Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | 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
4487 - Also listed as Medicare Virgin Islands Part A
- Also listed as Virgin Islands Medicare
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Plan the billing workflow
- Use the 837I workflow for institutional claims; route professional and dental claims through another supported channel.
- Complete payer enrollment before relying on electronic eligibility responses or ERA delivery, and confirm enrollment is active in your billing workflow.
- Before enrollment, use your existing approved process for coverage checks and document the eligibility result.
- Until enrollment is complete, use your existing non-ERA process for remittance details and manual posting.
- Check claim status outside Hero EMR because 276/277 is unavailable; do not expect EFT or coordination-of-benefits 271 transactions.
Common questions
What claim types can I submit electronically to this payer?
Institutional claims using the 837I transaction are available electronically through Hero EMR. Professional claims using 837P and dental claims using 837D are not available.
Does this payer support electronic eligibility verification?
Yes, eligibility and benefits transactions using 270/271 are supported after the practice completes payer enrollment. Enrollment must be completed before using this electronic workflow.
Can I receive ERA and EFT from this payer?
ERA using the 835 transaction is supported after payer enrollment. EFT and combined ERA/EFT are not available through this connection.
Can I check claim status electronically?
No, claim status transactions using 276/277 are not available through this connection. Use another process to check claim status.
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