New ID cards coming for some commercial plan members

On April  1, 2023, a new wave of Individual and Group Market health plans for existing members will transition to UnitedHealthcare’s new commercial claims processing system.

Impact: All members in transitioning states and plans (below) will receive new ID cards upon renewal beginning April 1, 2023, and beyond.

• ID card changes for members with fully insured plans will include a new group number, Rx group code and mailing address for medical claims 
• ID card changes for All Savers members transitioning to UnitedHealthcare level-funded plans will include new card logos, member ID, group numbers, payer ID, RX group number, provider contact details, pharmacist contact details and medical claims mailing address

The April transition will affect members in 21 fully insured plans across 21 states:

• States: Alaska, Arkansas, Hawaii, Iowa, Idaho, Kansas, Louisiana, Massachusetts, Michigan, Missouri, Mississippi, Nebraska, Nevada, New York, Ohio, Pennsylvania, Rhode Island, Tennessee, Utah, Wisconsin and Wyoming
• Plans: Charter, Choice, Choice Plus, Core, Core Essential, Heritage, Heritage Plus, Heritage Select, Heritage Select Advantage, Heritage Select Plus, Navigate, Navigate Plus, Nexus ACO OA, Nexus ACO OAP, Nexus ACO R, Nexus ACO RB, Nexus ACO RP, Non Diff PPO, Options PPO, Select and Select Plus

The April transition also includes members covered under an All Savers health plan, which is being rebranded to level-funded UnitedHealthcare plans. After an initial shift of All Savers members in 6 states last December, this transition involves members in the following 41 states:

• States: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin and Wyoming
• Plans: Advanced, AHN (Indiana), Charter, Choice, Choice (100+), Choice Plus, Choice Plus (100+), Core, Core Essential, Doctors Plan, Flex Focus, Freedom (Oxford) (100+), Freedom Plus (Oxford) (100+), HRH (Indiana), Liberty Plus (Oxford) (100+), Metro (Oxford) (100+), Navigate, Primary Focus, Select and Select Plus

Background on new claims platform

In September 2021, UnitedHealthcare launched a phased rollout of an enhanced claim processing system designed to simplify benefits, claims, payments and referral processes. This transition began with certain new health care plans sold in a number of states. The transition of existing plans to the new platform began in September 2022 and is continuing during 2023 as plans renew.

These releases will not impact access to the UnitedHealthcare Provider Portal or your ability to perform tasks such as prior authorizations, claims submittals or benefit determinations. However, you may experience changes in the user experience as services continue to transition.

Questions? We’re here to help.

View the Quick Reference Guide for complete details on these member ID card changes. To avoid claim denials, please ask for the member ID card at each visit to verify these key details and, if needed, update them in your billing system.

If you have other questions about this transition, please contact your Provider Advocate. You can also find many answers to common questions at Contact Us.

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