Supported 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) | Not supported |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Coverage states
Georgia, Kentucky, North Carolina, Pennsylvania, South Carolina, Tennessee, Virginia.
Workflow Guidance
- Use Hero EMR for 837P submissions only; confirm each claim is professional rather than institutional or dental before sending.
- Verify coverage and benefits through a separate workflow before visits because 270/271 transactions are not supported.
- Track claim progress outside Hero EMR because 276/277 claim-status transactions are unavailable.
- Plan separate remittance-posting and payment-reconciliation workflows because ERA 835 and EFT are unavailable.
- Route institutional and dental claims through systems that support 837I and 837D.
Common questions
Can I submit professional claims to this payer through Hero EMR?
Yes. Professional claims use the 837P transaction, which is available immediately for this payer.
Does Hero EMR support eligibility checks for this payer?
No. Eligibility and benefits transactions using 270/271 are not supported, so use a separate workflow to verify coverage.
Can I check claim status electronically in Hero EMR?
No. The 276/277 claim-status transactions are unavailable for this payer, so track claim progress through a separate process.
Can I receive ERA or EFT for this payer through Hero EMR?
No. ERA 835 and EFT are unavailable, so remittance posting and payment reconciliation require separate workflows.
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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