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
3894 - Payer ID
4962 - Also listed as CareCore National
- Also listed as Evernorth
Plan the Remaining Workflow
- Use 837I for institutional encounters and 837P for professional encounters; confirm the claim type before transmission.
- Check eligibility through a separate process before visits because 270/271 transactions are not supported.
- Track claim status outside Hero EMR because 276/277 transactions are unavailable.
- Plan for manual or alternate handling of remittance and payment because ERA, EFT, and combined ERA/EFT are unavailable.
- Do not submit dental claims through this payer connection; use a separate supported route if one exists.
Common questions
Can I submit both institutional and professional claims electronically to this payer?
Yes. This profile supports 837I institutional claims and 837P professional claims.
Can Hero EMR check patient eligibility for this payer?
No. Eligibility and benefits transactions, 270/271, are not supported, so use a separate verification process.
Can I check claim status electronically?
No. 276/277 claim-status transactions are not available for this payer through this connection.
Does this payer support electronic remittance or electronic payments here?
No. ERA 835, EFT, and combined ERA plus EFT are not supported, so plan for another remittance and payment workflow.
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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