Transaction support for this payer
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Not supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | Not 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 |
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Working around unsupported transactions
- Complete payer enrollment before expecting EFT deposits or ERA files in your electronic workflow.
- Use a separate approved eligibility workflow because 270/271 eligibility and benefits responses are not supported here.
- Follow another approved process for claim status, since 276/277 inquiries are unavailable through this payer connection.
- Send professional, institutional, and dental claims through another approved method; 837P, 837I, and 837D are unavailable here.
- If EFT or ERA is missing after enrollment, verify enrollment and routing before reconciling payments manually.
Common questions
Does this payer support EFT?
Yes, but only after your practice completes payer enrollment. EFT is supported as a standalone transaction, while combined ERA and EFT is not available.
How do I receive an ERA from this payer?
Complete payer enrollment first. ERA 835 is supported after enrollment, but it cannot be combined with EFT.
Can I check eligibility electronically?
No. Eligibility and benefits transactions using 270/271 are not supported for this payer, so use a separate approved workflow.
Can I submit claims electronically?
No. Professional, institutional, and dental claim transactions are not supported, so use another approved submission method.
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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