Supported 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
10006 - Payer ID
1876 - Payer ID
8990
Coverage states
Wisconsin.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow for Unsupported Transactions
- Choose 837I for institutional billing and 837P for professional billing; do not use the electronic claim workflow for dental claims (837D).
- Check eligibility and benefits through your established payer process before visits, since Hero EMR does not support 270/271 for this payer.
- Track claim status outside Hero EMR using your established payer workflow; 276/277 transactions are unavailable here.
- Complete payer enrollment before expecting ERA (835); keep a separate remittance process until enrollment is confirmed.
- Keep payment posting separate because EFT and combined ERA/EFT are unavailable, and route coordination-of-benefits (271) through your established alternative process.
Common questions
Which claims can I submit electronically to this payer?
Hero EMR supports institutional claims (837I) and professional claims (837P) for this payer. Dental claims (837D) are not supported.
Can I receive an ERA from this payer in Hero EMR?
Yes, ERA (835) is supported after the practice completes payer enrollment. Until enrollment is complete, use a separate remittance workflow.
Does Hero EMR support eligibility and claim status for this payer?
No. Eligibility and benefits (270/271) and claim status (276/277) are unavailable in Hero EMR for this payer, so use your established alternative workflow.
Are EFT and coordination-of-benefits transactions supported?
No. EFT, combined ERA/EFT, and coordination-of-benefits (271) are not available through Hero EMR for this payer.
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