Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Not 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) | Supported |
| Attachments (275) | Not supported |
Coverage states
Michigan.
Workflow guidance
- Verify coverage and benefits through 270/271 before scheduling or billing, then save the response in the patient record.
- Use 276/277 to check claim status, but use a separate workflow to create and submit claims to this payer.
- Run a 271 inquiry when coordination-of-benefits information is needed, and confirm other coverage with the patient.
- Plan a separate process for professional, institutional, or dental claim submission because Hero EMR does not send these claims electronically.
- Use an alternate remittance and payment workflow because ERA, EFT, and combined ERA/EFT transactions are not supported.
Common questions
Can I check eligibility for this payer electronically?
Yes. Hero EMR supports eligibility and benefits inquiries and responses through 270/271.
Can I check claim status electronically?
Yes, claim status is supported through 276/277. This support does not include electronic claim submission.
Can I submit claims electronically to this payer?
No. Hero EMR does not support professional, institutional, or dental claims for this payer, so use a separate submission workflow.
Can I receive ERA or EFT from this payer through Hero EMR?
No. ERA 835, EFT, and combined ERA and EFT transactions are not supported, so plan an alternate remittance and payment 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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