Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Not supported |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Coverage states
District of Columbia.
Plan the remaining workflow
- Run a 270/271 inquiry when staff need eligibility or benefits information before scheduling or billing.
- Use 276/277 for claim-status follow-up, including claims submitted through a workflow outside Hero EMR.
- Route professional, institutional, and dental claims through a separate process because Hero EMR does not send 837P, 837I, or 837D files.
- Arrange an alternate method for 835 remittance and EFT handling, then document how staff will post and reconcile payments.
- Confirm the alternate claim, remittance, and payment workflow before relying on Hero EMR for this payer.
Common questions
Can I verify eligibility and benefits for this payer in Hero EMR?
Yes. Hero EMR supports electronic eligibility and benefits inquiries and responses through the 270/271 transaction pair.
Can I check this payer's claim status electronically?
Yes. Hero EMR supports 276/277 claim-status requests and responses, including follow-up on claims submitted through another workflow.
Can I submit professional, institutional, or dental claims through Hero EMR?
No. Hero EMR does not support 837P, 837I, or 837D submission for this payer, so use a separate claim-submission process.
Will Hero EMR deliver ERA or EFT for this payer?
No. 835 ERA, EFT, and combined ERA/EFT are not available in Hero EMR for this payer, so payment and remittance handling must follow another workflow.
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