Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Not supported |
| 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
10674 - Also listed as Health First Insurance
Coverage states
New York.
Workflow Considerations
- Run a 270/271 eligibility check when verifying coverage, then review the returned benefits before scheduling or billing.
- Use 276/277 to check the status of claims submitted through another approved channel; it does not submit a new claim.
- Plan a separate process for professional, institutional, and dental claims because Hero EMR does not send 837P, 837I, or 837D transactions.
- Retrieve remittance and arrange payment through another approved process because ERA, EFT, and combined ERA/EFT are unavailable in Hero EMR.
Common questions
Can I submit claims electronically to this payer through Hero EMR?
No, Hero EMR does not send 837P, 837I, or 837D transactions to this payer. Submit claims through another approved channel.
Can I check eligibility and benefits electronically?
Yes, Hero EMR supports electronic eligibility and benefits transactions using 270/271. Review the returned information before providing services or preparing billing.
Can I check claim status electronically?
Yes, Hero EMR supports electronic claim-status transactions using 276/277. Claims must be submitted through another approved channel.
Does Hero EMR support ERA or EFT for this payer?
No, Hero EMR does not support ERA, EFT, or combined ERA and EFT for this payer. Use a separate approved process for remittance and payments.
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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