Payer Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not 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): multi step enrollment, typically takes hours
Alternative Transaction Workflows
- Verify eligibility and benefits through the payer's approved alternate process before visits; Hero EMR does not support 270/271 for this payer.
- Submit 837P, 837I, and 837D claims through another payer-approved channel because Hero EMR cannot send these claim types.
- Check claim status through another approved method; Hero EMR does not support 276/277 transactions for this payer.
- Complete payer enrollment before expecting ERA 835, then check for incoming remittances in the designated workflow.
- Use a separate payment workflow for EFT because electronic funds transfer is unavailable through Hero EMR for this payer.
Common questions
Can I check eligibility for this payer in Hero EMR?
No. Hero EMR does not support eligibility and benefits transactions, including 270/271, for this payer, so use an approved alternate process.
Can I submit claims electronically to this payer?
No. Hero EMR does not support 837P, 837I, or 837D for this payer, so submit professional, institutional, and dental claims through another payer-approved channel.
How can I receive an ERA 835 from this payer?
ERA 835 is supported after the practice completes payer enrollment. Submit the required enrollment paperwork first; if remittances do not appear afterward, verify enrollment and use an approved alternate remittance process.
Does Hero EMR support claim status or EFT for this payer?
No. Claim status transactions (276/277) and electronic funds transfer are not supported for this payer in Hero EMR, so use separate approved workflows.
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