Supported Transactions
| 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
- Payer ID
00128 - Payer ID
9251
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Considerations
- Send institutional claims as 837I and professional claims as 837P; confirm the claim type before transmission.
- Complete payer enrollment before expecting ERA 835 files, and include the enrollment step in your implementation checklist.
- Verify eligibility outside Hero EMR before visits, then record coverage findings in your normal practice workflow.
- Check claim status outside Hero EMR and maintain follow-up dates because 276/277 transactions are unavailable.
- Use your existing payment-reconciliation process because EFT and combined ERA/EFT transactions are unavailable.
Common questions
Which electronic claim formats does this payer support?
This payer supports 837I institutional claims and 837P professional claims in Hero EMR. Dental 837D claims are not available.
How do I receive ERA from this payer?
ERA 835 is supported after payer enrollment. Complete the required enrollment before relying on electronic remittance in Hero EMR.
Can I check eligibility and claim status in Hero EMR?
No. Eligibility and benefits 270/271 and claim status 276/277 transactions are not available, so use your established alternative workflow.
Does this payer support EFT or combined ERA and EFT?
No. EFT and combined ERA/EFT transactions are not available through Hero EMR.
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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