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) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10864 - Payer ID
3522 - Payer ID
4588 - Payer ID
5427 - Payer ID
A9045 - Payer ID
SECHP - Also listed as Security Health Plan of Wisconsin
Coverage states
Wisconsin.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan the workflow
- Route dental, institutional, and professional encounters through 837D, 837I, or 837P, and verify the transaction matches the claim type.
- Run 270/271 eligibility and benefits checks, including coordination-of-benefits work when applicable, before relying on electronic coverage information.
- Complete payer enrollment before setting up EFT or ERA 835, and keep a workflow for payments and remittances during enrollment.
- Because 276/277 is unavailable, track claim status through the payer-approved non-transaction process and document follow-up in the practice record.
- When records are required, use the payer-approved alternative because 275 attachments are unavailable; reconcile ERA and EFT separately because a combined transaction is not supported.
Common questions
What claim types can I submit electronically to this payer?
You can submit dental, institutional, and professional claims electronically using 837D, 837I, and 837P, respectively.
Can I check eligibility and coordination of benefits electronically?
Yes. Use 270/271 for eligibility and benefits, and use the supported 271 coordination-of-benefits transaction when applicable.
How do I receive electronic remittance and funds from this payer?
ERA 835 and EFT are supported after you complete payer enrollment. The combined ERA and EFT transaction is not available, so handle each supported transaction through its own workflow.
Can I check claim status or send attachments electronically?
No 276/277 claim-status or 275 attachment transaction is available through this support. Use the payer-approved alternative process for status follow-up or records when needed.
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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