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
Workflow guidance
- Submit institutional and professional claims through the corresponding 837 workflow.
- Complete payer enrollment before expecting ERA 835 files in Hero EMR.
- Check eligibility through another approved process because 270/271 transactions are not supported.
- Track claim status outside Hero EMR because 276/277 transactions are not supported.
- Plan a separate payment-reconciliation process because EFT and combined ERA/EFT are unavailable.
Common questions
Can I submit professional claims electronically to this payer?
Yes. Professional claims use the supported 837P transaction in Hero EMR.
Can I submit institutional claims electronically to this payer?
Yes. Institutional claims use the supported 837I transaction in Hero EMR.
How do I receive ERA files from this payer?
ERA 835 is supported after the practice completes payer enrollment. Until enrollment is complete, use a separate process for remittance information.
Does Hero EMR support eligibility checks and claim status for this payer?
No. Eligibility and benefits through 270/271 and claim status through 276/277 are not supported, so obtain those details outside 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.
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