Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Enrollment required |
| Professional claims (837P) | Enrollment required |
| 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
- Also listed as Highmark Senior Solutions Company West Virginia
Coverage states
West Virginia.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan your payer workflow
- Submit institutional claims (837I) through Hero EMR now; this transaction does not require payer enrollment.
- Complete payer enrollment before sending 276/277, 837P, 270/271, or receiving ERA (835).
- For eligibility work, distinguish supported 270/271 eligibility and benefits from the unavailable coordination-of-benefits (271) transaction.
- If ERA is missing, confirm enrollment and 835 setup, then use your manual remittance process while the issue is reviewed.
- Handle dental claims, attachments, and EFT through the payer's alternate process because Hero EMR does not support 837D, 275, or EFT.
Common questions
Can I submit institutional claims electronically?
Yes. Institutional claims (837I) are available immediately through Hero EMR, without completing payer enrollment first.
Which transactions require payer enrollment?
Enrollment is required before using claim status (276/277), professional claims (837P), eligibility and benefits (270/271), or ERA (835).
Can I verify eligibility and coordination of benefits electronically?
Eligibility and benefits (270/271) are supported after enrollment. The separate coordination-of-benefits (271) transaction is not available.
Does this payer support ERA or EFT?
ERA (835) is supported after enrollment. EFT and a combined ERA plus EFT option are not available.
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