Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Enrollment required |
| 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 |
Coverage states
Oklahoma.
Workflow guidance
- Complete payer enrollment before planning electronic 837P submission, and retain confirmation for your billing records.
- Verify eligibility and benefits through another payer or clearinghouse workflow because 270/271 is not available here.
- Check claim status outside Hero EMR because 276/277 is not supported, then record follow-up results in your billing notes.
- Use an alternate process for remittance and payment posting because ERA 835 and EFT are unavailable through this connection.
- Route institutional and dental claims through workflows that support 837I and 837D; this connection handles neither.
Common questions
Can I submit professional claims to this payer electronically?
Yes, but only after your practice completes the payer enrollment process. Professional claims use the 837P transaction.
Does Hero EMR support eligibility checks for this payer?
No. Eligibility and benefits transactions using 270/271 are not available through this connection, so use another verification workflow.
Can I check claim status electronically for this payer?
No. Claim status transactions using 276/277 are not supported here, so follow up through another available process.
Can I receive ERA or EFT from this payer?
No. Electronic remittance using ERA 835 and electronic funds transfer using EFT are unavailable through this connection, so arrange alternate posting 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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