Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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 |
Other payer IDs and names
- Payer ID
1656 - Payer ID
5854 - Also listed as FirstCare Star Medicaid
Coverage states
Texas.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the submission workflow
- Use 270/271 for standard eligibility and benefits, but do not expect a coordination-of-benefits 271 response from this payer.
- Choose 837I for institutional claims and 837P for professional claims before submitting.
- Complete payer enrollment before configuring or relying on ERA 835 delivery.
- If EFT or combined ERA and EFT is required, establish a separate payment workflow because those options are not available.
- When dental claims or attachments are needed, use a separate process because 837D and 275 transactions are unavailable.
Common questions
Can I check eligibility and benefits electronically for this payer?
Yes, for standard eligibility and benefits. Coordination-of-benefits 271 transactions are not available.
Can I submit both institutional and professional claims electronically?
Yes. Use 837I for institutional claims and 837P for professional claims.
What is required to receive ERA 835 files?
Complete payer enrollment before using ERA. After enrollment, Hero EMR supports electronic remittance through 835 transactions.
Can I use EFT, dental claims, COB, or attachments?
No. EFT, combined ERA and EFT, dental 837D claims, 275 attachments, and coordination-of-benefits 271 transactions are not available.
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