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) | 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
8200 - Also listed as MDI Custom Provider Network
- Also listed as MDI NetworX
- Also listed as Medical Provider Association - Custom Provider Network
- Also listed as Total Plan Concepts
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Considerations
- Submit supported 837D, 837I, or 837P claims electronically, using the transaction type that matches the service and billing arrangement.
- Complete payer enrollment before relying on electronic ERA or EFT, and use another remittance or payment process while enrollment is pending.
- Verify coverage and benefits through the payer’s available non-electronic process because 270/271 transactions are not supported.
- Track claims through the payer’s available non-electronic workflow because 276/277 claim-status transactions are not supported.
- Handle coordination-of-benefits work and attachments outside electronic transactions because 271 and 275 are not supported.
Common questions
Can I submit dental, institutional, and professional claims electronically to this payer?
Yes. This payer supports dental claims through 837D, institutional claims through 837I, and professional claims through 837P.
Do I need payer enrollment for ERA and EFT?
Yes. This payer supports ERA 835 and EFT only after the practice completes payer enrollment.
Can Hero EMR check eligibility or claim status for this payer?
No. Eligibility and benefits 270/271 and claim-status 276/277 transactions are not supported, so use the payer’s available non-electronic workflow.
Can I receive ERA and EFT together?
No combined ERA and EFT transaction is available. ERA 835 and EFT are supported separately 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.
See a demo