Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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
07031 - Payer ID
10125 - Payer ID
11029 - Payer ID
14297 - Payer ID
1431 - Payer ID
8598 - Payer ID
94265M - Payer ID
94265MA - Payer ID
94265MC - Payer ID
CX026 - Payer ID
HDVAU - Payer ID
MEDIC - Payer ID
MEPUB - Payer ID
WIMAN - Also listed as Medica
- Also listed as Medica (UnitedHealthcare)
- Also listed as Medica Dental
- Also listed as Medica Medicare Supplement
Coverage states
Arizona, Iowa, Kansas, Minnesota, Missouri, North Dakota, Nebraska, Oklahoma, South Dakota, Wisconsin, Wyoming.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the billing workflow
- Use 270/271 eligibility checks before visits; if a needed check cannot be completed, verify coverage through your established payer workflow.
- Submit 837P, 837D, or 837I based on the claim type, then use 276/277 to monitor claim status.
- Complete payer enrollment before expecting 835 ERA files in Hero EMR; plan manual remittance posting until enrollment is active.
- Use your existing payment process because EFT and combined ERA/EFT are unavailable through this payer connection.
- Do not rely on electronic COB processing or attachments; this payer does not support coordination-of-benefits 271 or 275 transactions.
Common questions
Can I send dental, institutional, and professional claims electronically?
Yes. This payer supports 837D dental, 837I institutional, and 837P professional claims through Hero EMR.
Can I check claim status electronically?
Yes. Use the 276/277 claim-status transaction for this payer.
How do I receive an ERA from this payer?
ERA 835 is supported after your practice completes the payer enrollment process. Until enrollment is complete, plan to handle remittance through your current workflow.
Does this payer support EFT, COB, or electronic attachments?
No. EFT, combined ERA/EFT, coordination-of-benefits 271, and 275 attachments are not available through this electronic 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.
See a demo