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) | 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
1132 - Payer ID
1504 - Also listed as Unified Comprehensive Services (The City of East Chicago)
Workflow for gaps
- Use 837P for professional services and 837I for institutional billing; confirm the claim format before submission.
- Verify coverage and benefits through another workflow before scheduling or treatment because 270/271 is unavailable.
- Check claim status through another payer-approved channel because 276/277 is not supported.
- Plan an alternate process for remittance and payment because ERA 835, EFT, and combined ERA/EFT are unavailable.
- Do not send dental claims through this connection; use a separate process for 837D.
Common questions
Which claims can I submit electronically to this payer?
Hero EMR supports institutional claims (837I) and professional claims (837P) for this payer. Dental claims (837D) are not supported.
How can I verify eligibility and benefits?
Eligibility and benefits transactions (270/271) are not supported for this payer in Hero EMR. Use another payer-approved workflow and record the results in your practice process.
Can I check claim status electronically?
No, claim status transactions (276/277) are not supported for this payer in Hero EMR. Use another workflow to request or track claim status.
Does this payer support ERA or EFT?
No, ERA (835), EFT, and combined ERA and EFT are not available through this payer connection. Arrange another workflow for remittance and payment information.
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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