Claims
The Claims Department will adjudicate all properly submitted, authorized claims that meet “clean claims criteria” within 45 days of receipt unless otherwise stipulated in your contract.
A claim is considered a “clean claim” if it is submitted on the appropriate form, contains the correct billing information according to CMS 1500, ADA 2002 and UB-04 requirements and has all the supporting documentation as required for medical and claims review.
ERAs and EFTs
B – UHP has partnered with ECHO to process Electronic Funds Transfer (EFT) and Electronic Remittance Advices (ERA) enrollments.
- Electronic Remittance Advice (ERA): ERAs provide an electronic report of payments, reconciliations, and more. To enroll and receive ERAs, please fill out the form below.
- Electronic Funds Transfer (EFT): EFT allows us to send claims payments directly to our provider bank accounts. Use the form below to sign up for this payment method.
EFT/ERA Enrollment Instructions:
- Fill out the EFT and ERA Enrollment Form and send directly to ECHO. (See form for mail, fax, and e-mail address.)
- Select enrollment choice: 1) EFT, 2) ERA, or 3) both EFT and ERA.
- E-sign or print and manually sign form. Mail, fax, or e-mail (secure email is recommended) to ECHO Health Inc.
*Please Note: A separate form will need to be filled out for each of our plans you would like to enroll for:
- Banner – University Family Care / ACC
- Banner – University Family Care / ALTCS
- Banner – University Care Advantage
Related Documents
Electronic & Mail Submissions
Please see the table below for information regarding electronic and mail submissions.
Medicaid Plans |
|
Banner – University Family Care / |
P.O. Box 35699 |
Banner – University Family Care / |
P.O. Box 37279 |
Medicare Plans |
|
Banner – University Care Advantage |
P.O. Box 38549 |
Dental Claims |
|
DentaClaims of Arizona, LLC |
DentaQuest of Arizona, LLC - Claims Office: (800) 440-3408 P.O. Box 2906 Milwaukee, WI 53201-2906 Web Site: dentaquest.com |
Resubmissions
Be sure to clearly mark "Resubmission" on the claim form or select the appropriate box on the claim form if sending electronically.
Appeals
Banner – University Health Plans
Attn: Grievances and Appeals Department
2701 E. Elvira Road
Tucson, AZ 85756