Supported transaction types
| 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) | 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
7727 - Payer ID
9674
Coverage states
Wisconsin.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan the electronic workflow
- Route eligibility checks through another approved method because this connection does not support 270/271; do not hold claims for a response it cannot return.
- Use 837I for institutional claims and 837P for professional claims; 837D dental claims are not supported here.
- Complete payer enrollment before relying on EFT or ERA/835. If enrollment is pending, use another payer-approved remittance process.
- Plan separate reconciliation for ERA and EFT; this connection does not provide a combined ERA/EFT transaction.
- Use another approved process for claim status, attachments, and coordination of benefits because 276/277, 275, and COB 271 are unavailable here.
Common questions
Which claim formats can I submit electronically to this payer?
Submit institutional claims as 837I and professional claims as 837P. Dental claims in 837D are not supported.
Does this payer support ERA and EFT?
Yes, but only after payer enrollment paperwork is completed. EFT and ERA/835 are supported separately, not as a combined ERA/EFT transaction.
Can I verify eligibility or check claim status through this connection?
No. Eligibility transactions (270/271) and claim-status transactions (276/277) are not supported, so use another approved method for those checks.
Can I send attachments or coordination-of-benefits transactions electronically?
No. Attachments (275) and coordination-of-benefits (271) transactions are not available through this connection.
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