Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not 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
1860
Plan the workflow
- Choose 837I for institutional claims and 837P for professional claims, and verify the claim type before sending.
- Do not expect electronic eligibility responses; use the payer's approved alternative and document coverage verification in your practice workflow.
- Because 276/277 is unavailable, use a separate claim-status process and update follow-up notes in the practice record.
- Arrange separate remittance and payment reconciliation workflows because ERA 835, EFT, and combined ERA plus EFT are unavailable.
- Route dental claims through a separate channel because 837D is not available here.
Common questions
Can I submit institutional and professional claims electronically to this payer?
Yes. Hero EMR supports institutional claims through 837I and professional claims through 837P for this payer.
Can I check eligibility and benefits electronically?
No. Eligibility and benefits transactions 270/271 are not supported, so use the payer's approved alternative and document the verification in your normal workflow.
Can I check claim status electronically?
No. Claim-status transactions 276/277 are not supported, so follow up through a separate process.
Are electronic remittance and EFT available for this payer?
No. ERA 835, EFT, and combined ERA plus EFT transactions are not supported, so plan 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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