Supported Transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Not supported |
| 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
15548 - Also listed as UCLA Medicare Advantage Plan
Coverage states
California.
Workflow Notes
- Run 270/271 eligibility and benefits checks before visits; do not treat the response as support for separate COB transactions.
- Send professional services as 837P and facility or institutional services as 837I.
- Use 276/277 to check claim status after submission and record results in your normal follow-up process.
- Because ERA 835 and EFT are unavailable, plan for a separate remittance and payment-posting workflow.
- Route dental claims and attachments through your established non-electronic process; 837D and 275 are not supported.
Common questions
How do I submit professional or institutional claims electronically?
Submit professional claims as 837P and institutional claims as 837I. Both transaction types are supported for this payer.
Can I check claim status electronically?
Yes. Claim-status requests and responses are supported through 276/277.
Can I verify eligibility and benefits electronically?
Yes, eligibility and benefits transactions are supported through 270/271. Coordination-of-benefits (COB) transactions are not supported.
Can I receive ERA or EFT from this payer?
No. This payer does not support ERA (835), EFT, combined ERA/EFT, dental claims (837D), or attachments (275).
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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