Supported payer 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) | 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
11063 - Payer ID
4616 - Payer ID
6128 - Also listed as GCHP
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Plan the workflow
- Select 837I for institutional claims and 837P for professional claims; confirm the claim type before transmission.
- Because 270/271 eligibility is unavailable, verify coverage through another payer-approved method before scheduling or billing.
- Since 276/277 status is unavailable, track adjudication through another payer-approved channel and document follow-up.
- Complete payer enrollment before expecting ERA (835) files; until then, use your existing remittance workflow.
- Do not plan EFT or combined ERA/EFT reconciliation through Hero EMR; reconcile payments using the practice's separate payment process.
Common questions
Can I submit both 837I and 837P claims to this payer?
Yes. Institutional claims use 837I, and professional claims use 837P.
Is ERA available for this payer?
Yes, but only after the practice completes payer enrollment. Without enrollment, ERA files should not be expected through this connection.
Does this payer support electronic eligibility checks or claim status?
No. This connection does not support eligibility and benefits (270/271) or claim status (276/277), so use another payer-approved method for those checks.
Can this payer send EFT or accept dental claims electronically?
No. Dental claims (837D), EFT, combined ERA and EFT, and coordination-of-benefits transactions are not supported 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