Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | Supported |
| Electronic remittance (ERA 835) | Not supported |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Workflow guidance
- Run a 270/271 eligibility check before visits; use other workflows when coordination-of-benefits information is needed.
- Send dental claims as 837D; use a different submission route for professional 837P and institutional 837I claims.
- Use 276/277 to follow claim status because this payer does not provide an electronic 835 remittance.
- Plan manual or alternate payment-posting steps because ERA, EFT, and combined ERA plus EFT are unavailable.
Common questions
Can I submit dental claims electronically to this payer?
Yes. Dental claims can be submitted electronically in the 837D format.
How can I check this payer's claim status electronically?
Use the supported 276/277 claim-status transactions to check claim progress.
Does this payer support electronic eligibility and benefits checks?
Yes. Hero EMR supports eligibility and benefits transactions through 270/271, but coordination-of-benefits 271 transactions are not supported.
Can I receive an ERA or EFT from this payer through Hero EMR?
No. ERA 835, EFT, and combined ERA plus EFT transactions are not supported for this payer.
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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