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Avalon Healthcare Solutions (Vermont)

medical

Summary

Avalon Healthcare Solutions (Vermont) is a medical payer. Claims route under payer ID AVA04, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports professional claims and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
AVA04Also seen as 8259

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Professional claims (837P)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Avalon Healthcare Solutions (Vermont)?
The payer ID for Avalon Healthcare Solutions (Vermont) is AVA04. Alternate IDs seen across clearinghouses include 8259.
Does Avalon Healthcare Solutions (Vermont) require ERA enrollment?
Yes. Avalon Healthcare Solutions (Vermont) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What types of coverage does Avalon Healthcare Solutions (Vermont) offer?
Avalon Healthcare Solutions (Vermont) covers medical.
Can I submit claims to Avalon Healthcare Solutions (Vermont) electronically?
Yes. Avalon Healthcare Solutions (Vermont) is reachable through clearinghouses for professional claims and electronic remittance. Electronic claims are supported for professional (837P).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.