transactions are not supported.
How do I receive ERA 835 files from this payer?
ERA 835 is supported after the practice completes payer enrollment. Submit the enrollment paperwork before expecting ERA workflows to operate.
Can I check claim status or use EFT electronically?
No, 276/277 claim status and EFT are not available through this connection. Combined ERA/EFT is also unavailable, so use your established alternative process.
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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