Supported electronic transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Enrollment required |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
00493 - Payer ID
10490 - Payer ID
38217 - Payer ID
38217MA - Payer ID
7459 - Payer ID
DX021 - Payer ID
PRIORITY - Payer ID
PRIRTY
Coverage states
Michigan.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the workflow around enrollment
- Use 270/271 to verify eligibility and benefits before visits, and use this payer's 271 coordination-of-benefits transaction when COB information is needed.
- Submit professional claims as 837P and institutional claims as 837I, then use 276/277 to check claim status.
- Complete payer enrollment before depending on ERA 835, EFT, or combined ERA/EFT for posting and reconciliation.
- Until enrollment is complete, plan a non-electronic process for remittance and payment handling.
- Route dental claims and attachments through another approved process because 837D and 275 are not supported here.
Common questions
Can I submit professional and institutional claims electronically to this payer?
Yes. Professional claims use 837P, and institutional claims use 837I.
Can I check eligibility, benefits, and claim status electronically?
Yes. Eligibility and benefits use 270/271, coordination-of-benefits information uses 271, and claim status uses 276/277.
Does this payer support ERA and EFT?
Yes, but enrollment is required first. After enrollment, the supported options include ERA 835, EFT, and combined ERA/EFT.
Can I send dental claims or attachments electronically?
No. Dental claims 837D and attachments 275 are not supported through this 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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