Supported 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 |
Other payer IDs and names
- Payer ID
1145 - Also listed as CPMG
- Also listed as Physicians Management Group
- Also listed as Rady Children's Health Network
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow considerations
- Submit institutional services as 837I claims and professional services as 837P claims through your normal Hero EMR workflow.
- Complete payer enrollment before relying on ERA/835; until activated, monitor remittances through your existing payer process.
- Verify eligibility outside Hero EMR because 270/271 eligibility and benefits transactions are not supported.
- Check claim status through the payer’s available process because 276/277 is not supported here.
- Plan payment posting separately because EFT and combined ERA/EFT are not supported.
Common questions
What electronic claims can I send to this payer?
Hero EMR supports institutional claims (837I) and professional claims (837P) for this payer. Dental claims (837D) are not supported.
Is ERA available for this payer?
Yes, ERA/835 is supported after the practice completes payer enrollment. It is not available for use until that enrollment is completed.
Can I verify eligibility or check claim status in Hero EMR?
No. Eligibility and benefits transactions (270/271) and claim status transactions (276/277) are not supported for this payer.
Does this payer support EFT or combined ERA and EFT?
No. EFT and combined ERA/EFT transactions 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.
See a demo