Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
00213 - Payer ID
06108 - Payer ID
10385 - Payer ID
22340 - Payer ID
2855 - Payer ID
6514 - Payer ID
95567MA - Payer ID
ANGQC - Payer ID
GQLEF - Payer ID
HNNC - Payer ID
NTRSH - Payer ID
QMDCE - Payer ID
QMDPO - Payer ID
XHNNC - Payer ID
Z1378 - Also listed as Centene
- Also listed as Health Net
- Also listed as Qual Medical Colorado
- Also listed as Qual Medical Portland
Coverage states
California, Oregon.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Practice Workflow
- Run 270/271 eligibility and benefits checks before visits, and use 276/277 transactions when claim-status follow-up is needed.
- Submit institutional claims as 837I and professional claims as 837P; handle dental claims through a separate accepted workflow.
- Complete payer enrollment before expecting ERA 835 files; plan a non-ERA remittance workflow until enrollment is complete.
- Use a separate payment workflow because EFT and combined ERA/EFT are unavailable.
- Keep an alternative document-submission workflow for attachments because 275 transactions are unavailable.
Common questions
Which claim types can I submit electronically?
Institutional claims use 837I and professional claims use 837P. Dental claims using 837D are not available through this payer's electronic support.
Can I check claim status electronically?
Yes. Use 276/277 transactions for electronic claim-status inquiries and responses.
Can I verify eligibility and coordination of benefits electronically?
Yes. Eligibility and benefits use 270/271 transactions, while coordination-of-benefits information is supported through 271.
How do ERA, EFT, and attachments work?
ERA 835 is supported after the practice completes payer enrollment. EFT, combined ERA/EFT, and 275 electronic attachments are not available.
Run this payer inside Hero EMR
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