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 sending 837P claims or requesting ERA delivery through Hero EMR.
- Check eligibility outside Hero EMR using the payer’s approved workflow before scheduling or treating patients.
- For claim status, use the payer’s approved status-check process because 276/277 is not supported.
- If ERA is missing after enrollment, confirm enrollment status and follow the payer’s approved remittance process.
- Use another approved workflow for institutional or dental claims, and arrange payment separately because 837I, 837D, EFT, and combined ERA/EFT are not supported.
Common questions
Can I submit professional claims to this payer through Hero EMR?
Yes, but only after your practice completes the required payer enrollment. Professional claims use the 837P transaction.
Does this payer support electronic remittance advice?
Yes, ERA is available after required payer enrollment and uses the 835 transaction. EFT and combined ERA/EFT are not available.
Can I verify eligibility or check claim status electronically in Hero EMR?
No. Eligibility transactions 270/271 and claim-status transactions 276/277 are not supported, so use the payer’s approved alternative process.
Can I send institutional or dental claims to this payer through Hero EMR?
No. Hero EMR does not support institutional claims (837I) or dental claims (837D) for this payer.
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