Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | 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
11192 - Payer ID
47589 - Payer ID
47598 - Also listed as Delta Dental of Illinois (Group Plans)
Coverage states
Illinois.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow considerations
- Use 270/271 eligibility checks before visits when benefits information is needed; do not expect electronic coordination-of-benefits 271 data.
- Submit only dental claims through the 837D workflow. Route professional 837P and institutional 837I claims through another available process.
- Complete this payer’s enrollment paperwork before expecting ERA 835 files; until enrollment is active, plan for another remittance workflow.
- Because 276/277 claim status is unavailable, track submissions using clearinghouse records and your existing manual status process.
- Do not configure EFT or combined ERA/EFT as electronic options for this payer; use ERA after enrollment instead.
Common questions
Can I submit dental claims electronically to this payer?
Yes. Dental claims are supported through the 837D transaction, but professional 837P and institutional 837I claims are not.
Does this payer support electronic eligibility verification?
Yes. Standard eligibility and benefits transactions use 270/271, but electronic coordination-of-benefits 271 data is not supported.
How do I receive an ERA 835 from this payer?
ERA 835 is supported after your practice completes this payer’s enrollment paperwork. Until enrollment is active, use another remittance workflow.
Can I check claim status electronically with this payer?
No. This integration does not support 276/277 claim-status transactions, so use your existing manual status process or another available channel.
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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