BANNER MEDICARE ADVANTAGE PLUS (PPO)
medical
Summary
BANNER MEDICARE ADVANTAGE PLUS (PPO) is a medical payer operating in 5 states. Claims route under payer ID 16663. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
16663- Service area
- IL, IN, KY, OK, WV
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for BANNER MEDICARE ADVANTAGE PLUS (PPO)?
- The payer ID for BANNER MEDICARE ADVANTAGE PLUS (PPO) is 16663.
- Does BANNER MEDICARE ADVANTAGE PLUS (PPO) require ERA enrollment?
- Yes. BANNER MEDICARE ADVANTAGE PLUS (PPO) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does BANNER MEDICARE ADVANTAGE PLUS (PPO) cover?
- BANNER MEDICARE ADVANTAGE PLUS (PPO) operates in IL, IN, KY, OK, WV. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does BANNER MEDICARE ADVANTAGE PLUS (PPO) offer?
- BANNER MEDICARE ADVANTAGE PLUS (PPO) covers medical.
- Can I submit claims to BANNER MEDICARE ADVANTAGE PLUS (PPO) electronically?
- Yes. BANNER MEDICARE ADVANTAGE PLUS (PPO) is reachable through clearinghouses for professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
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 Spot something out of date?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.