Payer transaction support
| 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 |
Other payer IDs and names
- Payer ID
3269 - Payer ID
4925
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Practical workflow guidance
- Match the claim format to the care setting: use 837I for institutional claims and 837P for professional claims.
- Complete the payer's enrollment paperwork first if the practice wants ERA 835 delivery.
- Check eligibility and benefits outside Hero EMR because 270/271 support is not available for this payer.
- Use your established workflow for claim status because 276/277 transactions are not supported.
- Plan payment posting without EFT or combined ERA and EFT, using your current reconciliation process.
Common questions
Can I submit both 837I and 837P claims?
Yes. Hero EMR supports 837I institutional claims and 837P professional claims for this payer.
How do I receive ERA 835 files?
ERA is supported, but the practice must complete payer enrollment paperwork first. After enrollment, the connection can support electronic remittance transactions.
Can I check eligibility and benefits in Hero EMR?
No. The 270/271 eligibility and benefits transaction is not supported, so use your established eligibility-check process.
Can this connection return claim status or EFT?
No. Claim status through 276/277, EFT, and combined ERA and EFT are not supported for this payer.
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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