Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | 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) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Also listed as MPIPHP
Workflow considerations
- Submit facility claims as 837I and professional claims as 837P through Hero EMR; match the claim format to the service billed.
- Use COB 271 for coordination of benefits, not as a substitute for an eligibility and benefits inquiry.
- Check coverage and benefits through another approved method because 270/271 eligibility and benefits transactions are unavailable.
- Use a manual or alternative process for claim status and dental claims; 276/277 and 837D are not supported.
- Plan a separate remittance and payment workflow because ERA 835, EFT, and combined ERA plus EFT are unavailable.
Common questions
Can I submit institutional and professional claims electronically?
Yes. Hero EMR supports institutional claims through 837I and professional claims through 837P for this payer.
Can I verify eligibility and benefits electronically?
No, eligibility and benefits transactions using 270/271 are not supported for this payer. The available COB 271 transaction is for coordination of benefits, not a general eligibility check.
Does this payer support ERA and EFT?
No. ERA 835, EFT, and a combined ERA plus EFT option are unavailable through Hero EMR, so plan another remittance and payment workflow.
Do I need payer enrollment before sending transactions?
No payer enrollment is required before using the supported transactions. The available options are 837I, 837P, and COB 271.
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.
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