Supported electronic transactions
| 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) | 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
16614 - Payer ID
4086 - Payer ID
8828
Workflow guidance
- Send dental, institutional, and professional claims electronically using the matching 837 transaction type.
- Check eligibility and benefits with a 270 inquiry before visits, then record the 271 response in the patient’s account.
- Track claim progress through your normal payer workflow because electronic claim status transactions are not supported.
- Use your usual non-electronic process for remittance, payments, coordination of benefits, and attachments.
- Reconcile payments from available payment records because ERA and EFT are not supported.
Common questions
Can I submit claims electronically to this payer?
Yes. Hero EMR supports dental 837D, institutional 837I, and professional 837P claim submissions for this payer.
Can I verify eligibility and benefits electronically?
Yes, eligibility and benefits inquiries are supported through 270/271 transactions. Coordination-of-benefits information is not supported as an electronic transaction.
Can I check claim status electronically?
No. Claim status transactions using 276/277 are not available, so use your standard alternative for follow-up.
Does this payer support ERA or EFT?
No. Electronic remittance using 835, EFT, and combined ERA plus EFT are not supported 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.
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