Supported 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) | Not supported |
| Electronic remittance (ERA 835) | Not supported |
| 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
1935 - Payer ID
2712 - Also listed as Alliance HealthPlans of WI
- Also listed as Alliance HealthPlans of Wisconsin
Coverage states
Wisconsin.
Workflow guidance
- Send institutional claims as 837I and professional claims as 837P; confirm the claim type matches the setting before submission.
- Use 270/271 for eligibility and benefits checks, but do not expect the response to provide coordination-of-benefits information.
- For claim updates, use the payer's alternate status workflow because 276/277 transactions are unavailable in Hero EMR.
- Plan a separate process for remittance and payment posting because ERA, EFT, and combined ERA/EFT are unavailable.
- If billing dental services, use a separate supported workflow because 837D is unavailable for this payer.
Common questions
Can I submit 837I and 837P claims to this payer?
Yes. This payer supports electronic institutional claims using 837I and professional claims using 837P through Hero EMR.
Can I check eligibility and benefits electronically?
Yes, eligibility and benefits inquiries use supported 270/271 transactions. Coordination-of-benefits information is not supported.
Can I check claim status electronically?
No. Claim-status transactions using 276/277 are not supported, so use another workflow for status inquiries.
Does Hero EMR support ERA or EFT for this payer?
No. ERA, EFT, and combined ERA/EFT transactions are not supported, so use a separate process for remittance and payment activities.
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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