Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | 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) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10952 - Payer ID
6197P - Payer ID
66039 - Payer ID
QFVIA - Payer ID
Z1419 - Also listed as MCS Healthcare Holdings
- Also listed as MCS Life Insurance Company
- Also listed as MCS Puerto Rico
- Also listed as Medical Card System
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow considerations
- Run 270/271 eligibility and benefits checks before visits; do not expect coordination-of-benefits details from this payer.
- Route dental, institutional, and professional claims as 837D, 837I, or 837P, respectively.
- Complete payer enrollment before relying on ERA/835, and keep a manual or alternate remittance workflow until enrollment is complete.
- Use internal follow-up procedures for claim status because 276/277 transactions are unavailable.
- Plan separate payment posting and attachment processes because EFT, combined ERA/EFT, and 275 attachments are unavailable.
Common questions
Can I submit dental, institutional, and professional claims electronically?
Yes. Submit dental claims as 837D, institutional claims as 837I, and professional claims as 837P.
Does this payer support electronic eligibility verification?
Yes, eligibility and benefits are available through 270/271 transactions. Coordination-of-benefits details are not supported.
How do I receive ERA from this payer?
ERA/835 is supported after your practice completes payer enrollment. Complete the enrollment process before relying on electronic remittance in your workflow.
Can I check claim status or receive EFT electronically?
No. Claim status through 276/277, EFT, combined ERA/EFT, and 275 attachments are unavailable through this connection.
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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