Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | 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) | Supported |
Other payer IDs and names
- Payer ID
4878 - Payer ID
8985 - Payer ID
HCGEN - Payer ID
HCHGN - Also listed as BCBSAZ
- Also listed as Health Choice Generations
- Also listed as Health Choice Pathway
Coverage states
Arizona.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow considerations
- Run a 270/271 eligibility and benefits check before visits; use a separate workflow for coordination of benefits.
- Choose 837P, 837I, or 837D according to the claim type, then use 276/277 to check claim status.
- Send requested supporting records through the 275 attachment transaction and associate them with the related claim when required.
- Complete payer enrollment before configuring or expecting ERA 835 files; until then, follow the practice's non-ERA remittance process.
- Do not plan on EFT or combined ERA/EFT; establish a separate process for receiving and reconciling payments.
Common questions
Can I submit professional, institutional, and dental claims electronically?
Yes. This payer supports 837P professional, 837I institutional, and 837D dental claims.
Can I verify eligibility and check claim status electronically?
Yes. Eligibility and benefits are available through 270/271, and claim status is available through 276/277. The coordination-of-benefits 271 transaction is not supported.
Can I send claim attachments electronically?
Yes. This payer supports the 275 attachment transaction for electronic supporting documentation.
How do I receive an ERA, and is EFT available?
ERA 835 is supported only after the practice completes payer enrollment. EFT and the combined ERA plus EFT option are unavailable, so use a separate payment and reconciliation workflow.
Run this payer inside Hero EMR
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