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Newly designed ConnectiCare ID cards for all members: Claims processing information for Medicare Advantage members

01/09/2017

We told you last month that we are issuing newly designed ID cards as members renew their commercial and Medicare Advantage plans after Jan. 1. (Review the article.)

We're also issuing new ID numbers to Medicare Advantage members. To avoid any delays in your claims payments, please use the new member ID numbers when submitting Medicare claims for services after Jan. 1, 2017. Claims for 2017 services with old member ID numbers may be denied and returned for resubmission.

How to submit Medicare claims for services that start in 2016 and extend into 2017

If you are submitting claims for:

  • Inpatient claims that start in 2016 and end in 2017, you only have to use the old Medicare member ID number.
  • Outpatient claims that start in 2016 and end in 2017, please split your submission into two separate claims:
    • Services before Jan. 1, 2017, use the old Medicare member ID number; and
    • Services on or after Jan. 1, 2017, use the new Medicare member ID number.