Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | 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
10362 - Payer ID
12X74 - Payer ID
4292 - Payer ID
5678 - Payer ID
HPOSM - Payer ID
HPSM1MA - Payer ID
SX174 - Also listed as Care Advantage
- Also listed as HPSM
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Plan your payer workflow
- Submit 837I or 837P based on the claim type, and verify required claim data before transmission.
- Run 270/271 eligibility and benefits checks before visits, then record the results in your registration or billing workflow.
- Complete payer enrollment before relying on ERA 835, and plan manual or alternate remittance handling while enrollment is pending.
- Track claim follow-up through your established payer process because 276/277 claim status transactions are unavailable.
- Use your existing non-electronic process for dental claims, EFT, combined ERA and EFT, coordination of benefits, and attachments.
Common questions
Can I submit professional claims electronically to this payer?
Yes. Professional claims are supported through 837P, and institutional claims are supported through 837I.
Can I check eligibility and benefits electronically?
Yes, eligibility and benefits are supported through 270/271 transactions. Coordination-of-benefits information is not available through the electronic transaction set.
How do I receive an ERA from this payer?
ERA 835 is supported after your practice completes the payer enrollment process. Do not rely on electronic remittance until enrollment is complete.
Does this payer support claim status, EFT, or attachments?
No. Claim status 276/277, EFT, combined ERA and EFT, and attachments 275 are not available electronically.
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