Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | 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 |
Other payer IDs and names
- Payer ID
6135 - Payer ID
86098 - Payer ID
Z0058 - Also listed as Avesis
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Considerations
- Use 837D for dental claims and 837P for professional claims; institutional 837I submissions are not available.
- Run standard eligibility and benefits checks through 270/271, but do not expect a coordination-of-benefits 271 response.
- Complete payer enrollment before relying on ERA 835 through Hero EMR.
- Plan a separate remittance process until ERA enrollment is completed.
- Do not plan on 276/277 status, EFT, combined ERA/EFT, or 275 attachments through this payer connection.
Common questions
Can I submit professional and dental claims electronically to this payer?
Yes. Hero EMR supports professional claims through 837P and dental claims through 837D, but institutional 837I claims are not available.
Can I check eligibility and benefits electronically?
Yes, standard eligibility and benefits inquiries use 270/271 transactions. Coordination-of-benefits 271 transactions are not supported.
How do I receive an ERA from this payer?
ERA 835 is supported after the practice completes payer enrollment. Until enrollment is complete, use a separate remittance workflow.
Does this payer support claim status, EFT, or attachments?
No. Claim-status transactions 276/277, EFT, combined ERA and EFT, and attachments through 275 are not available through Hero EMR.
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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