Dashboard
Welcome | Log Out

Home

{{" " + oneError}}
Subscriber ID   Name
{{member.serviceDate}}
{{member.eligMemDob}}
{{member.eligSubsId}}
{{member.eligFname}}
{{member.eligLname}}
    Individual
Family

* Indicates a required field.

Eligibility Search Information

There are two ways to which you can search for a member. We encourage using Subscriber ID as the primary way to search. However, we also allow you the ability to search by the member's name and date of birth. If more than one record is found, you will be asked to enter in additional information.

Duplicate records have been found.
Name Group Coverage End Date Address Status
{{a.demographics.memberName.firstName}} {{a.demographics.memberName.lastName}} {{a.groupInfo.groupID}} {{a.coverages[0].coverageDates.stopDate | date : "MM/dd/yyyy"}} {{a.postalAddress.line1}} {{a.status}}
{{" " + oneError}}
Claim Search By Tax ID
{{memberClaim.fromdate}}
{{memberClaim.todate}}
Show Pre Treatment Estimate
* Indicates a required field.
{{claim.errortaxid}}..
{{item }}
{{claimsErrorTaxId }}
{{" " + oneError}}
Subscriber ID   Name
{{memberClaim.claimFrom}}
{{memberClaim.claimTo}}
{{memberClaim.claimDOB}}
{{memberClaim.claimFname}}
{{memberClaim.claimLname}}
{{memberClaim.claimSubcId}}
Show Pre Treatment Estimate

* Indicates a required field.

Duplicate records have been found. Please refine your search by providing the following additional information:

Roster Info
Applicable to DHMO provider groups with assigned members
{{claimsError }}
{{claimsErrorEobIdRequest}}
{{eoberror}}
Published Date View
{{item.creationTimestamp.toDateString()}} View


Recent Treatment Plans
{{claimsError }}
{{claimsErrorEobIdRequest}}
{{eoberror}}
Date Last Edited Treatment Plan Name Member Name View Plan
{{item.lastUpdateDate | date: "MM/dd/yyyy" }} {{item.treatmentName}} {{item.memberName}} Details
Recent Claims
{{claimsError }}
{{claimsErrorEobIdRequest}}
{{eoberror}}
Subscriber ID Amount Claimed Claim Status View
{{item.member.memberId | maskNumber}} $ {{item.totalCharge}} {{item.claimStatusCode.codeDesc}}