New basic eligibility verification policy

June 5, 2023

Effective July 24, 2023, providers will no longer be able to obtain basic eligibility details from the call center and must use either self-service or call our automated system at (800) 444-5445.

Basic eligibility details include benefit and coverage types, sponsor information, effective dates, copay and cost-share info, catastrophic cap, deductibles and Other Health Insurance (OHI) information can be found in self-service!

Any eligibility issues or questions not related to basic eligibility verification will be performed via the call center as normal.

For more information, check out the Provider Eligibility FAQs. (In development)