Supported Transactions
| 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
6630 - Payer ID
6731 - Also listed as National Health Benefit
- Also listed as PHX
- Also listed as Preferred Administrators
- Also listed as Premier Healthcare Exchange
Workflow Guidance
- Use 837I for institutional services and 837P for professional services, and confirm the claim type before sending.
- Verify coverage through another workflow before services or billing because electronic eligibility and benefits transactions (270/271) are not supported.
- Follow a separate process to check claim status because 276/277 transactions are not supported.
- Plan separate remittance and payment reconciliation because ERA, EFT, and combined ERA/EFT are not supported.
Common questions
Can I send institutional claims electronically?
Yes. Institutional claims (837I) are supported for electronic submission without prior payer enrollment.
Can I send professional claims electronically?
Yes. Professional claims (837P) are supported for electronic submission without prior payer enrollment.
Is electronic eligibility and benefits checking available?
No. Eligibility and benefits transactions (270/271) are not supported, so verify coverage through another workflow.
Are ERA and EFT available for this payer?
No. ERA, EFT, and combined ERA/EFT are not supported, so use a separate process for remittance and payment reconciliation.
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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