Just a reminder: all commercial members received new member ID numbers that went into effect Jan. 1, 2021. The new member ID numbers start with the letter “K” followed by a 10-digit number. View a sample here.
To avoid delays in claims payment, make sure to use the new member ID numbers for dates of services on and after Jan. 1, 2021.
The new commercial member ID numbers are similar to those of our Medicare Advantage members. Medicare Advantage ID cards do clearly note the member has a Medicare Advantage plan.
It’s important to check ID cards and sign in to verify the member’s eligibility and member’s plan.
Please be aware that the explanation of payment statements (EOPs) for services in 2021 will also change. Here’s a document to help you understand the new format.
To avoid any delays in claims payments, please use the new ID numbers for services on and after Jan. 1, 2021. Claims for 2021 services with old member numbers (those started with the numeral “9”) may be denied and returned for resubmission.
There are no changes to the claims submissions process. Continue to send claims to:
This information is on the back of the ID cards of ConnectiCare’s commercial members.
Provider payments will be made through our partnership with PNC Bank and the ECHO Health payment platform. If you haven’t signed up for electronic funds transfer (EFT) through PNC-ECHO, you will receive your claims payment by virtual credit card. Normal transaction fees apply based on your merchant acquirer relationship. These virtual credit cards expire after 60 days.