Transaction availability
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Not 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
- Also listed as CHCN
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Practical workflow
- Submit 837P professional claims electronically, and confirm the claim is professional before sending.
- Complete payer enrollment paperwork before relying on ERA 835; if remittance is missing, check enrollment status first.
- Verify eligibility and benefits through another approved workflow because 270/271 is unavailable in Hero EMR for this payer.
- Use another process to check claim status; 276/277 is unavailable in Hero EMR for this payer.
- Route institutional and dental claims elsewhere, and use a separate payment process because EFT and combined ERA/EFT are unavailable.
Common questions
Can I submit professional claims electronically to this payer?
Yes. Hero EMR supports professional claims using the 837P transaction for this payer.
Do I need enrollment to receive ERA files?
Yes. ERA 835 is supported only after your practice completes the payer enrollment process.
Can I verify eligibility and benefits in Hero EMR?
No. Eligibility and benefits transactions (270/271) are not available for this payer in Hero EMR, so use another approved verification workflow.
Can I check claim status electronically in Hero EMR?
No. Claim status transactions (276/277) are not available for this payer in Hero EMR, so use another 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.
See a demo