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 |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow Considerations
- Choose 837I for institutional billing and 837P for professional billing; neither transaction supports dental claims.
- Verify eligibility and benefits outside Hero EMR before visits or billing, since 270/271 transactions are not available for this payer.
- Complete payer enrollment before expecting ERA 835 files, then monitor remittance separately from payment receipt.
- Use a separate payment workflow because EFT and combined ERA/EFT are unavailable.
- Check claim status through a separate permitted method and record updates in your billing workflow; 276/277 is unavailable.
Common questions
Can I submit 837I and 837P claims electronically to this payer?
Yes. Institutional claims use 837I and professional claims use 837P, and both are available without payer enrollment.
How do I get ERA 835 files from this payer?
ERA 835 is supported, but your practice must complete payer enrollment first. Do not expect electronic remittance until that enrollment requirement is complete.
Can I verify eligibility or check claim status in Hero EMR for this payer?
No. Eligibility and benefits 270/271 and claim-status 276/277 transactions are not supported, so use a separate permitted workflow for both tasks.
Does this payer support EFT or combined ERA and EFT?
No. EFT and combined ERA/EFT are unavailable, so ERA support does not provide an electronic funds-transfer option.
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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