Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Enrollment required |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
12X35 - Payer ID
DMBA - Payer ID
DMBAU - Payer ID
DX214 - Payer ID
SX105 - Payer ID
TFQ56 - Payer ID
Z1013 - Also listed as Deseret Mutual Benefit Administrators
Coverage states
Utah.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan Your Electronic Workflow
- Run a 270/271 eligibility and benefits check before visits, then retain the response for billing review.
- Use 276/277 claim-status inquiries to check a claim before deciding whether follow-up or correction is needed.
- Complete payer enrollment before submitting 837D, 837I, or 837P claims or requesting EFT and ERA 835.
- Plan separate EFT and ERA workflows because this payer does not support a combined ERA and EFT transaction.
- Use the payer’s designated process for COB information and attachments, since 271 COB and 275 transactions are unavailable.
Common questions
Can we verify eligibility and benefits electronically?
Yes. This payer supports eligibility and benefits inquiries using the 270 request and 271 response.
Which electronic claim types can we submit?
Dental 837D, institutional 837I, and professional 837P claims are supported after the practice completes payer enrollment.
Can we receive electronic remittance and funds transfer?
Yes, ERA 835 and EFT are supported after enrollment. They are available as separate transactions, not as a combined ERA and EFT service.
Does this payer support claim attachments or electronic COB?
No. Electronic attachments using 275 and coordination-of-benefits transactions using 271 are not available for this payer.
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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