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Payer ID 12X42

Banner Health

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

Operational signal

Supported

Supported

This route answers reliably based on recent operational signal.

Reliability is intentionally published as a coarse label. Substrate never exposes raw attempt counts, success rates, or internal thresholds.

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