Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| 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) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Also listed as NCPTTF
- Also listed as UA Local 342
Coverage states
California.
Workflow Guidance
- Run a 270 eligibility inquiry before visits, then review the 271 for coverage, benefits, and coordination-of-benefits details.
- If a 271 is not returned, verify patient and payer data, retry as appropriate, and use the payer’s approved manual channel when needed.
- Hero EMR cannot submit professional, institutional, or dental claims electronically for this payer; use the payer’s approved submission method instead.
- Use the payer’s approved process for claim status because 276/277 is not supported in Hero EMR.
- Plan for manual remittance and payment posting because ERA and EFT are unavailable; obtain payment details through an approved method and reconcile deposits.
Common questions
Does this payer support electronic eligibility checks?
Yes. Hero EMR supports 270 eligibility inquiries and 271 responses for this payer, including coordination-of-benefits information in the 271 response.
Can I submit claims electronically to this payer?
No. Hero EMR does not support electronic professional, institutional, or dental claim submission for this payer, so use the payer’s approved submission method.
Can I check claim status in Hero EMR?
No. Electronic claim-status transactions (276/277) are not available for this payer in Hero EMR, so check status through another payer-approved process.
Will I receive ERA or EFT for this payer?
No. ERA (835) and EFT are not available for this payer in Hero EMR, so use an approved remittance and payment process and post the results manually.
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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