Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Enrollment required |
| Professional claims (837P) | Not 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
3587 - Payer ID
54771C
Coverage states
Pennsylvania.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow guidance
- Submit only 837I claims electronically through this payer connection; use another process for professional and dental claims.
- Complete payer enrollment before configuring 276/277, 270/271, or ERA 835 workflows.
- Until enrollment is complete, use your existing non-electronic process for eligibility and claim-status checks.
- If ERA is missing after enrollment, verify enrollment and 835 setup before reconciling the account.
- Keep EFT, combined ERA/EFT, COB 271, and 275 attachments outside this payer connection.
Common questions
Can I submit 837I claims to this payer electronically?
Yes. Institutional claims (837I) are available immediately and do not require the enrollment required for the other supported transactions.
What enrollment is required for eligibility, claim status, and ERA?
This payer requires enrollment before the practice can use claim status (276/277), eligibility and benefits (270/271), or ERA (835) electronically. Complete the paperwork before enabling these workflows.
Does this payer support ERA and EFT?
ERA 835 is supported after payer enrollment. EFT and an ERA plus EFT combined transaction are not available through this connection.
Can I send professional or dental claims, attachments, or COB electronically?
No. Professional claims (837P), dental claims (837D), attachments (275), and coordination-of-benefits 271 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.
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