We continue to transition members in group plans to our new operating platform each month upon their renewal date. Members will receive a new member ID card upon their transition.
Member ID cards
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Newly issued member ID cards will have the new number structure (10-digit format). The new ID number will be at the member level, not the subscriber level, meaning each member will have a unique ID number.
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It is important to ask members for a copy of their latest ID card at every visit to ensure proper claims processing.
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Members who received temporary ID cards between July 2024 – October 2024 will receive their regular ID card by the end of March 2025. Please continue to accept temporary ID cards, a paper letter, or digital ID card with the new member ID number until the new card arrives.
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To ensure you are viewing accurate information for the noted date of service,
use the
Eligibility & Benefits transaction on the
Practice Management application of the Provider Engagement, Analytics & Reporting (PEAR) portal and
search for the member using
their
name and date of birth.
Authorizations
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Members who have a new ID number (10-digit format) may have an existing authorization that was submitted under their old ID number (12-digit UMI). Authorizations submitted under the member's old ID number remain valid.
You do not need to enter a new authorization under the member's new ID number.
Referrals
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Members who have a new ID number (10-digit format) may have an existing referral that was submitted under their old ID number (12-digit UMI). Referrals submitted under the member's old ID number remain valid.
You do not need to enter a new referral under the member's new ID number.
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When performing a Referral Search using the referral number, you may see two results – one with the old member ID number and the other with the new member ID number.
Review additional
tips on using the new member ID number for checking eligibility and claim submissions.
Stay informed
We encourage you to frequently visit our dedicated
Platform Transition page to stay abreast of the upcoming changes. The FAQs are updated as new information becomes available.
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