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Payer Directory
Avalon Healthcare Solutions (Vermont): payer ID and claims support
Avalon Healthcare Solutions (Vermont) uses payer ID AVA04. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
AVA04Avalon Healthcare Solutions (Vermont) at a glance
What billers need before running a check.
Payer ID
AVA04Also known as 8259
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Operating area
Not published
Payer website
www.avalonhcs.comSupported transactions
What can be exchanged electronically with Avalon Healthcare Solutions (Vermont) today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | NOT AVAILABLE |
Claim status (276/277) Where a submitted claim stands | NOT AVAILABLE |
Professional claims (837P) Physician and outpatient claims | SUPPORTED |
Institutional claims (837I) Facility claims | NOT AVAILABLE |
Dental claims (837D) Dental claims | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | ENROLLMENT REQUIRED |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Frequently asked questions
What is the payer ID for Avalon Healthcare Solutions (Vermont)?+–
Avalon Healthcare Solutions (Vermont) uses payer ID AVA04. It also appears as 8259 in some systems.
Does Avalon Healthcare Solutions (Vermont) support real-time eligibility verification?+–
Not electronically today. Coverage for Avalon Healthcare Solutions (Vermont) has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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