The following pages will provide you with Eligibility and Coverage Status Information on a specific Subscriber to our plans.

You will be asked for the following information in the following pages of this portal. Please make sure you have this information before proceeding.

Information about the Provider:

Provider Tax Identification Number (TIN)

National Provider Identification Number (NPI)

The Work Email Address of the person making the inquiry

Information about the Subscriber:

This is information that can be found on the Subscriber's Membership Card and must be entered as shown on the card.

Group Code

Subscriber's Identification Number

Subscriber's Date of Birth

You will be assigned a Transaction Code for this inquiry, which can be used to reference the inquiry in any correspondence with the Plan Administrator.

The results of the inquiry can be printed for your records.