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) | 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
- Payer ID
6816
Workflow Considerations
- Use 837P for professional claims and 837I for institutional claims; confirm the claim type before sending.
- Verify coverage through a payer channel outside Hero EMR because 270/271 eligibility transactions are unavailable.
- Check claim status through a payer channel outside Hero EMR because 276/277 transactions are unavailable.
- Plan a non-EDI process for remittance and payment reconciliation because ERA, EFT, and combined ERA/EFT are unavailable.
- Do not send dental claims through this connection; 837D is not supported.
Common questions
Which claim formats can I send electronically to this payer?
Hero EMR supports electronic institutional claims (837I) and professional claims (837P) for this payer. These transactions are available immediately.
Can I check eligibility and benefits in Hero EMR for this payer?
No. Eligibility and benefits transactions (270/271) are not supported, so verify coverage outside Hero EMR.
Can I receive ERA or EFT for this payer?
No. Electronic remittance (835), electronic funds transfer, and combined ERA/EFT support are unavailable. Plan a separate process for remittance and payment reconciliation.
How can I check a claim's status?
Hero EMR does not support claim-status transactions (276/277) for this payer. Use the payer's non-EDI process to follow submitted claims.
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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