Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | 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) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
6208 - Payer ID
NAPHC
Plan separate workflows
- Match the claim to the supported format: use 837P for professional services and 837I for institutional services.
- Use 276/277 to check claim status after submission; it will not return eligibility or benefits information.
- Verify coverage and benefits through a separate workflow because 270/271 eligibility transactions are not supported.
- Set up separate remittance and payment-posting steps because ERA 835 and EFT, including combined ERA/EFT, are unavailable.
- Send dental claims and coordination-of-benefits work through another process.
Common questions
Which claim types can I submit electronically to this payer?
This connection supports professional claims (837P) and institutional claims (837I). Dental claims (837D) are not supported.
Can I check claim status electronically?
Yes. Claim-status requests use 276/277, but this transaction does not provide eligibility or benefits information.
How can I verify eligibility and benefits?
Eligibility and benefits transactions (270/271) are not available through this connection. Use a separate workflow or source to verify coverage and benefits.
Does this payer support ERA or EFT?
No. ERA (835), EFT, and combined ERA/EFT are not available through this connection, so remittance and payment handling require a separate process.
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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