Electronic Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
12X42 - Payer ID
12X42MA - Payer ID
16664 - Payer ID
3845 - Payer ID
5046 - Payer ID
5047 - Payer ID
6610 - Payer ID
7521 - Payer ID
7752 - Payer ID
84323 - Payer ID
84323MA - Payer ID
84324 - Payer ID
8892 - Payer ID
8893 - Payer ID
QRIMK - Also listed as AARP United Medicare Complete
- Also listed as Banner Health
- Also listed as Banner Health (HealthNet Senior)
- Also listed as Banner Health (UnitedHealthcare Medicare Advantage)
- Also listed as Banner Health and Aetna
- Also listed as Banner Health and Aetna Health Insurance Company
- Also listed as Banner Medicare Advantage Plus
- Also listed as Banner Medicare Advantage Prime
- Also listed as Banner Plan Administration (Choice Plus and Select 500)
- Also listed as Banner|Aetna
Coverage states
Arizona, Idaho, Montana, Wyoming.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Plan Your Workflow
- Send 837I and 837P claims electronically, then use 276/277 transactions to check claim status.
- Run 270/271 eligibility and benefits checks before visits, but do not expect coordination-of-benefits information through this payer's 271 support.
- Complete payer enrollment before relying on 835 ERA, and maintain a manual remittance process until enrollment is active.
- Plan another approved workflow for 837D claims, EFT, combined ERA and EFT, and 275 attachments.
Common questions
Can I submit professional and institutional claims electronically to this payer?
Yes. Hero EMR supports 837P professional claims and 837I institutional claims for this payer.
Can I check eligibility and claim status electronically?
Yes. Use 270/271 for eligibility and benefits and 276/277 for claim status. Coordination-of-benefits information through 271 is not supported.
Do I need to enroll for ERA with this payer?
Yes. ERA 835 is supported only after the practice completes payer enrollment, so finish the required paperwork before relying on electronic remittance.
Does this payer support dental claims, EFT, or attachments?
No. 837D dental claims, EFT, combined ERA and EFT, and 275 attachments are not available through Hero EMR for this payer.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
See a demo