Provider Portal: Correctly Verifying Member Eligibility

07/17/2023

Our provider portal offers robust information about member eligibility. You can see both the member’s current active plan as well as their prior plans. We do this so you can see which benefit plan applies to each date-of-service.

To identify the current plan, look for the newest “Coverage Start Date” for the right Coverage Type, (Medical vs. Dental) and:

  • Status = “Active”
  • Coverage End Date Year = “12/31/9999”