Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| 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 |
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Plan your payer workflow
- Complete payer enrollment before expecting 837P acceptance or ERA 835 delivery through the EMR.
- If ERA 835 is missing after enrollment, verify enrollment completion and investigate the remittance through your normal payer workflow.
- Use a separate eligibility workflow because 270/271 is unavailable for this payer.
- Check claim status outside the EMR because 276/277 is unavailable for this payer.
- Plan separate handling for institutional and dental claims because 837I and 837D are unavailable electronically.
Common questions
Can I submit 837P claims to this payer through the EMR?
Yes, but only after the practice completes payer enrollment. 837P is not available immediately.
Does this payer support ERA 835?
Yes, ERA 835 is supported after payer enrollment is completed. It is not available before enrollment.
Can I check eligibility or claim status electronically?
No. Eligibility and benefits (270/271) and claim status (276/277) are unavailable for this payer, so use a separate workflow.
Does this payer support EFT or institutional and dental claims?
No. EFT, combined ERA/EFT, institutional claims (837I), and dental claims (837D) are unavailable electronically.
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