Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | 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
8074 - Also listed as Pool Administrators
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow Guidance
- Submit facility and institutional billing as 837I claims; do not use this connection for professional 837P or dental 837D claims.
- Verify coverage and benefits through the payer's other available process because electronic eligibility transactions, 270/271, are not supported.
- Use the payer's other available process for claim-status checks because 276/277 is not available in Hero EMR.
- Complete payer enrollment before relying on ERA 835, and retain confirmation that the practice's enrollment is active.
- Post payments from ERA after enrollment; EFT and combined ERA/EFT are unavailable, so follow your existing deposit-reconciliation process.
Common questions
Can I send institutional claims to this payer electronically?
Yes. Hero EMR supports institutional claims in the 837I format for this payer.
How do I receive an ERA from this payer?
ERA (835) is supported after your practice completes payer enrollment. Complete the enrollment paperwork before expecting remittance files in Hero EMR.
Can Hero EMR check eligibility and claim status for this payer?
No. Electronic eligibility and benefits (270/271) and claim status (276/277) are not available, so use the payer's other available workflow for those checks.
Does this payer support professional claims or EFT through Hero EMR?
No. Professional claims (837P), dental claims (837D), EFT, and combined ERA/EFT are not available through this connection.
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.
See a demo