Electronic and Mail Submissions

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Please see the below information regarding electronic and mail submissions.

Medicaid Plans

Banner – University Family Care/AHCCCS Complete Care (B – UFC/ACC) 
P.O. Box 35699
Phoenix, AZ 85069-7169
Electronic ID: 09830 

Banner – University Family Care/Arizona Long Term Care System (B – UFC/ALTCS)
P.O. Box 37279
Phoenix, AZ 85069
Electronic ID: 66901

Medicare Plans

Banner Medicare Advantage Dual
P.O. Box 38549
Phoenix, AZ 85069-7169
Electronic ID: 09830

Dental Claims

DentalClaims of Arizona, LLC
Attn: DentaQuest of Arizona, LLC - Claims
Office: 800-440-3408
P.O. Box 2906
Milwaukee, WI 53201-2906
Website: 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 Health Plans
Attn: Grievances and Appeals Department
5255 E Williams Circle, Ste 2050
Tucson, AZ 85711