Supported Electronic Transactions
| 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) | Enrollment required |
| ERA + EFT combined | Enrollment required |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
101008 - Payer ID
10399 - Payer ID
10552 - Payer ID
1556 - Payer ID
1978 - Payer ID
2795 - Payer ID
3839 - Payer ID
4742 - Payer ID
52192 - Payer ID
52192MA - Payer ID
5694 - Payer ID
63092MA - Payer ID
ANDPM - Payer ID
BRAVO - Payer ID
ELDER - Payer ID
ELDRHL - Payer ID
HSPRNG - Also listed as Bravo Health
- Also listed as HCSC
- Also listed as HealthSpring (Bravo Health Elder Health)
- Also listed as HealthSpring HMO Medicare Choice
Coverage states
Alabama, Delaware, Florida, Illinois, Maryland, Minnesota, New Jersey, Pennsylvania, Tennessee, Texas, Washington.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan Your Electronic Workflow
- Run 270/271 eligibility checks before visits; if the response is missing or unclear, use your established payer verification process.
- Send professional services as 837P and institutional services as 837I, matching the transaction to the claim type.
- Use 276/277 to monitor claim status, and investigate missing responses separately from denials or other claim outcomes.
- Submit payer enrollment paperwork before setting up EFT, ERA 835, or combined ERA/EFT, then confirm the setup before relying on electronic payment records.
- Plan a separate process for dental 837D claims, coordination-of-benefits 271 work, and attachments 275.
Common questions
Can I check this payer's claim status electronically?
Yes. Claim status is supported through the 276/277 transaction pair.
Which claim types can I submit electronically?
Professional claims use 837P, and institutional claims use 837I. Dental claims using 837D are not supported.
Is electronic eligibility verification supported?
Yes, eligibility and benefits are supported through 270/271. This support does not include coordination-of-benefits 271 transactions.
How do I receive ERA and EFT from this payer?
EFT, ERA 835, and combined ERA/EFT are supported only after you complete payer enrollment. Do not expect electronic payment or remittance through these options until enrollment is complete.
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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