Transaction support for this payer
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| 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
056000522 - Payer ID
11140 - Payer ID
12K74 - Payer ID
6075 - Payer ID
7421 - Payer ID
CKRI1 - Payer ID
RIMCD - Also listed as Rhode Island Medicaid
Coverage states
Rhode Island.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Plan around enrollment and gaps
- Use 270/271 for eligibility and benefits checks, but do not expect that transaction to return coordination-of-benefits information.
- Send 837D dental claims electronically; complete payer enrollment before sending 837P professional or 837I institutional claims.
- Use 276/277 for claim status, and track 835 ERA enrollment separately from claim-submission setup.
- Keep a manual or alternate process for EFT, combined ERA/EFT, COB 271 transactions, and 275 attachments.
Common questions
Can I check eligibility and benefits electronically for this payer?
Yes. The 270/271 eligibility and benefits transaction is available, but it does not support coordination-of-benefits data.
Are professional and institutional claims supported electronically?
Yes, 837P professional and 837I institutional claims are supported after the practice completes payer enrollment. Enrollment paperwork is required before using those electronic claim transactions.
Can I submit dental claims and check claim status electronically?
Yes. 837D dental claims and 276/277 claim-status transactions are available immediately.
Does this payer support ERA, EFT, or electronic attachments?
ERA 835 is supported after payer enrollment. EFT, combined ERA/EFT, and 275 attachments are not supported.
Run this payer inside Hero EMR
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