165.855           Identification of Insurance Plans by Payer ID:

MSSNY will:

  1. Urge the NYS Insurance Department to formulate regulations to require greater clarity from NYS health plans with respect to patients’ health insurance cards for identification of the payer’s claim address, product line (Medicare, Medicaid, PPO, HMO, etc.), primary care physician, co-payment(s), deductible, and/or co-insurance amounts, etc.;
  2. Seek to have patients’ health plan cards identify the health plan’s website and direct link to the webpage access for verifying patient eligibility and financial responsibility (i.e. co-payment(s), deductible, co-insurance, etc.);
  3. Seek the development of swipe-card technology in real-time (24/7) with verification.
  4. Urge the NYS Insurance Department to formulate regulations to require greater clarity from NYS health plans with respect to patients’ health insurance cards for identification of the payer’s claim address, product line (Medicare, Medicaid, PPO, HMO, etc.), primary care physician, co-payment(s), deductible, and/or co-insurance amounts, etc.;
  5. Seek to have patients’ health plan cards identify the health plan’s website and direct link to the webpage access for verifying patient eligibility and financial responsibility (i.e. co-payment(s), deductible, co-insurance, etc.);
  6. Seek the development of swipe-card technology in real-time (24/7) with verification. (HOD 2011-250; Reaffirmed HOD 2016-256)