Supported Payer Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | 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 |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow Considerations
- Use 837I for institutional claims and 837P for professional claims, and confirm the claim type before submission.
- Complete payer enrollment before relying on ERA/835 delivery; track enrollment status and reconcile remittances separately until enabled.
- Verify eligibility and benefits through a non-EMR process because Hero EMR does not support 270/271 transactions.
- Monitor claim status through a payer-approved alternative; 276/277 status transactions are unavailable in Hero EMR.
- Plan EFT and payment posting separately because EFT and combined ERA/EFT transactions are not supported.
Common questions
Can I submit both institutional and professional claims to this payer?
Yes. Hero EMR supports 837I institutional claims and 837P professional claims for this payer.
Is ERA available for this payer?
Yes, but only after the practice completes payer enrollment. ERA/835 is supported once that requirement is complete.
Can I verify eligibility and benefits in Hero EMR?
No. Hero EMR does not support 270/271 eligibility and benefits transactions, so use another process to verify coverage.
Can I check claim status or receive EFT through Hero EMR?
No. 276/277 claim status, EFT, and combined ERA/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.
See a demo