Supported transactions and limits
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| 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) | 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
10001 - Payer ID
CMSMED - Payer ID
MAPMC - Payer ID
MEDICARE - Payer ID
Z1073 - Also listed as CMS
- Also listed as HETS
Plan around transaction gaps
- Complete payer enrollment before relying on Hero EMR for electronic eligibility and benefits checks.
- Until enrollment is complete, use your existing approved process for eligibility and benefits, and document the source in the patient record.
- Submit professional, institutional, and dental claims through another payer-approved channel.
- Check claim status through another payer-approved channel because 276/277 is not supported.
- Plan separate workflows for remittance and payment because ERA 835 and EFT are unavailable in Hero EMR.
Common questions
Can I check eligibility and benefits for this payer in Hero EMR?
Yes, but only after your practice completes the payer enrollment process. Until then, use your existing eligibility workflow.
Does Hero EMR support electronic claims for this payer?
No. Professional 837P, institutional 837I, and dental 837D claims are not available through Hero EMR, so use another approved submission method.
Can I check claim status electronically in Hero EMR?
No, claim status transactions 276/277 are unavailable for this payer in Hero EMR. Check status through another payer-approved channel.
Will ERA or EFT payments be available in Hero EMR?
No. Electronic remittance advice 835 and electronic funds transfer are unavailable, so arrange separate remittance and payment workflows.
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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