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Technical Tip:
Enrollee ID Cards
 

To ensure efficient claims administration, HealthLink’s name and heart logo are required on all member identification cards. The HealthLink name and heart logo identify HealthLink as the network, and are readily identifiable by our providers as a point of reference for the filing and follow-up of their claims.

The name and logo of the benefit administrator is also noted on the card. This establishes the name of the entity administering the claim for the provider’s benefit. HealthLink educates providers about the nature of this network/payor relationship. Providers are also educated to carefully reference and use the ID card claim filing instructions.

Member ID cards produced by payors should conform to HealthLink standards. These standards assist our providers in identifying and routing claims for repricing.

ID Card Elements

  • Payor Name *
  • Payor Logo *
  • HealthLink Logo on the front of the card and HealthLink Product Information (if applicable) *
  • Travel Network Logos on the back of the card (if applicable) *
  • Toll-free Number for Benefit Verification and Eligibility Information *
  • Subscriber Name *
  • Dependent Name
  • Subscriber ID Number *
  • Payor's Policy Number or Payor's Privacy ID Number *
  • Group Name
  • Group Identification Number *
  • Most Common Co-Payment Amounts (ER, Rx, Outpatient Visits) *
  • HealthLink Medical Management Telephone Number: 1-877-284-0102 *(if applicable)
  • HealthLink Customer Service Telephone Number: 1-800-624-2356*
  • Claim Filing Address: P.O. Box 419104, St. Louis, MO 63141-9104 *
  • Disclaimer: This card is not a guarantee of coverage. For confirmation of eligibility, contact the benefit administrator *
  • HealthLink EDI Vendor Numbers for filing PPO or Open Access claims electronically, #90001 . *
  • HealthLink strongly recommends payor ID cards include group and member ID numbers to facilitate providers' electronic billing.

Required information on the list above is indicated by an asterisk (*).

Click here for Sample ID Card layout.

Friday, July 04, 2008

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