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 |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Plan your billing workflow
- Send institutional encounters as 837I claims and professional services as 837P claims.
- Verify coverage and benefits through a separate workflow because 270/271 eligibility transactions are unavailable here.
- Use a separate process to follow claim progress because 276/277 status transactions are not supported.
- Complete enrollment for this payer before relying on ERA 835 files; use your current remittance workflow until enrollment is active.
- Handle dental claims, EFT, combined ERA and EFT, and coordination-of-benefits work outside Hero EMR.
Common questions
Can I submit 837I and 837P claims to this payer?
Yes, both are supported. Use 837I for institutional claims and 837P for professional claims.
Does this payer support ERA 835 in Hero EMR?
ERA 835 is supported after enrollment for this payer. Complete the required enrollment before relying on electronic remittance.
Can I verify eligibility or check claim status electronically?
Not through this payer connection. Eligibility and benefits (270/271) and claim status (276/277) transactions are unavailable.
Are dental claims, EFT, or coordination-of-benefits transactions supported?
No. Dental claims (837D), EFT, combined ERA and EFT, and coordination-of-benefits (271) transactions are unavailable through Hero EMR.
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