Electronic Transactions Supported
| 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
1915 - Payer ID
2403 - Payer ID
SX187
Plan Around Missing Transactions
- Select 837I for institutional billing and 837P for professional billing; do not use this connection for dental claims (837D).
- Verify eligibility through a separate workflow before service because 270/271 transactions are unavailable here.
- Use a separate process to follow claim progress because electronic claim-status transactions (276/277) are unavailable.
- Plan payment reconciliation outside this connection because ERA (835), EFT, and combined ERA/EFT are unavailable.
Common questions
Which claim formats can I send electronically to this payer?
You can send institutional claims in 837I format and professional claims in 837P format. Dental claims in 837D are not supported.
Can I verify eligibility electronically for this payer?
No. Eligibility and benefits transactions using 270/271 are unavailable, so use a separate eligibility workflow.
Can I check claim status electronically?
No. Claim-status transactions using 276/277 are unavailable through this connection, so track claims through another process.
Does this payer support ERA or EFT?
No. ERA using 835, EFT, and combined ERA/EFT are unavailable, so remittance and payment reconciliation require another workflow.
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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