Updated September 1, 2026
Verify Banner Medicare Advantage Prime HMO eligibility in real time.
Banner Medicare Advantage Prime HMO supports electronic real-time eligibility. Send the check to payer ID 12X42 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: AARP United Medicare Complete · Banner Health · Banner Health (HealthNet Senior) · Banner Health (UnitedHealthcare Medicare Advantage) · Banner Medicare Advantage Plus · Banner Medicare Advantage Prime
Seconds
The same Banner Medicare Advantage Prime HMO check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
7 billing names
Banner Medicare Advantage Prime HMO shows up on cards under 7 names. Every one routes to payer ID 12X42, and so do 12 older payer IDs still printed on cards. No guessing which card this is.
Medicare plans
Banner Medicare Advantage Prime HMO runs Medicare plans. Sign in and check any patient in one click before they arrive.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying Banner Medicare Advantage Prime HMO by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID 12X42, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a Banner Medicare Advantage Prime HMO eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where Banner Medicare Advantage Prime HMO reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID 12X42
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, Banner Medicare Advantage Prime HMO included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What Banner Medicare Advantage Prime HMO supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not through our network
- Claim status (276/277)
- Not through our network
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically within hours
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
Banner Medicare Advantage Prime HMO · AARP United Medicare Complete · Banner Health · Banner Health (HealthNet Senior) · Banner Health (UnitedHealthcare Medicare Advantage) · Banner Medicare Advantage Plus · Banner Medicare Advantage Prime. Older cards may show payer ID 12X42MA, 16664, 3845, 5046 and 5047. All of them route to payer ID 12X42.
Payer site: www.bannerhealth.com
How to verify Banner Medicare Advantage Prime HMO, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID 12X42.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
Banner Medicare Advantage Prime HMO runs Medicare plans across 4 states. Medicare dental benefits live in the specific Advantage plan, not in Medicare itself, so the plan on the card decides.
Banner Medicare Advantage Prime HMO, for your front desk
Phone numbers and claims address, from Banner Medicare Advantage Prime HMO's own provider pages.
- Provider customer service
- 844-549-1857
- Claims mailing address
- P.O. Box 2906, Milwaukee, WI 53201-2906
Source: Banner Medicare Advantage Prime HMO, contact page and submissions page. Checked September 19, 2026.
Banner Medicare Advantage Prime HMO, quick answers
Does Banner Medicare Advantage Prime HMO support real-time eligibility?
Yes. Eligibility checks to Banner Medicare Advantage Prime HMO clear electronically in seconds through payer ID 12X42.
What payer ID do I use for Banner Medicare Advantage Prime HMO?
12X42 for eligibility transactions. The same payer also appears on cards as AARP United Medicare Complete, Banner Health, Banner Health (HealthNet Senior).
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does Banner Medicare Advantage Prime HMO require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which Banner Medicare Advantage Prime HMO plans does this cover?
Banner Medicare Advantage Prime HMO runs Medicare plans in Arizona, Idaho, Montana and Wyoming. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get Banner Medicare Advantage Prime HMO remittances electronically?
Yes. Banner Medicare Advantage Prime HMO sends electronic remittance advice (835) after a multi-step enrollment, typically within hours.
What if the patient's card shows a different Banner name?
Alternate billing names route to the same payer ID, 12X42. The same check covers them.
More questions about verifying Banner Medicare Advantage Prime HMO? Schedule 15 minutes with us and bring your toughest plan.
Check any Banner Medicare Advantage Prime HMO patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Related payers
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- Verify Care1st Health Plan Arizona eligibility
More payers operating in Arizona · More payers operating in Idaho · More payers operating in Montana
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.