Supported Transactions
| 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) | Supported |
| Electronic remittance (ERA 835) | Enrollment required |
| 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
00256 - Payer ID
10170 - Payer ID
61271 - Payer ID
61271MA - Payer ID
PFINL - Payer ID
PRFG - Payer ID
PRFGRP - Also listed as Principal Financial Services
- Also listed as Principal Life Insurance (Dental)
- Also listed as Principal Life Insurance Co
- Also listed as Principal National Life Insurance Company
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Guidance
- Run electronic eligibility and benefits checks (270/271) before visits, then review returned coverage details against the patient and planned service.
- Submit dental claims as 837D. Use a different submission route for professional 837P and institutional 837I claims.
- Use 276/277 for claim-status follow-up, and keep the original claim control information available for matching responses.
- Complete payer enrollment before relying on ERA 835; confirm enrollment is active before expecting electronic remittance.
- Plan a separate process for EFT, ERA plus EFT, COB 271, and attachments 275 because this connection does not support them.
Common questions
Which electronic transactions are available immediately for this payer?
Hero EMR supports 270/271 eligibility and benefits, 276/277 claim status, and 837D dental claims immediately. ERA 835 is supported only after payer enrollment is completed.
Can I submit professional or institutional claims electronically?
No. 837P professional claims and 837I institutional claims are not supported for this payer in Hero EMR.
How do I receive an ERA 835 from this payer?
Complete the payer enrollment required for ERA before expecting electronic remittance. ERA is supported after enrollment, but EFT and combined ERA plus EFT are not available.
Does this payer support COB 271 or claim attachments?
No. Coordination-of-benefits transactions (271) and attachments (275) are not supported electronically through this payer connection.
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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