Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | 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) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Also listed as OSF Health Plan Care Advantage
- Also listed as OSF HealthCare
Coverage states
Illinois, Michigan.
Workflow guidance
- Submit professional claims through Hero EMR using the 837P format; confirm the encounter is a professional claim before sending.
- Verify coverage through your existing payer workflow before service because eligibility transactions, 270/271, are unavailable in Hero EMR.
- Track claims through your existing payer workflow because electronic claim status, 276/277, is unavailable for this payer.
- Prepare an alternate process for remittance posting and payment reconciliation because ERA 835 and EFT are unavailable.
- Send institutional and dental claims through systems that support 837I and 837D; those claim types are unavailable in Hero EMR for this payer.
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 Hero EMR support eligibility verification or claim status for this payer?
No. Eligibility and benefits 270/271 and claim status 276/277 are unavailable, so use your established alternative workflows.
Will payer enrollment unlock more electronic transactions?
No additional transaction types become available after enrollment for this payer. Enrollment does not add eligibility, claim status, institutional or dental claims, ERA, or EFT.
Can I receive an ERA or EFT through Hero EMR?
No. Electronic remittance advice 835 and electronic funds transfer are unavailable through this payer connection, so use your existing payment and remittance process.
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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