Electronic 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) | 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) | Supported |
Coverage states
Maine.
Recommended workflow
- Use 270/271 eligibility and benefits inquiries before visits, and review the response for coverage details that affect scheduling or patient responsibility.
- Send supporting records with 275 attachments when needed, and associate each attachment with the correct claim or request.
- Use 276/277 for claim status checks; submit the underlying claim through your established process because 837P, 837I, and 837D are unavailable here.
- Plan a separate workflow for ERA and EFT because 835, electronic funds transfer, and combined ERA/EFT are not supported through this connection.
Common questions
Can I submit claims electronically to this payer?
No. Professional, institutional, and dental claim transactions, including 837P, 837I, and 837D, are not available through this payer connection.
How can I verify eligibility and benefits?
Use an electronic 270 inquiry and review the payer's 271 response in Hero EMR. Eligibility and benefits support is available for this payer.
Does this payer support claim attachments and status checks?
Yes. Attachments use 275, and claim status uses 276/277; these transactions are supported even though 837 claim submission is not.
Can I receive ERA or EFT?
No. ERA 835, EFT, and combined ERA and EFT transactions are not available through this payer connection. Use a separate established workflow for remittance and payment processing.
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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