Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Enrollment required |
| Professional claims (837P) | Supported |
| 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 |
Other payer IDs and names
- Payer ID
14502 - Payer ID
5891 - Also listed as OptumHealth Vision
- Also listed as Spectera UnitedHealthcare Vision
- Also listed as UnitedHealthcare Vision
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the electronic workflow
- Use 837P for professional claims; route institutional and dental claims through a separate method because 837I and 837D are unavailable.
- Run 270/271 eligibility and benefits checks before visits or billing, but do not expect a coordination-of-benefits 271 response.
- Complete payer enrollment before using 276/277 claim status or 835 ERA transactions in the practice workflow.
- Plan payment posting without EFT; reconcile deposits using the ERA after enrollment or another remittance record.
- Send required attachments through a separate payer-approved process because 275 transactions are unavailable.
Common questions
Can I submit professional claims electronically to this payer?
Yes. Hero EMR supports electronic professional claims using 837P, but not institutional 837I or dental 837D claims.
Does this payer support electronic eligibility and benefits verification?
Yes, 270/271 eligibility and benefits transactions are available. Coordination-of-benefits 271 transactions are not supported, so that information needs another workflow.
Do I need payer enrollment for claim status and ERA?
Yes. Enrollment paperwork must be completed before 276/277 claim-status and 835 ERA transactions can be used.
Can I use ERA or EFT with this payer?
ERA (835) is supported after payer enrollment, but EFT and combined ERA/EFT are unavailable. Payment receipt must be handled separately from electronic remittance.
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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