Claims


Electronic & Mail Submissions

 Please see the table below for information regarding electronic and mail submissions.


Medicaid Plans

University Family Care

(UFC - Acute Care)

P.O. Box 35699
Phoenix, AZ 85069-7169
Electronic ID: 09830

Banner University Family Care

(B – UFC – Arizona Long Term Care)

P.O. Box 37279
Phoenix, AZ 85069
Electronic ID: 66901

Medicare Plans

University Care Advantage

(UCA – DSNP)

P.O. Box 38549
Phoenix, AZ 85069-7169
Electronic ID: 09908

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


ERAs & EFTs

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.

Open the ERA Provider Setup Form

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.

Open the EFT Enrollment Form