Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not 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
10787 - Payer ID
521337971 - Payer ID
9194 - Payer ID
CX001 - Payer ID
CX053 - Payer ID
CX057 - Payer ID
CX060 - Payer ID
CX061 - Payer ID
JPF01 - Payer ID
NDB01 - Payer ID
SBEGF - Payer ID
TLW58 - Payer ID
TLW59 - Payer ID
VFJWB - Payer ID
Z96290 - Also listed as American Medical Security
- Also listed as Dental Benefits Providers
- Also listed as Health Net - Commercial
- Also listed as Lincoln Financial Group (Salt Lake City)
- Also listed as National Pacific Dental (California)
- Also listed as National Pacific Dental (Texas)
- Also listed as National Pacific of Texas (NCFLEX)
- Also listed as Nevada Pacific Dental
- Also listed as PacifiCare Dental & Vision Plan
- Also listed as Pacific Union Dental (California)
- Also listed as United HealthCare Global (Inside U.S.)
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow guidance
- Use 270/271 to check eligibility and benefits before visits; do not expect a coordination-of-benefits 271 response.
- Submit dental claims through 837D. Do not use this payer’s electronic route for professional 837P or institutional 837I claims.
- Complete payer enrollment before relying on EFT or ERA 835, and confirm enrollment is active in your workflow.
- If ERA 835 is not yet enabled, use your established non-ERA remittance process and do not assume EFT is active.
- Route required attachments through your established alternative process because electronic attachments through 275 are not supported.
Common questions
Does this payer support electronic eligibility checks?
Yes. Use 270/271 for eligibility and benefits, but do not expect a coordination-of-benefits 271 response.
Which claims can I submit electronically to this payer?
Electronic dental claims are supported through 837D. Professional 837P and institutional 837I claims are not available through this support.
Can I receive EFT and ERA from this payer?
Yes, but complete payer enrollment before using EFT or ERA 835. They are supported as separate transactions, not as a combined ERA and EFT option.
Can I send attachments electronically?
No. Electronic attachments through 275 are not supported, so use your established alternative process when documentation is required.
Run this payer inside Hero EMR
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