Supported 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): multi step enrollment, typically takes hours
Workflow considerations
- Use 837P for professional services and 837I for institutional claims; confirm the claim format before sending.
- Verify eligibility through another workflow before visits or claim submission; this connection does not support 270/271.
- Monitor claim status outside this connection because 276/277 responses are unavailable.
- Complete payer enrollment before setting up ERA/835 posting, and do not expect EFT or combined ERA/EFT.
- Route dental claims (837D) and coordination-of-benefits (271) transactions through another supported process.
Common questions
Which claims can I submit electronically to this payer?
This connection supports institutional claims (837I) and professional claims (837P). Dental claims (837D) are not supported.
How do I receive an ERA from this payer?
ERA (835) is supported after the practice completes payer enrollment. Do not expect ERA files through this connection before enrollment is complete.
Can I verify eligibility or check claim status electronically?
No. Eligibility and benefits (270/271) and claim status (276/277) are not available through this connection, so use another supported workflow.
Can I receive EFT or combined ERA/EFT?
No. EFT and combined ERA/EFT are not available. ERA remains available only after payer 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.
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