Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not 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
- Submit 837P for professional claims and 837I for institutional claims; keep the transaction type aligned with the claim.
- Run a 270/271 eligibility and benefits check before visits; do not use this support for COB-specific 271 transactions.
- Use 276/277 after claim submission to monitor status; retain the response for follow-up and payer correspondence.
- Plan a separate process for 835 ERA, EFT, and combined ERA/EFT, since none are available through this connection.
- Route dental 837D claims and 275 attachments through another accepted channel.
Common questions
Can I submit professional and institutional claims electronically?
Yes. Submit 837P for professional claims and 837I for institutional claims; 837D dental claims are not supported.
Can I verify eligibility and benefits electronically?
Yes. Use 270/271 for eligibility and benefits, but do not expect COB-specific 271 transaction support.
Can I check claim status electronically?
Yes. This payer supports 276 requests and 277 responses for tracking submitted claims.
Are ERA and EFT supported?
No. 835 ERA, EFT, and a combined ERA/EFT workflow are not available, so plan separate remittance and payment-posting procedures.
Run this payer inside Hero EMR
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