Supported payer 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) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Coverage states
Illinois, Indiana, Kentucky, Oklahoma, West Virginia.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow by transaction type
- Route facility and professional billing to 837I and 837P respectively, confirming the claim type before submission.
- Complete payer enrollment before relying on ERA (835); until it is active, use your existing process to obtain and post remittance information.
- Verify coverage through a separate workflow because Hero EMR does not support eligibility and benefits transactions (270/271).
- Track claim progress outside Hero EMR because electronic claim-status transactions (276/277) are unavailable.
- Plan payment reconciliation separately because EFT and ERA/EFT combined processing are unavailable in Hero EMR.
Common questions
Can I submit 837P claims to this payer?
Yes. Hero EMR supports professional claims using the 837P transaction for this payer.
Can I submit 837I claims to this payer?
Yes. Institutional claims can be submitted electronically using 837I.
Can I receive an ERA from this payer?
Yes, but your practice must complete payer enrollment first. ERA processing is not available until that enrollment requirement is met.
Can I verify eligibility or check claim status in Hero EMR?
No. Hero EMR does not support this payer's eligibility and benefits transactions (270/271) or claim-status transactions (276/277), so use a separate workflow.
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.
See a demo