Supported transaction paths
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not 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
- Also listed as T H E Insurance
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Plan the unsupported steps
- Use 837I for institutional billing and 837P for professional billing; confirm the claim type before submission.
- Complete payer enrollment before expecting ERA files, and track enrollment separately from claim submission.
- Check benefits through the payer’s supported non-electronic process because 270/271 is unavailable here.
- Check claim status through the payer’s supported non-electronic process because 276/277 is unavailable.
- Use another supported workflow for EFT, combined ERA/EFT, dental claims, and coordination-of-benefits transactions.
Common questions
Can this payer receive 837I and 837P claims electronically?
Yes. Hero EMR supports institutional claims (837I) and professional claims (837P) for this payer.
Do I need payer enrollment for ERA?
Yes. ERA (835) is supported after your practice completes payer enrollment. Until enrollment is complete, plan for a different remittance workflow.
Can I check eligibility or claim status in Hero EMR?
No. Eligibility and benefits (270/271) and claim status (276/277) are not available for this payer, so use the payer’s designated alternative process.
Does this payer support EFT or dental claims?
No. EFT, combined ERA and EFT, and dental claims (837D) are not available through this payer connection.
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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