Identifying Members
Regence MedAdvantage member cards
Member cards are plastic and have one of the following backgrounds:
- A snowboarder image
- Four cityscapes (Boise, Portland, Salt Lake City or Seattle)
- Two graphic designs (diamonds or circles)
Sample Regence MedAdvantage card:
| The front of the card includes the: |
| Item A |
- Member’s name
- Member number (ID NO), necessary for claims submission and Customer Service inquiries.
|
| Item B |
- Suffix number and member’s name (first name, middle initial, last name). The two-digit suffix should not be included as part of the member number and is not needed to process the claim.
- Member’s group number (Group No), necessary for claims submission.
- Office visit copayment amounts for:
- Primary Care Provider (PCP)
- Specialist (SPEC)
- Out-of-network (OUT)
|
| Item C |
Product name. |
| Item D |
The pharmacy benefit identification number (Rx BIN) and Processor Control Number (PCN) numbers. |
| The back of the card includes the: |
- Vision Service Plan phone number
- Medical Pre-authorization phone number
- Medical and pharmacy claims submission addresses
- Member website and Customer Service phone number
|
Learn about our Medicare products.
Revised January 2012
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