Membership by PCP Report

Below is a sample of ConnectiCare’s Membership by PCP report. This report is available upon request to individual PCPs. The report is sorted alphabetically and shows the members who have you listed as their PCP, along with other helpful information. If you would like to request a report or have any questions, please contact your Provider Education & Service Representative.

Key

1. PCP’s provider organization
2. PCP’s name
3. ConnectiCare provider ID number
4. Member’s ConnectiCare ID number
5. Member’s name
6. Member’s address and phone number
7. Member’s date of birth
8. Member’s sex
9. Product (OA = open access; GK = referral plan)
10. Effective date of coverage
11. Effective date with PCP
12. Number of visits to PCP within last 12 months
13. Number of visits to another PCP within past 12 months
14. Number of visits to a specialist within past 12 months