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 considerations
- Verify eligibility and benefits outside Hero EMR before visits or billing; 270/271 transactions are not supported for this payer.
- Track submitted claims through another payer workflow because 276/277 claim-status transactions are unavailable.
- Complete payer enrollment paperwork before setting up ERA (835), then confirm that remittance routing is active.
- Choose 837I for institutional claims and 837P for professional claims; dental 837D submission is not supported.
- Handle coordination-of-benefits work outside Hero EMR, and arrange separate payment processing because 271, EFT, and combined ERA/EFT are unavailable.
Common questions
Can I submit institutional and professional claims electronically to this payer?
Yes. Hero EMR supports institutional 837I and professional 837P claim submission for this payer.
How do I receive ERA from this payer?
ERA (835) is supported after the practice completes payer enrollment paperwork. It is not available before enrollment is completed.
Can Hero EMR check eligibility or claim status for this payer?
No. Eligibility and benefits transactions 270/271 and claim-status transactions 276/277 are not supported, so use another payer workflow.
Can I receive EFT when I enroll for ERA?
No. EFT and combined ERA/EFT are unavailable, although ERA can be enabled after payer enrollment.
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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