This payer’s supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| 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
9198
Plan the non-EDI steps
- Complete payer enrollment paperwork before planning electronic 837I or 837P submissions; both formats require enrollment first.
- Verify coverage through a non-EDI workflow because 270/271 eligibility transactions are unavailable.
- Check claim status through a non-EDI workflow because 276/277 status transactions are unavailable.
- Route dental claims through another process; 837D is unavailable for this payer.
- Plan separate remittance and payment workflows because ERA 835, EFT, and combined ERA plus EFT are unavailable.
Common questions
Which claim types can I submit electronically to this payer?
Institutional (837I) and professional (837P) claims are supported after enrollment. Dental claims (837D) are not supported.
Can I submit claims before payer enrollment is complete?
No. Institutional (837I) and professional (837P) submissions become available only after the practice completes payer enrollment paperwork.
Does this payer support electronic eligibility or claim status?
No. Eligibility and benefits (270/271) and claim status (276/277) are unavailable, so use another workflow for these tasks.
Will this payer send ERA or EFT?
No. ERA (835), EFT, and combined ERA plus EFT are unavailable, so plan separate remittance and payment workflows.
Run this payer inside Hero EMR
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