Supported 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) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Supported |
Other payer IDs and names
- Payer ID
8011 - Payer ID
9725 - Also listed as HealthSCOPE
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan Your Billing Workflow
- Use 837I or 837P for medical claims, and send attachments through the supported 275 transaction when documentation is needed.
- Run 270/271 eligibility and benefits checks before visits or billing, rather than relying on a claim-status transaction.
- Complete payer enrollment before setting up EFT or ERA 835; until then, use your existing payment and remittance workflow.
- Track claims through another process because 276/277 claim status transactions are unavailable.
- Route dental claims, combined ERA and EFT needs, and coordination-of-benefits work outside this connection.
Common questions
What electronic claim types does this payer support?
You can submit institutional claims (837I), professional claims (837P), and attachments (275) electronically. Dental claims (837D) are not available through this connection.
Can I check eligibility and benefits electronically?
Yes. This payer supports eligibility and benefits transactions using 270/271.
Are ERA and EFT available for this payer?
Yes, but the practice must complete payer enrollment before using ERA 835 or EFT. ERA and EFT are supported separately, not as a combined transaction.
Can I check this payer's claim status electronically?
No. Claim status transactions (276/277) are not available, so use another claim-tracking workflow.
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