Searching for Members

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Searching for Members

group of healthcare providers looking at laptop in office

Many transactions ask you to identify a specific member.
The way you find them is the same across transactions:

  • Use the Search By drop down menu to select the criteria to use: Member ID, Member Name, and Date of Birth.

  • Enter the search criteria.

  • Select the member from the results table.

STOP: If you are submitting a preauthorization request or emergent inpatient admission notification and the member’s Managing Entity is not EmblemHealth or ConnectiCare, or a special vendor has been put into place to review preauthorization requests, you must work directly with those organizations. See Who To Contact For Preauthorization.

Searching for Members

Step 1, Option 1

Search By: Member ID

Click Search to view a table with member details that match your search criteria.

Step 1, option 2

Search By: Member Name

The Search By Member Name option will ask for both the member’s name and date of birth.

Searching tipEnter at least three characters of the member’s last name.

Click Search to view a table with member details that match your search criteria.

step 2

The results tables may be sorted by clicking on the column headers.

Filtering Results: Where too many results are returned, you may use the Filter by to remove rows that do not apply.

TIP: Click a circle to select the row with an Active Status and Medical Coverage Type.

NOTE: If you click a circle for a row where the member’s coverage is inactive, a warning message will display.

Click Next to proceed.