Transaction support
| 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
1112 - Also listed as Penn Behavioral Health
- Also listed as Penn Behavioral Health Corporate Services
- Also listed as Penn Medicine Princeton EAP
Coverage states
Pennsylvania.
Practical workflow guidance
- Confirm whether the service is professional or institutional, then send it as 837P or 837I through Hero EMR.
- Check eligibility and benefits through another payer-approved method before visits, and save the verification details in the patient record.
- Use a separate process for claim status because 276/277 is unavailable; record follow-up dates and reference information.
- Post remittance and reconcile payments manually because ERA, EFT, and combined ERA + EFT are unavailable.
- Route dental claims through another billing process because 837D is not supported.
Common questions
What claim formats can I submit electronically to this payer?
Hero EMR supports electronic submission of professional claims using 837P and institutional claims using 837I.
Can I verify eligibility and benefits through Hero EMR?
No. Eligibility and benefits transactions (270/271) are not available for this payer, so verify coverage through another process.
How can I check this payer's claim status?
Claim status transactions (276/277) are not supported. Use a separate payer-approved method to check status and record the updates in your workflow.
Can I receive ERA or EFT for this payer?
No. ERA (835), EFT, and combined ERA + EFT are not available electronically for this payer. Plan for another remittance and payment workflow.
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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