Menu

Enrollee Listing

The HealthPlus Enrollee Listing   is available to all Primary Care Physicians (PCP), via the secured HealthPlus Provider Portal. The enrollees list identifies all of the members by name, level of benefit and co-pay information. If you do not currently have access to the Provider Portal, you must complete and return the Web Access Request  form.

Updates are made to the Enrollee Listing monthly, with an effective date of the first of the next month. Please refer to the “Effective Date” column on the Enrollee Listing for the most current information on all of your patients.

The Enrollee Listing provides your office an opportunity to make initial contact with your new patients to encourage them to schedule a visit. In turn, the educational materials provided to new members, also highlights the importance and value in reaching out to their new PCP to schedule an initial visit, as soon as possible.

Example(s) of the various enrollee listing viewed through the provider portal are noted below: current monthly enrollment, newly added members and deleted members.

PHYSICIAN ENROLLEE LISTING

Provider: 9999999        ANY DOCTOR

CURRENT MEMBERS

 

Member Name

Member #

Effective Date

Term Date

DOB

Sex

Benefit

OV  Copay*

Phone #

JIMBOB ANYNAME

777777777-01

08/01/98

XX/XX/XX

09/08/56

M

IN

$5.00

(810) 777-8888

MYNAME SMITH

333333333-01

07/01/95

XX/XX/XX

10/22/61

M

AG

**

(810) 444-7777

YOURNAME ZIGGY

999999999-01

07/01/95

XX/XX/XX

08/16/63

F

AD

$0

(810) 333-5555

 *Copay is the lesser of dollar amount shown or 50% of the allowed amount

PHYSICIAN ENROLLEE LISTING

Provider: 9999999        ANY DOCTOR

NEW ADDITIONS

 

Member Name

Member #

Eff Date

Term Date

DOB

Sex

Benefit

OV

Copay*

Phone #

Reason

JOHN DOE

111111111-01

10/01/98

XX/XX/XX

09/08/56

M

AD

$0

(810) 111-2222

Changed PCP

*Copay is the lesser of dollar amount shown or 50% of the allowed amount

PHYSICIAN ENROLLEE LISTING

Provider: 9999999        ANY DOCTOR

DELETIONS

 

Member Name

Member #

Term Date

Reason

ANOTHERNAME ADAMS

999999999-01

09/30/98

Changed PCP

WHATEVERNAME JONES

111112222-01

10/31/98

Changed PCP

MYCHILD1 JONES

111112222-03

09/30/98

Changed PCP

PHYSICIAN ENROLLEE LISTING

Provider: 9999999        ANY DOCTOR

BENEFIT CHANGES

 

Member Name

Member #

Effective  Date

Term Date

DOB

Sex

Benefit

OV

Copay

Rx

Copay

Phone #

JIMBOB ANYNAME

777777777-01

11/01/98

XX/XX/XX

09/08/56

M

IN

$5.00

$5.00

(810) 111-2222

MYNAME JONES

888888888-01

11/01/98

XX/XX/XX

03/08/56

M

CA

$5.00

**

(810) 444-5555

 **See the member's Benefit Summary for copay details