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BANNER MEDICARE ADVANTAGE PLUS (PPO)

This page contains information you can use to exchange healthcare transactions with BANNER MEDICARE ADVANTAGE PLUS (PPO) using Stedi.
Use any of the following payer IDs to send transactions to BANNER MEDICARE ADVANTAGE PLUS (PPO) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
16663
Stedi Payer ID
TJENP
Payer ID aliases
16663
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with BANNER MEDICARE ADVANTAGE PLUS (PPO) using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to BANNER MEDICARE ADVANTAGE PLUS (PPO).
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to BANNER MEDICARE ADVANTAGE PLUS (PPO) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to BANNER MEDICARE ADVANTAGE PLUS (PPO) in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to BANNER MEDICARE ADVANTAGE PLUS (PPO) and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to BANNER MEDICARE ADVANTAGE PLUS (PPO) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from BANNER MEDICARE ADVANTAGE PLUS (PPO) to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to BANNER MEDICARE ADVANTAGE PLUS (PPO) and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to BANNER MEDICARE ADVANTAGE PLUS (PPO).
Get started
Use Stedi's APIs to get fast and reliable connectivity to BANNER MEDICARE ADVANTAGE PLUS (PPO) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and BANNER MEDICARE ADVANTAGE PLUS (PPO) today.
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