How can erroneous ID cards be corrected?
Have the member call the Member Services Call Center 1-888-566-0010 ( for members who speak English or other languages), 1-888-566-0012 ( for Spanish-speaking members) or 1-866-765-0055 ( for deaf and hearing-impaired members – TTY/TDD line) for a corrected card. What should be done when a member has the wrong PCP? If you’re not the member’s PCP, you should direct the patient to the appropriate PCP’s office. Should I see a patient who does not have me as his or her PCP? If the patient must be seen, you should contact his or her PCP to make sure they are aware of the visit. What if a member has BMC HealthNet Plan coverage after he or she is discharged from care? You will need to appeal the claim denial by submitting a written explanation that details why the member’s eligibility was not verified prior to services being rendered. How do I care for a member who doesn’t have an ID card? You should always verify member eligibility at the time of service to ensure coverage. If this is done,
