Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| 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) | Supported |
| Attachments (275) | Not supported |
Coverage states
Arizona, California, Florida, Iowa, Idaho, Illinois, Indiana, Kentucky, Massachusetts, Michigan, Missouri, Mississippi, New Mexico, Nevada, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington, Wisconsin.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the remaining workflow
- Run 270/271 eligibility and benefits checks before visits, then compare returned coverage details with the patient record.
- Use the supported 271 transaction when coordination-of-benefits information is needed, and keep other coverage details current.
- Complete this payer’s enrollment paperwork before relying on electronic remittance through ERA 835.
- If an ERA is missing, confirm enrollment status and follow your existing manual remittance workflow while enrollment is pending.
- Plan separate workflows for claim submission and status checks because Hero EMR does not support 837 or 276/277 transactions for this payer.
Common questions
Can I verify eligibility and coordination of benefits for this payer in Hero EMR?
Yes. Hero EMR supports eligibility and benefits through 270/271 and coordination-of-benefits information through 271 for this payer.
How do I receive ERA 835 files from this payer?
ERA 835 is supported after the practice completes this payer’s enrollment process. Complete the required enrollment paperwork before expecting electronic remittance.
Can I submit professional or institutional claims through Hero EMR?
No. Hero EMR does not support professional claims (837P), institutional claims (837I), or dental claims (837D) for this payer.
Can I check claim status or receive EFT for this payer?
No. Claim status (276/277), EFT, and combined ERA/EFT are not supported electronically for this payer through Hero EMR.
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