Transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | 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
00074 - Payer ID
100957 - Payer ID
10556 - Payer ID
10814 - Payer ID
13337MA - Payer ID
2921 - Payer ID
3818 - Payer ID
BMCHLT - Payer ID
BMCHN - Payer ID
QWLGM - Payer ID
RYCDO - Payer ID
S3337 - Also listed as BMC HealthNet Plan
- Also listed as Boston Medical Center Health Plan
- Also listed as Boston Medical Center HealthNet Plan
- Also listed as Boston Medical Center Healthnet
- Also listed as Well Sense
Coverage states
Massachusetts, New Hampshire.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes days
Workflow guidance
- Run a 270/271 eligibility check before visits, but do not rely on this payer's electronic transactions for coordination-of-benefits information.
- Choose 837P for professional claims and 837I for institutional claims, then use 276/277 to monitor claim status.
- Complete payer enrollment before setting up an ERA workflow; 835 remittance support depends on that enrollment.
- Use a separate process for dental claims, attachments, and EFT because Hero EMR does not support those transactions for this payer.
Common questions
Can I verify eligibility and benefits electronically with this payer?
Yes. Hero EMR supports 270/271 eligibility and benefits transactions, but coordination-of-benefits (271) is not supported.
Can I submit both professional and institutional claims electronically?
Yes. Use 837P for professional claims and 837I for institutional claims.
Can I receive an ERA from this payer?
Yes, ERA (835) is supported after the practice completes payer enrollment. Finish that enrollment before relying on electronic remittance in the workflow.
Does Hero EMR support dental claims, EFT, or attachments for this payer?
No. Dental claims (837D), EFT, combined ERA and EFT, and attachments (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.
See a demo