In this particular example, these three numbers are the same for all WellCare Medicare Part D prescription drug plans (in this case, the WellCare Classic and WellCare Signature Part D . With: linux distro flowchart. Finally, some health insurers provide a list of group numbers on its website. Dependents: Any dependents on your plan, like a child or spouse, are found here. If you cannot find your group number, please contact the human resources department of your employer. That insurance covers you as an employee. Plan ID. All UnitedHealthcare claims should be sent to payer ID# 87726. Primary payers are those that have the primary responsibility for paying a claim. For these cases, you should contact your insurer directly to find out which formulary your plan falls under. Number List the Federal Taxpayer Identification Number/Social Security Number for the agency. Personal Identification Number (PIN) means a confidential four-digit code number provided to a calling card customer to prevent unauthorized use of his/her calling card number. This number is usually located on your health insurance card so it is easily accessible and your health care provider can use it to verify your coverage and eligibility. All of these companies use the same Payer ID to file claims (87726), so they all end up in the same place at the end of the day. Primary insurance is a health insurance plan that covers a person as an employee, subscriber, or member. RIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC. Rocky Mountain Health Plan- Grand Junction, Sacramento Primary Care Practices of Sacramento EHS, San Diego Hospice and The Institute for Palliative Medicine, San Diego Metropolitan Transit System (SCHIP Liability), Santa Clara Valley Tansportation Authority, SelectCare of Texas (HPN) Heritage Physicians Network, Sheet Metal Workers Local 104 Health Care Plan (San Ramon CA), Sinai Medical Group Chicago IL Family Health Network patients only, Solidarity Managed Care Organization (Ohio BWC), Sound Health (now known as First Choice Health Network), South Central Preferred PPO York PA (IHS Gateway Payer), Southern CA Childrens Network (SynerMed), Spectrum Administrators Inc. TPA Allentown PA (IHS Gateway Payer), St. Anthony Memorial Healthcare Centers MDWISE, St. Francis Health Care Chicago IL MG#112, St. Margaret Mercy Healthcare Centers MDWISE, Superior Administrators Inc (Santa Ana CA), Sutter East Bay Regional Hospital- Affinity, TEAMSTERS (UT/ ID / MT) Group Benefit Admin, The Care Network/The Savannah Business Group, The Health Plan (Massillon Ohio and St. Clairsville Ohio only), The Loomis Company TPA Wyomissing PA (IHS Gateway Payer), The MEGA Life & Health Insurance Company Insurance Center, The MEGA Life & Health Insurance Company Starbridge StarHRG, The Physicians Assurance Corp (TPAC) /Employee Benefit Management Corp (EBM, The Preferred Healthcare System (TPHS) PPO Altoona PA (IHS GatewayPayer), Thomas Staffing Services Inc/Venturi Staffing, Todays Options (American Progressive and Pyramid Life), TOUCHSTONE HEALTH/HEALTH NET SMART CHOICE, TransAmerica Occidental Life Insurance Company, Transchoice or TransSmile First Service Administrators Inc, TX Medicare Part A and Indian Health Services J4, UMR (formerly Harrington Benefit Services Westerville), UMR (formerly Harrington Benefit Services), UMR (formerly Lexington / CommonWealth Administrative Group), UMR (formerly UMR San Antonio Benefit Planners), UMR (formerly UMR Wausau Fiserv Benesight), UMR Westerville (formerly Harrington Benefit Services Columbus), UMR/Cincinnati (Repricing for HealthSpan Network Only), UNION PACIFIC RAILROAD EMPLOYES Health Systems, United Teacher Assoc Ins Co- Medicare Supplement, United Wisconsin Insurance Company-United Heartland, UnitedHealthcare (formerly Definity Health Plan), UnitedHealthcare (MAHP MD IPA Optimum Choice MAMSI), UnitedHealthcare / MAHP MD IPA Optimum Choice MLH (formerly MAMSI), UnitedHealthcare / UHIS UnitedHealth Integrated Services, UnitedHealthcare / UnitedHealthcare Plan of the River Valley, UnitedHealthcare / UnitedHealthcare StudentResources, UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare), UnitedHealthCare Community Plan (KS / KanCare), UnitedHealthcare Community Plan / DC DE OH PA SC (formerly Unison), UnitedHealthcare Community Plan / AZ (formerly AZ Physicians IPA APIPA), UnitedHealthcare Community Plan / FLHI LA MD MS CAN OH RI TX WAWI), UnitedHealthcare Community Plan / IA (formerly AmeriChoice of Iowa), UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan), UnitedHealthcare Community Plan / MS CHIP (formerly AmeriChoice MS-CHIP), UnitedHealthcare Community Plan / NY (formerly AmeriChoice NY Medicaid), UnitedHealthcare Community Plan / NY (formerly AmeriChoice Personal Care), UnitedHealthcare Community Plan / PA (formerly AmeriChoice PA Medicaid&CHIP, UnitedHealthcare Community Plan / PA (formerly AmeriChoice Personal Care ), UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare), UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care, UnitedHealthcare Medicare Solutions / UnitedHealthcare Chronic Complete, UnitedHealthcare Medicare Solutions / UnitedHealthcare Group Medicare Advan, UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareComplete, UnitedHealthcare Medicare Solutions / UnitedHealthcare MedicareDirect, UnitedHealthcare Medicare Solutions / UnitedHealthcare Nursing Home Plan, UnitedHealthcare West (formerly PacifiCare of Arizona), UnitedHealthcare West (formerly PacifiCare of CA Claims), UnitedHealthcare West (formerly PacifiCare of Colorado), UnitedHealthcare West (formerly PacifiCare PPO All States), UnitedHealthOne (American Medical Security), UnitedHeathcare Community Plan (formerly Unison Health Plan), Unitrin Direct Property & Casualty Company, Univera Healthcare SSA WNY PPO Traditional, University Family Care Healthcare Group, University Family Care Maricopa Health Plan, University of Illinois at Chicago Div of Specialized Care for Children, USAA (United Services Automobile Association), USFHP St. Vincent Catholic Medical Centers of New York, Utah Blue Cross (Regence Blue Cross of Oregon), Valley Health Care Management Services LLC, ValueOptions/MBHP (MA Behavioral Health Partnership), WASHINGTON State Dept of LABOR & INDUSTRY, Waterstone Benefit Administrators (Oklahoma Providers), Waterstone Benefit Administrators (Outside Oklahoma), webTPA/Community Health Electronic Claims/CHEC, West Texas Rural Counties Association Preferred Risk Pool WC, Western Southern Financial Group (Cincinnati OH), WINhealth Partners/Wyoming Health Solutions, Znat Insurance (Zenith National Insurance). What states have the Medigap birthday rule? UMR, UnitedHealthcares third-party administrator (TPA) solution, is the nations largest TPA. CT number means the number used to represent the x-ray attenuation associated with each elemental area of the CT image. No, the group number stays with you for your entire career with the company as long as you remain an active participant in the plan. Is it mandatory to have health insurance in Texas? If you do not receive this documentation, we recommend contacting the human resources department directly via email at [email protected]. 39645.Rev002 12.31.2020 If you cannot find it there, call the agency that sold you the policy. You can still get benefits and coverage information by calling the number on your ID card. Most agencies keep a file of information about their customers' policies in case there are questions about claims or coverage. What is the policy group number on the insurance card? Instead, they collect information about each group through payroll audits and other methods and then allocate coverage based on how much money each group contributes to their premium payment. Is the group number and member ID the same? It's unique to you. In addition to asking what formulary your plan falls under, it is also important to know which pharmacy your plan uses. You can find a plan's ID below the plan name when you preview plans and prices. References. Payer ID valid only for claims with a billing submission address of P.O. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. If yours does not, ask someone who works at or with your employer to help you find it out. You might look at your Medicare card and wonder where your group number is. Your health insurance card also includes your group number and other information. 3. The easiest way to find your EIN is to dig up your EIN confirmation letter. The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section. 21-B1 SERVICE PROVIDER ID Same value as in request M . Every employee will have their own member . Search for your insurance payer by the payer's name or the payer ID. PCN: 01410000. The NPI is intended as an . Applicable To. United Health Care (UHC), Optum, and United Behavioral Health (UBH) are all Optum companies which handle mental health claims. Below are . Payer ID numbers are 60054 for Aetna claims and 68246 for Aetna encounters.. What is the payer ID on an insurance card? The Payer Assigned Provider ID field displays only when a payer still accepts or requires it. This is identified through the group number. The file should include a copy of any statements you have received from your agent or broker. It is similar to the Federal Identification number . A payer ID is a unique ID thats assigned to each insurance company. Group number: Identifies your employer plan. You should be able to locate your ID number in the packet of information you received from the state when it issued you your number. This is the original document the IRS issued when you first applied for . Vehicle identification number means the number, letters, or combination of numbers and letters. Payer Situation 31-C1 GROUP ID R 524-FO PLAN ID S Part-D Commercial 32-C2 CARDHOLDER ID S Imp Guide: Required if the identification to be used in future transactions is different than . If you have lost your card, call your employer's benefits office. In the event you have numerous cars, you may possibly have your entire cars recorded on a single card, or else you also may possibly have an alternative number or card to get every single motor vehicle. PDF . The term "LRN" may also be used to refer to a method of LNP. 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