Supported 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
10799 - Payer ID
46483
Coverage states
Minnesota.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Notes
- Send dental claims through the 837D workflow; do not select professional or institutional claim formats for this payer.
- Run eligibility and benefits through 270/271 before visits or billing when coverage details are needed.
- Complete payer enrollment before expecting electronic remittance, then configure and monitor ERA/835 separately from EFT.
- Plan manual or payer-defined follow-up for claim status because 276/277 is unavailable.
- Use another approved process for payment delivery and coordination of benefits; EFT, combined ERA + EFT, and COB 271 are unavailable.
Common questions
Can I send 837D dental claims electronically to this payer?
Yes. This payer supports electronic dental claims using the 837D transaction.
Does this payer support electronic eligibility and benefits checks?
Yes, eligibility and benefits transactions use the 270/271 workflow. Coordination of benefits through 271 is not available.
How do I receive an ERA from this payer?
ERA/835 is supported after your practice completes payer enrollment. EFT and the combined ERA + EFT option are not available.
Can I check claim status electronically with this payer?
No. Electronic claim status transactions, 276/277, are not available for this payer.
Run this payer inside Hero EMR
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