Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not 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) | Not supported |
Other payer IDs and names
- Payer ID
2241 - Payer ID
4970 - Also listed as HealthSmart Network Solutions
- Also listed as U.S. Benefits
- Also listed as US Benefits
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Guidance
- Route institutional services through 837I and professional services through 837P; confirm the claim type before submission.
- Complete payer enrollment before relying on EFT or ERA 835, and retain enrollment records for reconciliation.
- Because eligibility and benefits 270/271 is unsupported, verify coverage through another payer-specified method before appointments or claim submission.
- Use another payer-specified method for claim status because 276/277 is unavailable through this connection; keep submission identifiers for follow-up.
- Handle dental claims, coordination of benefits, and attachments outside this electronic connection according to payer instructions.
Common questions
Can I submit 837I or 837P claims electronically?
Yes. This payer supports institutional claims (837I) and professional claims (837P) electronically.
Do I need payer enrollment for EFT and ERA?
Yes. EFT and ERA 835 are supported only after the practice completes the payer's enrollment process.
Can I check patient eligibility electronically?
No, eligibility and benefits transactions (270/271) are not supported for this payer. Use another process specified by this payer and record the result before billing.
Can I check claim status or send attachments electronically?
Claim status (276/277) and attachments (275) are not supported. Follow this payer's instructions for another submission or follow-up method.
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