Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Not 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
5299 - Also listed as VSP Vision
- Also listed as iCare Health Options Third Party Administrator
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow notes
- Send professional claims electronically through the 837P workflow; institutional and dental claim formats are not available.
- Confirm coverage and benefits outside Hero EMR because eligibility transactions, 270/271, are not supported.
- Use the payer's other available process for claim-status checks because 276/277 transactions are not supported.
- Complete payer enrollment paperwork before relying on ERA 835 for electronic remittance.
- Plan payment posting separately because EFT and combined ERA/EFT transactions are not supported.
Common questions
Can this payer receive electronic professional claims?
Yes. Hero EMR supports 837P professional claims for this payer, and this support is available immediately.
Is ERA available for this payer?
Yes, ERA 835 is supported after the practice completes payer enrollment. Submit the enrollment paperwork before expecting electronic remittance through Hero EMR.
Can I verify eligibility through Hero EMR?
No. Eligibility transactions, including 270/271, are not supported, so confirm benefits through another available process.
Does Hero EMR support EFT for this payer?
No. EFT and combined ERA/EFT transactions are not supported for this payer, although ERA 835 is available after enrollment.
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