What This Connection Supports
| 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) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Plan Around Missing Transactions
- Route facility and institutional claims through 837I, and practitioner or professional claims through 837P.
- Verify eligibility and benefits outside this connection before billing, because 270/271 transactions are not supported.
- Track claim status through a separate process; 276/277 transactions are unavailable here.
- Complete payer enrollment before relying on ERA 835, and use a separate remittance workflow until enrollment is active.
- Do not plan EFT or combined ERA/EFT processing through this connection; reconcile payments using your available payment workflow.
Common questions
Which electronic claims can I send to this payer?
This connection supports institutional claims in 837I format and professional claims in 837P format. Dental claims in 837D format are not supported.
Is ERA available from this payer?
Yes, ERA 835 is supported after you complete payer enrollment. Until enrollment is complete, do not expect ERA through this connection.
Can I check eligibility and claim status electronically?
Not through this connection. Eligibility and benefits 270/271 and claim status 276/277 transactions are unavailable, so use a separate process for those checks.
Can I receive EFT or combined ERA and EFT?
No. EFT and combined ERA plus EFT transactions 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.
See a demo