Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10288 - Payer ID
23281MA - Payer ID
23281MAP - Payer ID
2803 - Payer ID
7543 - Payer ID
95216 - Payer ID
U3281 - Payer ID
UPMC - Payer ID
UPMCD - Also listed as UPMC Dental Advantage
- Also listed as UPMC Health Plan (TriState)
- Also listed as University of Pittsburgh Medical Center Dental Advantage
- Also listed as University of Pittsburgh Medical Center Health Plan
Coverage states
Ohio, Pennsylvania.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan your electronic workflow
- Run a 270/271 eligibility and benefits check before visits, and review the 271 coordination-of-benefits response when other coverage may apply.
- Choose 837D, 837I, or 837P according to the claim type, then use 276/277 to monitor claim status.
- Complete payer enrollment paperwork before relying on 835 ERA delivery; until enrollment is active, maintain a manual remittance workflow.
- Plan payment reconciliation without EFT, since electronic funds transfer is unavailable even when ERA is enabled.
- Do not expect 275 attachments to transmit electronically; use the payer’s required alternative for supporting documentation.
Common questions
What electronic claims can I submit to this payer?
This payer supports dental claims through 837D, institutional claims through 837I, and professional claims through 837P. You can also check claim status electronically using 276/277.
Can I verify eligibility and coordination of benefits electronically?
Yes. Use 270/271 for eligibility and benefits, and use the supported 271 transaction for coordination-of-benefits information.
Does this payer support electronic remittance advice?
Yes, 835 ERA is supported after the practice completes payer enrollment. Submit the required enrollment paperwork before expecting electronic remittance delivery.
Does this payer support EFT or electronic attachments?
No. EFT, combined ERA and EFT, and electronic attachments through 275 are not supported for this payer.
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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