Supported transaction types
| 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 |
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow considerations
- Route institutional services through 837I and professional services through 837P, checking the claim type before transmission.
- Complete payer enrollment before depending on ERA/835; until enrollment is active, use your existing non-ERA remittance process.
- Verify eligibility and benefits through another approved workflow because 270/271 transactions are not supported.
- Use another payer-approved method for claim status, since 276/277 is unavailable in this integration.
- Do not plan on EFT or combined ERA and EFT; reconcile deposits separately from electronic remittance.
Common questions
Which claim formats can I submit electronically?
This payer accepts institutional claims through 837I and professional claims through 837P. Dental claims through 837D are not supported.
Is ERA available for this payer?
Yes, ERA using 835 is supported after the practice completes payer enrollment. Submit the enrollment paperwork before relying on the integration for electronic remittance.
Can I verify eligibility or check claim status electronically?
No. Eligibility and benefits (270/271) and claim status (276/277) are not supported, so use another approved workflow for those checks.
Does this payer support EFT or combined ERA and EFT?
No. EFT and combined ERA plus EFT are unavailable, although ERA/835 can be used after payer enrollment.
Run this payer inside Hero EMR
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