Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Not 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 guidance
- Use 837P for professional services, and confirm claim details and routing in Hero EMR before submission.
- Complete payer enrollment before expecting 835 ERA files, and track enrollment separately from claims setup.
- Verify coverage and benefits through another available process because 270/271 eligibility transactions are not supported.
- Use the payer’s other claim-status process because 276/277 transactions are unavailable here.
- Use ERA for remittance after enrollment, but arrange payments separately because EFT is unavailable.
Common questions
Can I submit professional claims electronically to this payer?
Yes. This connection supports professional claims through the 837P transaction, but not institutional 837I or dental 837D claims.
Do I need payer enrollment to receive ERA?
Yes, 835 electronic remittance is supported only after your practice completes the required payer enrollment. ERA is supported separately from EFT.
Can I verify eligibility and benefits electronically?
No. The 270/271 eligibility and benefits transactions are not supported through this connection, so use another available verification process.
Can I check claim status or receive EFT electronically?
No. This connection does not support 276/277 claim status, EFT, or combined ERA and EFT transactions.
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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