Supported Electronic 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 |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow Notes
- Submit 837I or 837P claims through the supported electronic workflow, using the format that matches the encounter.
- Complete payer enrollment before relying on ERA 835; until activation, plan another way to obtain remittance details.
- Verify coverage through another process because eligibility and benefits transactions are not supported.
- Use your established payer process to check claim status because 276/277 transactions are unavailable.
- Do not expect dental 837D, EFT, combined ERA and EFT, or coordination of benefits 271 transactions.
Common questions
Which claim types can we send electronically to this payer?
Hero EMR supports institutional claims (837I) and professional claims (837P) for this payer. Dental claims (837D) are not supported.
Can we receive an ERA from this payer?
Yes, ERA (835) is supported after your practice completes payer enrollment. It is not available before enrollment is completed.
How can we verify eligibility and benefits?
Eligibility and benefits transactions (270/271) are not supported for this payer in Hero EMR. Use another established process to verify coverage.
Is electronic claim status available?
No, claim status transactions (276/277) are not supported. Check claim status through your established payer process.
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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