Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Enrollment required |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
00255 - Payer ID
00331 - Payer ID
10360 - Payer ID
2254 - Payer ID
49096 - Payer ID
7907 - Payer ID
KWOTW - Payer ID
SAWHP - Payer ID
SCWHP - Payer ID
SWHP - Payer ID
TH002 - Also listed as Scott & White Health Plan
- Also listed as Scott and White Health Plan
Coverage states
Texas.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Enrollment and Workflow
- Run eligibility and benefits checks with 270/271 and claim-status requests with 276/277 before using a manual follow-up process.
- Complete this payer's enrollment before sending 837I or 837P claims or setting up EFT, ERA 835, or combined ERA/EFT.
- Track enrollment separately from claim submission so gated transactions are not treated as unsupported.
- If an ERA is missing, review remittance records and reconcile payments using your practice's available process; ERA requires enrollment.
- For dental claims, coordination-of-benefits 271, and attachments 275, use the payer's non-electronic or alternate workflow.
Common questions
Which transactions work without enrollment?
Eligibility and benefits (270/271) and claim status (276/277) are available immediately. Payer enrollment is not required for these supported transactions.
Can I submit professional or institutional claims electronically?
Yes. Professional claims (837P) and institutional claims (837I) are supported after the practice completes payer enrollment.
How do I receive this payer's ERA and EFT?
ERA 835, EFT, and the combined ERA/EFT option are supported after payer enrollment. Complete enrollment before configuring these transactions.
Does this payer support dental claims, COB 271, or attachments?
No. Dental claims (837D), coordination-of-benefits 271, and attachments (275) are not available electronically through this support profile.
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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