Supported transaction types
| 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 the billing workflow
- Use 837I for institutional claims and 837P for professional claims, and confirm the claim type before sending.
- Complete payer enrollment before depending on ERA (835); until enrollment is active, follow your existing remittance workflow.
- Verify eligibility and benefits through your existing process before visits because 270/271 transactions are unavailable in Hero EMR.
- Track claim status through your existing process because 276/277 transactions are unavailable.
- Plan payment reconciliation without EFT; neither EFT nor a combined ERA and EFT transaction is supported.
- Handle coordination of benefits outside Hero EMR because the 271 transaction is unavailable.
Common questions
Which claim types can I submit electronically to this payer?
You can submit institutional claims using 837I and professional claims using 837P. Dental claims using 837D are not supported.
What must I do before receiving an ERA from this payer?
Complete payer enrollment first. After enrollment, ERA (835) is supported; until then, use your existing remittance workflow.
Can I check eligibility and claim status in Hero EMR?
No. Eligibility and benefits (270/271) and claim status (276/277) are unavailable, so use another workflow for those checks.
Can I use EFT or combine EFT with ERA?
No. EFT and combined ERA plus EFT are unavailable. ERA alone is supported after payer enrollment.
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