Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Not supported |
| 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
- Also listed as Children's Mercy PCN
- Also listed as Children's Mercy Preferred Care Network
Coverage states
Kansas, Missouri.
Workflow guidance
- Run a 270/271 eligibility inquiry before visits and review the response for coverage and benefit details.
- Use your established alternate workflow for professional, institutional, or dental claim submission; Hero cannot send 837P, 837I, or 837D transactions for this payer.
- Track claim progress outside Hero because 276/277 claim-status transactions are not supported for this payer.
- Obtain remittance details through another process and reconcile payments manually because ERA 835 is unavailable.
- Arrange payment through another process because electronic funds transfer is not supported for this payer.
Common questions
Can I check eligibility and benefits for this payer electronically?
Yes. Hero EMR supports eligibility and benefits transactions through 270/271 for this payer.
Do I need payer enrollment to use eligibility and benefits?
No enrollment step is required for the supported 270/271 eligibility and benefits workflow. It is available immediately.
Can I submit claims or check claim status in Hero?
No. Hero does not support 837P, 837I, 837D, or 276/277 transactions for this payer, so use another process for claim submission and status checks.
Does Hero support ERA or EFT for this payer?
No. ERA 835 and EFT are not available in Hero for this payer, so obtain remittance and arrange payment through another process.
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