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

The payer ID for Banner Medicare Advantage Prime HMO is 67895. Alternate IDs seen across clearinghouses include 12X42, 12X42MA, 16664, 3845.

How long does Banner Medicare Advantage Prime HMO provider enrollment take?

Banner Medicare Advantage Prime HMO provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Banner Medicare Advantage Prime HMO require CAQH?

Yes. Banner Medicare Advantage Prime HMO uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

What is the provider services phone number for Banner Medicare Advantage Prime HMO ?

Aetna Provider Contact Center: 800-624-0756.

Does Banner Medicare Advantage Prime HMO require ERA enrollment?

Yes. Banner Medicare Advantage Prime HMO requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

Banner Medicare Advantage Prime HMO

Part of CVS Health

National carrierdentalmedicalvision

Typical enrollment turnaround

60-120 days

Summary

Banner Medicare Advantage Prime HMO is a national insurance carrier, part of CVS Health, offering dental, medical, and vision coverage across all 50 states + DC. Claims route under payer ID 67895, with 15 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-120 days, with applications through Availity, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID: 67895Also seen as 12X42, 12X42MA, 16664, 3845, 5046, 5047 and 9 more
Also known as: AARP United Medicare Complete, Banner Health, Banner Health (HealthNet Senior), Banner Health (UnitedHealthcare Medicare Advantage), Banner Health and Aetna
Uses CAQH: YesApplication route: Payer portal application
Service area: All 50 states + DC

Clearinghouse transaction setup

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

Transaction	Enrollment	Typical setup
Eligibility checks (270/271)	Not required	Immediate
Claim status (276/277)	Not required	Immediate
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 Prime HMO ?: The payer ID for Banner Medicare Advantage Prime HMO is 67895. Alternate IDs seen across clearinghouses include 12X42, 12X42MA, 16664, 3845.
How long does Banner Medicare Advantage Prime HMO provider enrollment take?: Banner Medicare Advantage Prime HMO provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Banner Medicare Advantage Prime HMO require CAQH?: Yes. Banner Medicare Advantage Prime HMO uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
What is the provider services phone number for Banner Medicare Advantage Prime HMO ?: Aetna Provider Contact Center: 800-624-0756.
Does Banner Medicare Advantage Prime HMO require ERA enrollment?: Yes. Banner Medicare Advantage Prime HMO requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

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.