Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not 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
3690
Plan your workflow
- Use 837I only for institutional billing, and confirm the claim type before submission.
- Check eligibility outside Hero EMR before scheduling or billing because 270/271 transactions are not available here.
- Follow the payer’s available process for claim status and retain submission records because 276/277 is unavailable.
- Plan for manual remittance posting and payment reconciliation because ERA 835 and EFT are unavailable.
- Route professional and dental claims through a separate supported workflow because 837P and 837D cannot be sent here.
Common questions
Can I submit institutional claims electronically to this payer?
Yes. Institutional claims use the 837I transaction, which is available immediately in Hero EMR.
Does this payer require enrollment for electronic transactions?
No additional transaction becomes available after payer enrollment in this profile. The 837I connection is available immediately.
Can I verify eligibility and benefits in Hero EMR?
No, eligibility and benefits transactions (270/271) are not available through this connection. Check eligibility through a process outside Hero EMR before scheduling or billing.
Can I check claim status or receive electronic payments?
No, claim status (276/277), electronic remittance (ERA 835), and electronic funds transfer (EFT) are not available through this connection. Use the payer’s available status, remittance, and payment workflows instead.
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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