Electronic transaction support
| 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) | 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
16581 - Payer ID
Z90026
Workflow guidance
- Run a 270/271 inquiry before visits or billing when coverage details are needed, and retain the response with the patient’s account.
- Use 276/277 to check claim status after submitting a claim through the payer’s required route.
- Plan a separate workflow for claim submission because 837P, 837I, and 837D transactions are not supported here.
- Record remittance information through your non-ERA process, since 835 transactions are unavailable.
- Arrange payment handling outside this payer connection; EFT and combined ERA/EFT are not available.
Common questions
Can I verify eligibility and benefits electronically with this payer?
Yes. Hero EMR supports 270/271 eligibility and benefits inquiries for this payer.
Can I submit professional, institutional, or dental claims electronically?
No. This payer does not support 837P, 837I, or 837D electronic claim transactions.
Can I check claim status electronically?
Yes. Use the supported 276/277 claim-status transaction. Electronic claim submission through 837P, 837I, or 837D is not supported.
Does this payer support ERA or EFT?
No. ERA (835), EFT, and the combined ERA plus EFT option are not available electronically for this payer.
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