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All Medicare Advantage HMO and PPO members migrated to the new platform

December 30, 2014

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On January 1, 2015, all Medicare Advantage HMO and PPO members will be migrated to the new operating platform. Therefore, if you render services to these members on or after January 1, 2015, the claim will be processed on the new platform.

Medicare Advantage HMO and PPO members received a letter from Independence that highlighted the changes they would experience post-migration, including new ID cards and a new, easier-to-read billing statement.

Check member ID cards at every visit

All Medicare Advantage HMO and PPO members have been issued a new member ID card, which includes a new alpha prefix and new member ID and pharmacy ID numbers. New member ID numbers contain 12 digits, called a "unique member ID" (UMI). The subscriber and any members covered under the subscriber's policy, if applicable, share the same UMI.

Because all Medicare Advantage HMO and PPO members have a new member ID number, it is imperative that provider offices do the following at every visit:

  • Obtain a copy of the member's current ID card to ensure that you submit the most up-to-date information to Independence.
  • Verify eligibility and benefits using the NaviNet® web portal prior to rendering service.
Note: Members with MedigapSecurity (a Medicare Supplement plan) have been assigned a 13-digit ID number, with the last digit being an alpha character.

Update on the migration of commercial members to the new platform

Since 2013, we have been in the process of migrating our commercial members to the new platform, generally based on when the customer/member's contract renews. As of January 1, 2015, nearly all of our existing commercial members will have been migrated to the new platform. We anticipate that all remaining members will be migrated to the new platform by March 2015.

Resources

We will continue to work closely with you and our entire provider network as we complete our Business Transformation. For more information, visit our Business Transformation site. On this site you will find a communication archive as well as frequently asked questions. If you still have questions after reviewing these resources, please email us.

Reminders:

  • Once a member has been migrated to the new platform, the Provider Automated System is no longer available for eligibility inquiries, submitting or retrieving referrals, submitting encounters, or checking claims status. Providers should use NaviNet to retrieve this information.
  • For members who have been migrated to the new platform, providers will no longer receive a Statement of Remittance (SOR). Professional providers will receive a Provider Explanation of Benefits (EOB), and facility providers will receive a Provider Remittance.

NaviNet® is a registered trademark of NaviNet, Inc., an independent company.

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