Question 1

What is the Stedi payer ID for Banner Medicare Advantage Prime HMO ?

Accepted Answer

The Stedi payer ID for Banner Medicare Advantage Prime HMO  is UQNJM.

Question 2

What is the primary payer ID for Banner Medicare Advantage Prime HMO ?

Accepted Answer

The primary payer ID for Banner Medicare Advantage Prime HMO  is 67895.

Question 3

What payer IDs does Banner Medicare Advantage Prime HMO  use?

Accepted Answer

In addition to its primary payer ID 67895, Banner Medicare Advantage Prime HMO  uses several other payer IDs, including 12X42, 12X42MA, 16664, 3845, 5046, 5047, 6610, 67895, 7521, 7752, 84323, 84323MA, 84324, 8892, 8893, and QRIMK.

Question 4

What transactions does Banner Medicare Advantage Prime HMO  support?

Accepted Answer

Banner Medicare Advantage Prime HMO  supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), and 276/277 real-time claim status.

Question 5

What transaction types require transaction enrollment with Banner Medicare Advantage Prime HMO ?

Accepted Answer

Banner Medicare Advantage Prime HMO  requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

Question 6

What is transaction enrollment?

Accepted Answer

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

A COB checks determines if a member has coverage from more than one payer. Banner Medicare Advantage Prime HMO  supports COB checks through Stedi.

Question 8

What is Banner Medicare Advantage Prime HMO 's parent group?

Accepted Answer

Banner Medicare Advantage Prime HMO  is part of Aetna (CVS Group).

Question 9

What other names does Banner Medicare Advantage Prime HMO  go by?

Accepted Answer

Banner Medicare Advantage Prime HMO  is also known as Banner Health, Banner Health (HealthNet Senior), Banner Health (UnitedHealthcare Medicare Advantage), Banner Health and Aetna, Banner Health and Aetna Health Insurance Company, Banner Medicare Advantage Plus, Banner Medicare Advantage Prime, and Banner Plan Administration (Choice Plus and Select 500).

Question 10

What is the official website for Banner Medicare Advantage Prime HMO ?

Accepted Answer

The official website for Banner Medicare Advantage Prime HMO  is https://www.bannerhealth.com.

Question 11

What types of benefits does Banner Medicare Advantage Prime HMO  return in eligibility checks?

Accepted Answer

Eligibility checks with Banner Medicare Advantage Prime HMO  can return dental, medical, and vision benefits.

Question 12

What U.S. states does Banner Medicare Advantage Prime HMO  operate in?

Accepted Answer

Banner Medicare Advantage Prime HMO  operates in Idaho, Montana, and Wyoming.

Banner Medicare Advantage Prime HMO

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments