Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Enrollment required |
| 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 |
Other payer IDs and names
- Also listed as Novitas - District of Columbia
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow with limited support
- Complete payer enrollment before planning electronic institutional claim submission or ERA delivery, and confirm approval before sending production transactions.
- Verify patient eligibility outside Hero EMR because electronic eligibility transactions (270/271) are not supported for this payer.
- Check claim status outside Hero EMR because 276/277 is not supported, and maintain a follow-up log for payer responses.
- Plan separate payment posting for EFT because this payer does not support EFT or combined ERA/EFT through Hero EMR.
Common questions
Can I submit institutional claims to this payer through Hero EMR?
Yes, but your practice must complete the required payer enrollment first. Institutional claims are supported through the 837I transaction.
Does this payer support ERA in Hero EMR?
Yes, ERA is supported after your practice completes payer enrollment. The supported remittance transaction is ERA/835.
Can I check eligibility or claim status electronically?
No. Eligibility transactions (270/271) and claim-status transactions (276/277) are not supported through Hero EMR for this payer.
Can I submit professional or dental claims, or receive EFT?
No. Professional claims (837P), dental claims (837D), EFT, and combined ERA/EFT are not supported for this payer.
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