Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | 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
00159 - Payer ID
00410 - Payer ID
10788 - Payer ID
4517 - Payer ID
6409 - Payer ID
KHXPG - Payer ID
TLZ41 - Also listed as First Commonwealth
- Also listed as Guardian Dental
- Also listed as Guardian Managed Dentalguard
- Also listed as Managed Dental Care
- Also listed as The Guardian Life Insurance Company of America
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow guidance
- Submit each claim in the applicable format: 837D for dental, 837I for institutional, or 837P for professional claims.
- Use 270/271 for routine eligibility and benefits checks, but handle coordination-of-benefits information through a separate workflow.
- Complete payer enrollment before expecting ERA/835 delivery; until enrollment is complete, retain your existing remittance process.
- Use a separate process to check claim status, since 276/277 transactions are unavailable in Hero EMR.
- Plan separate handling for EFT, combined ERA/EFT, and attachments because Hero EMR does not support them.
Common questions
Which claim formats can I send electronically to this payer?
You can submit 837D dental, 837I institutional, and 837P professional claims electronically through Hero EMR.
Can I verify eligibility and benefits electronically?
Yes. Eligibility and benefits use 270/271, but coordination-of-benefits (271) transactions are not supported.
How do I get ERA 835 from this payer?
ERA/835 is supported after the practice completes payer enrollment. Until enrollment is complete, use your existing remittance workflow.
Does Hero EMR support claim status, EFT, or attachments for this payer?
No. Claim status 276/277, EFT, combined ERA/EFT, and attachments 275 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