Supported 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) | 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 |
Other payer IDs and names
- Payer ID
14302 - Payer ID
14433 - Payer ID
2122 - Payer ID
5952
Coverage states
Oregon.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Considerations
- Submit institutional or professional claims electronically according to the billed service and patient setting.
- Check eligibility and benefits through 270/271 before visits or billing when coverage details are needed.
- Complete payer enrollment before expecting ERA 835 files or relying on electronic remittance for payment posting.
- Use a separate workflow for claim status, dental claims, EFT, coordination of benefits, and attachments.
Common questions
Can I submit electronic claims to this payer?
Yes. Hero EMR supports institutional claims through 837I and professional claims through 837P, but not dental claims through 837D.
Can I check eligibility and benefits electronically?
Yes, eligibility and benefits transactions use the supported 270/271 workflow. Coordination-of-benefits transactions are not available through this connection.
Does this payer support electronic remittance advice?
Yes, ERA 835 is supported after the practice completes the required payer enrollment. Until enrollment is complete, plan for another remittance workflow.
Can I check claim status or receive EFT through this connection?
No. Claim status, EFT, combined ERA and EFT, and electronic attachments 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.
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