Commercial plan updates for 2021

01/04/2021

Just a reminder: all commercial members will have new member ID numbers and ID cards, starting Jan. 1, 2021. The new member ID numbers start with the letter “K” followed by a 10-digit number. View a sample here.

 

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.

 

Make sure to ask our commercial members for ID cards. It’s important to check ID cards and ID numbers for all commercial patients at every visit and sign in to verify eligibility.

 

Please be aware that the explanation of payment statements (EOPs) for services provided to members with the new K-ID will also change after Jan. 1. 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.

 

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.

Our Call Center is currently experiencing extremely high volume and longer wait times. For questions related to COVID-19, visit our COVID-19 FAQs