Supported payer transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Enrollment required |
| 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
10949 - Payer ID
6818 - Also listed as VHP
- Also listed as Valley Health Plan (Commercial)
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow guidance
- Classify each encounter as institutional, professional, or dental before selecting 837I, 837P, or enrollment-gated 837D.
- Complete payer enrollment before sending 837D claims or activating ERA 835 workflows.
- Run 270/271 eligibility checks before visits, then use your existing process for claim status and coordination-of-benefits work.
- Reconcile payments through a non-EFT process because EFT and combined ERA/EFT are unavailable.
- Keep a separate workflow for attachments because 275 transactions are unavailable.
Common questions
Can we check eligibility and benefits electronically with this payer?
Yes. This payer supports 270/271 eligibility and benefits transactions, but not the separate coordination-of-benefits transaction.
Can we send institutional and professional claims electronically?
Yes. This payer supports 837I for institutional claims and 837P for professional claims.
Are dental claims and ERAs available without enrollment?
No. This payer supports 837D dental claims and 835 ERA only after the practice completes payer enrollment.
Can we check claim status or receive EFT through this connection?
No. 276/277 claim status, EFT, combined ERA/EFT, the coordination-of-benefits transaction, and 275 attachments are not available 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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