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Banner Health

The provider portal for Banner Health is https://apps.availity.com/

Primary payer ID
12X42Compare transaction IDs ↓
Last successful claim statusWithin the past 3 monthsObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from Banner Health? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Banner Health

Substrate can help practices and billers with the following claims tasks for Banner Health.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Banner Health.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Banner Health.

Available

Frequently asked questions

Banner Health payer FAQs

What is the payer ID for Banner Health?

The primary payer ID for Banner Health is 12X42. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What is the provider portal for Banner Health?

The provider portal for Banner Health is https://apps.availity.com/. Available features depend on the payer and your account.

What are the 837 payer IDs for Banner Health?

The 837P and 837I payer ID for Banner Health is 12X42 via Stedi.

What is the 835 payer ID for Banner Health?

The 835 payer ID for Banner Health is 12X42 via Stedi.

What is the 270 payer ID for Banner Health?

The 270 payer ID for Banner Health is 12X42 via Stedi.

What states does Banner Health operate in?

Banner Health operates in AR, AZ, ID, IN, ME, MT, NC, NY, SC, and WY.

Routing reference

Banner Health payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Banner Health payer name, operating states, and transaction-specific payer IDs
Payer nameBanner Health
Operating statesAR, AZ, ID, IN, ME, MT, NC, NY, SC, WY
837P professional claims payer IDStedi12X42
837I institutional claims payer IDStedi12X42
835 ERA payer IDStedi12X42Enrollment required
270 eligibility payer IDStedi12X42

Payer contact directory

Banner Health phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Other stated context phone
(800) 564-5465Mercy Care Arizona
Banner Health payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 564-5465Other stated contextBenefit context: Inactive
  • Mercy Care Arizona
Health Benefit Plan Coverage
phone(855) 221-5656Other stated contextBenefit context: Inactive
  • Aetna Better Health of Kansas
Health Benefit Plan Coverage
phone(855) 232-3596Other stated contextBenefit context: Inactive
  • Aetna Better Health of New Jersey
Health Benefit Plan Coverage
phone(855) 676-5772Other stated contextBenefit context: Inactive
  • Aetna Better Health of Michigan
Health Benefit Plan Coverage
phone(866) 600-2139Other stated contextBenefit context: Active Coverage
  • Aetna Better Health of Illinois
Health Benefit Plan Coverage

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 12X42
  • 12X42MA
  • 16664
  • 3845
  • 5046
  • 5047
  • 6610
  • 84323
  • 84323MA
  • 84324
  • 8892
  • 8893
  • Banner Health (HealthNet Senior)
  • Banner Health (UnitedHealthcare Medicare Advantage)
  • Banner Medicare Advantage Plus
  • Banner Medicare Advantage Prime
  • Banner Plan Administration (Choice Plus and Select 500)
  • BANNER PLAN ADMINISTRATION
  • BANNER MEDICARE ADVANTAGE PRIME (HMO)
  • BANNER HEALTH (UHC MEDICARE ADVANTAGE)
  • BANNER MEDICARE ADVANTAGE PRIME HMO
  • BANNERMCARE