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) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
1795 - Payer ID
56190 - Payer ID
E46278 - Payer ID
ZP4009 - Also listed as Centene Vision
- Also listed as Dental Health and Wellness - Envolve Dental
- Also listed as Envolve Benefit Options (Vision)
- Also listed as Envolve Health
- Also listed as Envolve Vision
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan around transaction limits
- Submit 837P for professional services. Route 837I and 837D needs through your standard payer workflow, not this connection.
- Use 270/271 for eligibility and benefits, but handle coordination-of-benefits work separately because COB 271 is unavailable.
- Complete payer enrollment before relying on EFT or ERA 835. They are supported separately after enrollment, but a combined ERA and EFT transaction is unavailable.
- If an ERA is missing, first confirm enrollment is complete, then reconcile payments through your standard process.
- Use a separate workflow for 276/277 claim status and 275 attachments because neither transaction is available here.
Common questions
Can we submit professional claims to this payer electronically?
Yes. Professional claims use 837P, while institutional 837I and dental 837D claims are not supported through this electronic connection.
Can this payer process eligibility and benefits electronically?
Yes, eligibility and benefits are supported through 270/271. This does not include coordination-of-benefits transactions identified as COB 271.
Why am I not receiving an ERA or EFT from this payer?
EFT and ERA 835 are supported only after the practice completes payer enrollment. Confirm enrollment is complete before treating either transaction as available.
Can I check claim status or submit attachments electronically?
No. Claim status 276/277 and attachments 275 are unavailable, so those needs must be handled outside this connection.
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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