Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Enrollment required |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| 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
11097 - Payer ID
2532 - Payer ID
3741 - Payer ID
38337MA - Also listed as UPHP
- Also listed as Upper Peninsula Health Plan (Medicaid)
Coverage states
Michigan.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow guidance
- Complete payer enrollment paperwork before relying on electronic eligibility responses or ERA files.
- Submit institutional claims as 837I and professional claims as 837P through the supported workflow.
- Use your established alternative process for eligibility when enrollment is incomplete or electronic access is unavailable.
- When ERA is unavailable, post and reconcile remittances through your established manual or alternative workflow.
- Route claim status, dental, EFT, combined ERA/EFT, coordination-of-benefits, and attachment needs through an alternative process.
Common questions
Can I submit institutional and professional claims electronically to this payer?
Yes. Hero EMR supports institutional claims using 837I and professional claims using 837P.
Does this payer support electronic eligibility verification?
Yes, eligibility and benefits transactions using 270/271 are supported after payer enrollment. Complete the required enrollment paperwork before using this workflow.
Can I receive an electronic remittance advice from this payer?
Yes, ERA using 835 is supported after payer enrollment. Before enrollment is complete, use your established alternative process for remittance handling.
Can I check claim status electronically with this payer?
No. Claim status transactions using 276/277 are not supported through this connection.
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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