Transaction support
| 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) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10242 - Payer ID
2807 - Payer ID
2950 - Payer ID
ILPBA - Also listed as Professional Benefit Administrators Incorporated (Oak Brook)
- Also listed as Professional Benefit Administrators Incorporated (Oak Brook, Illinois)
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow guidance
- Use 837D, 837I, or 837P according to the claim type, and confirm the format before submitting.
- Run 270/271 eligibility and benefits checks before visits, but handle coordination-of-benefits questions outside this payer connection.
- Complete payer enrollment before relying on electronic ERA or EFT, and maintain another remittance and payment workflow until enrollment is complete.
- Use an existing non-Hero process to track claims because 276/277 claim-status transactions are not supported.
- Plan separate workflows for attachments and combined ERA/EFT requests because 275 and combined ERA/EFT transactions are not supported.
Common questions
Which claim types can I submit electronically to this payer?
Hero EMR supports dental (837D), institutional (837I), and professional (837P) claims for this payer. These claim transactions are available without payer enrollment.
Can I verify eligibility and benefits electronically?
Yes. The 270/271 eligibility and benefits transaction is supported, but coordination-of-benefits 271 processing is not available through Hero EMR.
How do I receive ERA and EFT from this payer?
ERA (835) and EFT are supported after your practice completes payer enrollment. Until enrollment is complete, use your existing process for remittance and payment handling.
Can I check claim status, send attachments, or use a combined ERA and EFT transaction?
No. Hero EMR does not support 276/277 claim status, 275 attachments, or a combined ERA/EFT transaction for this payer. ERA and EFT remain available separately after enrollment.
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.
See a demo