Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | 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
13289 - Payer ID
6831 - Payer ID
7611 - Payer ID
965 - Payer ID
PRADV - Payer ID
PRSSA - Payer ID
SB965 - Payer ID
XACKU - Also listed as BCBS Puerto Rico - Medicare Advantage
- Also listed as Blue Cross United States Virgin Islands
- Also listed as Blue Cross and Blue Shield of Puerto Rico
- Also listed as Triple-S Advantage
- Also listed as Triple-S Management Corporation
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Considerations
- Choose the claim format by service type: 837D for dental, 837I for institutional, and 837P for professional claims.
- Complete payer enrollment before running electronic eligibility checks or requesting ERA through the practice's workflow.
- Before enrollment is complete, use your approved alternative process to verify eligibility and record the result in the patient's account.
- Use a non-electronic or payer-approved process for claim status, EFT, coordination of benefits, and attachments.
- After payer enrollment, reconcile available 835 remittances separately; EFT and combined ERA/EFT are not supported.
Common questions
What electronic claim formats does this payer accept?
This payer supports 837D dental, 837I institutional, and 837P professional claims through Hero EMR.
Can I verify eligibility electronically for this payer?
Yes, eligibility and benefits uses 270/271, but payer enrollment must be completed first. Until then, use your approved alternative verification workflow.
Does this payer support electronic remittance advice?
Yes, ERA 835 is supported after payer enrollment. EFT and combined ERA/EFT are not available.
Does this payer support claim status, EFT, coordination of benefits, or attachments?
No. Claim status 276/277, EFT, coordination of benefits, and attachments 275 are unavailable for this payer.
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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