Banner Health Employee Benefits - Resources  

Appeal Guidelines for Banner Health and Dental Plans

 

NEW FOR 2014: 
The information below applies to 2013 benefits. Information related to 2014 benefits is still in development and will be posted at a later date.

If you have received a denial, please send in a written request stating what you are appealing. For your appeal to be processed, the following information must be included:

  • Patient name
  • Patient ID 
  • Mailing address
  • Contact phone number
  • Type of appeal: Benefit or Health Care (Medical, Pharmacy, Dental, Disability)
  • Reason for appeal (Full details)
  • Date of service and amount (if applicable)  
  • Claim or authorization reference number (if applicable)  
  • Be sure to include any other information to support your request for appeal 

Mail your letter of appeal and supporting documentation to:

BANNER PLAN ADMINISTRATION 
P.O. BOX 16423 
ATTN: Benefit or Health Care APPEALS 
MESA, AZ 85211‐6423 

Or you may fax them to:

Benefit Appeals: (480) 684‐6966 Be sure to include “ATTENTION: BENEFIT APPEALS” on the cover sheet.

Health Care Appeals:  (480) 684-5911.  Be sure to include “ATTENTION: HEALTH CARE APPEALS” on the cover sheet.

If you are filing this appeal on behalf of someone else who is over the age of 18 years, please have them sign and date the authorized representative release form. Due to the HIPAA regulations, we cannot process an appeal without this signed release form

If you need help with your appeal or have questions about the appeal process, please call the Service Center at (480) 684‐7070 in the Phoenix metropolitan area or (800) 827-2464 for all other areas.

Banner Health Employee Benefits
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These pages are highlights of the benefit plans. In the event of a difference between these pages and the legal documents/contracts, the legal documents/contracts will rule. Banner Health reserves the right to change, amend or discontinue all or part of these plans at any time for any reason. View Plan Documents
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