Supported payer transactions
| 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) | 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 |
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan the workflow
- Send 837D, 837I, or 837P claims electronically, using the format that matches the service and billing situation.
- Complete payer enrollment before expecting 835 remittances to flow electronically; until then, use the payer's established remittance process.
- Check eligibility and coordination-of-benefits details through the payer's available non-EMR process before scheduling or billing.
- Use the payer's other process for claim status and attachments because 276/277 and 275 transactions are not supported.
- Plan EFT separately from this connection; ERA may still be received after enrollment, but ERA and EFT cannot be combined here.
Common questions
Can I submit claims electronically to this payer?
Yes. Hero EMR supports electronic dental (837D), institutional (837I), and professional (837P) claims for this payer.
How do I receive ERA files from this payer?
ERA 835 is supported, but the practice must complete payer enrollment first. It is not available through the connection until that enrollment is complete.
Can Hero EMR check eligibility or claim status for this payer?
No. Eligibility and benefits 270/271, including coordination-of-benefits 271 transactions, and claim status 276/277 are not supported through this connection, so use the payer's other process.
Can I use EFT or send attachments electronically?
No. EFT, combined ERA and EFT, and electronic attachments (275) are not available 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