Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Enrollment required |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Enrollment required |
| 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 |
Other payer IDs and names
- Payer ID
10156 - Payer ID
12K23 - Payer ID
1561250855 - Payer ID
377 - Payer ID
CKNC1 - Payer ID
DNC00 - Payer ID
NCTRACKS - Payer ID
SKNC0 - Also listed as Medicaid North Carolina
- Also listed as NC Medicaid
- Also listed as NCDHHS
Coverage states
North Carolina.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
Workflow notes
- Run eligibility and benefits electronically before visits; complete the payer’s enrollment process before expecting claim status, claim submission, or ERA transactions to work.
- Complete enrollment paperwork before sending 837P, 837I, or 837D claims, or requesting 276/277 claim status.
- Use 835 ERA after enrollment, but plan a separate payment-posting process because EFT and combined ERA/EFT are unavailable.
- If coordination-of-benefits details or attachments are required, prepare a non-electronic workflow because 271 COB and 275 attachment transactions are unavailable.
Common questions
Can I check eligibility for this payer through Hero EMR?
Yes. Eligibility and benefits transactions using 270/271 are available immediately and do not require prior payer enrollment.
Do I need payer enrollment to submit claims electronically?
Yes. Professional, institutional, and dental claims using 837P, 837I, and 837D are supported after the practice completes payer enrollment.
Can I receive ERA from this payer?
Yes, electronic remittance using 835 ERA is supported after enrollment. EFT and combined ERA/EFT are not available, so payment posting requires a separate process.
Does Hero EMR support claim status, coordination of benefits, or attachments?
Claim status using 276/277 is supported after enrollment. Coordination of benefits using 271 and attachments using 275 are unavailable.
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