Electronic 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) | Supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
9250 - Also listed as Claims Management Systems
- Also listed as Solstice Administrators
- Also listed as Solstice Benefits
- Also listed as Solstice DHMO
- Also listed as Solstice Health Insurance Company
- Also listed as Solstice Healthplans
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow considerations
- Send dental claims using 837D. Do not use this electronic connection for professional 837P or institutional 837I claims.
- Complete payer enrollment before setting up EFT or ERA 835 workflows, and treat the combined ERA + EFT transaction as unsupported.
- Use your established non-electronic process to verify eligibility because this connection does not return 270/271 responses.
- Handle claim follow-up through a non-electronic process because 276/277 claim-status transactions are unavailable.
- If an ERA 835 is missing after enrollment, use other remittance documentation to reconcile payments.
Common questions
Are electronic dental claims supported for this payer?
Yes. This payer accepts electronic dental claims in the 837D format.
Do EFT and ERA 835 require enrollment?
Yes. EFT and ERA 835 are supported only after the practice completes payer enrollment; the combined ERA + EFT transaction is not supported.
Can I verify eligibility electronically?
No. Eligibility and benefits transactions using 270/271 are not supported, so use your established non-electronic verification process.
Can I submit professional or institutional claims electronically?
No. Professional claims (837P) and institutional claims (837I) are not supported for electronic submission to this payer.
Run this payer inside Hero EMR
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