Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | 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
11237 - Payer ID
1735 - Payer ID
6587 - Payer ID
CCIA1 - Also listed as Pinnacle Claims Management Inc
- Also listed as Western Growers Assurance Trust
- Also listed as Western Growers Insurance Company
Workflow Guidance
- Use 837D for dental claims, 837I for institutional claims, and 837P for professional claims.
- Run a 270/271 eligibility and benefits inquiry before service, but do not use it for coordination-of-benefits transactions.
- Use your established non-EDI process to follow claims because 276/277 claim status is unavailable.
- Plan to receive and post remittance through another process because ERA 835 is unavailable.
- Use your established workflow for payments and attachments because EFT and 275 attachments are unavailable.
Common questions
Can I submit electronic claims to this payer?
Yes. This payer supports electronic dental, institutional, and professional claims through 837D, 837I, and 837P.
Can I check eligibility and benefits electronically?
Yes, eligibility and benefits inquiries are supported through 270/271 transactions. Coordination-of-benefits transactions are not supported.
Does this payer support electronic remittance or EFT?
No. ERA 835, EFT, and combined ERA and EFT transactions are unavailable, so use another process for remittance and payment workflows.
Can I check claim status electronically?
No. Claim status transactions using 276/277 are unavailable, so track claims through your established non-EDI process.
Run this payer inside Hero EMR
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