Supported electronic 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) | Supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
3838 - Payer ID
4542
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan the electronic workflow
- Send dental, institutional, and professional claims as 837D, 837I, or 837P, using the transaction that matches the claim type.
- Complete payer enrollment before expecting EFT deposits or ERA files, and track enrollment status in your workflow.
- Verify benefits through another process because 270/271 eligibility transactions are not supported.
- Use another process for claim status, coordination of benefits, and attachments because 276/277 and 275 are unavailable.
- If ERA is unavailable before enrollment, continue payment reconciliation manually; EFT and ERA are separate options, not a combined transaction.
Common questions
Can I submit claims electronically to this payer?
Yes. Submit dental, institutional, or professional claims using 837D, 837I, or 837P, respectively.
Does this payer support electronic eligibility and benefits verification?
No. Eligibility and benefits transactions 270/271 are not supported, so verify coverage through another process.
How do I receive EFT and ERA from this payer?
Complete payer enrollment first. EFT and ERA are each supported after enrollment, but a combined ERA and EFT transaction is not available.
Does this payer support electronic claim status, COB, or attachments?
No. This payer does not support 276/277 claim status, 271 coordination of benefits, or 275 attachments.
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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