Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Not 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) | Not supported |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow guidance
- Complete payer enrollment before attempting electronic eligibility checks or ERA setup.
- Submit only professional claims (837P) electronically; use another approved process for institutional and dental claims.
- Use the payer’s available alternative process for claim status because 276/277 transactions are unavailable.
- If ERA is missing, verify enrollment first; EFT and combined ERA/EFT are not available.
- Handle coordination-of-benefits work outside the unsupported electronic 271 workflow.
Common questions
Can I submit claims to this payer electronically?
Yes. This payer supports electronic professional claims using the 837P transaction, but institutional 837I and dental 837D claims are not available electronically.
Can I verify eligibility electronically?
Yes, eligibility and benefits transactions using 270/271 are supported after the practice completes payer enrollment. Enrollment must be completed before using this electronic workflow.
Why am I not receiving an ERA from this payer?
ERA using the 835 transaction is supported after payer enrollment. Confirm enrollment before troubleshooting remittance delivery, and do not expect EFT or a combined ERA/EFT transaction.
Can I check claim status electronically?
No. Electronic claim status transactions using 276/277 are not available for this payer, so use the payer’s available alternative process.
Run this payer inside Hero EMR
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