Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | 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
4085 - Payer ID
8827 - Also listed as TakeCare/FHP
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Billing workflow notes
- Use the payer’s separate eligibility workflow because electronic eligibility and benefits transactions are not supported.
- Submit 837I for institutional claims and 837P for professional claims, matching the transaction to the encounter type.
- Complete payer enrollment before expecting ERA 835 files, and plan how remittance information will be handled during enrollment.
- Use 276/277 claim status transactions to follow submitted claims and identify processing issues.
- Keep EFT setup separate because this payer does not support EFT or combined ERA/EFT.
Common questions
Can I submit claims to this payer electronically?
Yes. Hero EMR supports institutional 837I and professional 837P claims for this payer.
Does this payer support electronic eligibility verification?
No. Eligibility and benefits 270/271 is not supported, so use the payer’s separate eligibility workflow before services or billing.
How do I receive ERA from this payer?
ERA 835 is supported after the practice completes payer enrollment. Complete enrollment first because ERA will not be available through this workflow before enrollment.
Does this payer support EFT or electronic attachments?
No. EFT, combined ERA and EFT, and attachments 275 are unavailable for this payer. Coordination of benefits 271 is also not supported.
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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