Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| 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) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
100947 - Payer ID
10462 - Payer ID
11024 - Payer ID
12B28 - Payer ID
3589 - Payer ID
7131 - Payer ID
7474 - Payer ID
7680 - Payer ID
MTNST - Payer ID
PVNMB - Payer ID
SB941 - Payer ID
SB941MA - Payer ID
TDBAF - Payer ID
WVBCBS - Payer ID
WVBLS - Also listed as Highmark Blue Cross Blue Shield West Virginia
- Also listed as Highmark Blue Cross Blue Shield of West Virginia - Medicare Advantage
- Also listed as Mountain State Blue Cross Blue Shield West Virginia
Coverage states
West Virginia.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the workflow
- Complete payer enrollment before sending electronic eligibility requests or expecting ERA files for posting.
- Use 276/277 transactions to check claim status after submitting 837I institutional or 837P professional claims.
- Route professional claims as 837P and institutional claims as 837I; confirm the claim type before transmission.
- When enrollment is incomplete, use your approved non-EMR coverage-verification process instead of relying on electronic eligibility results.
- Prepare separate workflows for dental claims, attachments, coordination of benefits, and EFT because this payer does not support them electronically.
Common questions
Can I submit both professional and institutional claims electronically to this payer?
Yes. Use 837P for professional claims and 837I for institutional claims.
Can I check claim status electronically?
Yes, claim status is available through 276/277 transactions.
Does electronic eligibility work before payer enrollment?
Eligibility and benefits are supported through 270/271 only after the practice completes payer enrollment. Complete that enrollment before relying on electronic results in Hero EMR.
Does this payer support ERA, EFT, dental claims, COB, or attachments?
ERA 835 is supported after payer enrollment. EFT, combined ERA and EFT, 837D dental claims, coordination-of-benefits transactions, and 275 attachments are not supported.
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