Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Not supported |
| 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
- Payer ID
2469 - Payer ID
5527I - Payer ID
JSMMA0 - Payer ID
MAMCR - Payer ID
SMMA0 - Also listed as Massachusetts Medicare
- Also listed as National Government Services (NGS) - Massachusetts
Coverage states
Massachusetts.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow guidance
- Complete payer enrollment before sending 837P claims, 270/271 eligibility requests, or requesting ERA 835 delivery.
- Before enrollment, use your existing alternate eligibility workflow, and handle coordination of benefits outside the unavailable COB 271 transaction.
- Use an alternate process for claim status because this payer does not support 276/277.
- Route institutional and dental claims through another workflow because 837I and 837D are unavailable.
- Plan payment posting without EFT because this payer does not support EFT or combined ERA and EFT.
Common questions
Can I submit professional claims electronically to this payer?
Yes, 837P professional claims are supported after your practice completes payer enrollment. They are not available immediately.
How do I check eligibility and benefits for this payer?
Use the 270/271 transaction after enrollment is completed. Until then, use your existing alternate eligibility verification workflow.
Is electronic claim status available for this payer?
No. This payer does not support 276/277 claim-status transactions, so use your alternate status-tracking process.
Does this payer support ERA and EFT?
ERA 835 is supported after enrollment, but EFT and combined ERA and EFT are not supported. Plan for payment posting without electronic funds transfer.
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