Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10536 - Payer ID
3425 - Payer ID
3520 - Payer ID
549 - Payer ID
NYIHAW - Payer ID
PKQUF - Payer ID
SX073 - Payer ID
SX073MA - Payer ID
WONRS - Also listed as Independent Health Association, Inc.
Coverage states
New York.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow guidance
- Start with eligibility and benefits 270/271 and claim-status 276/277, which are available without payer enrollment.
- Complete payer enrollment before sending 837I or 837P claims or setting up EFT and ERA.
- Keep an alternate workflow for dental 837D claims and 275 attachments, which this payer does not support.
- If coordination-of-benefits information is needed, do not rely on a 271 COB transaction from this payer; document a separate process.
- Configure EFT and ERA as separate enrolled transactions because the combined ERA and EFT option is unavailable.
Common questions
Which transactions require payer enrollment?
Enrollment is required for 837I, 837P, EFT, and ERA. Eligibility and benefits 270/271 and claim status 276/277 are available without that enrollment.
Can I verify eligibility and check claim status electronically?
Yes. This payer supports 270/271 eligibility and benefits and 276/277 claim status, but it does not support a coordination-of-benefits 271 transaction.
Are 837P and 837I claims supported?
Yes, professional 837P and institutional 837I claims are supported after enrollment. Dental claims using 837D are not available.
Can I receive ERA and EFT from this payer?
ERA and EFT are each supported after payer enrollment. A combined ERA and EFT transaction is not available, so configure them as separate transactions.
Run this payer inside Hero EMR
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