Key benefits of the new membership and claims system include:

Transcription

1 Employer Connection version: Dear <<HR Admin>>: We are pleased to announce we are updating our membership and claims systems to an enhanced platform already used by more than 70 health plans across the country. These updates to our business and technology platforms will improve the way that we provide service to you. Key benefits of the new membership and claims system include: Faster, more accurate claims processing and payments Quicker enrollment and coverage for new members New online tools for more convenient benefits management A more streamlined billing process with a single bill Changes you will notice, effective August 1, 2013 You ll soon receive: A new account number for billing purposes A new group number that replaces your current customer number New subgroup number(s) that replace your existing billing unit(s) A consolidated bill with an improved format and a tear-off remittance slip A new customer service contact phone number What will change for Blue Shield members? Your employees will receive: A new member ID card with a new subscriber number, effective August1st New customer service phone numbers, which will appear on the new member ID card A new dental ID card with a new subscriber number (as applicable) All of these changes will take effect August 1st. [Placeholder (Dental only): If you ve been receiving a separate bill for Blue Shield dental HMO coverage, you can expect to receive one bill for medical and dental coverage starting August 1 st. The August medical bills should be mailed at the end of March and arrive on or about August1 st.]

2 [Placeholder (Vision only): If you have a Blue Shield vision plan and have been receiving separate bills for this coverage, you will start receiving all billing for medical and vision benefits on one statement. This will take place by September 1 st. The April medical bills should be mailed at the end of March and arrive on or about August 1 st. Here s what you can expect for August bills: You will receive a separate bill for vision coverage for August and should pay as you normally would In some situations, you might see an August medical bill with a reference to your vision plan, but with a $0 premium listed for vision. This is due to timing of the data transfer to the new system.] [Placeholder (MES web portal): Please note the MES portal will shut down on July 31 st. After this time, your employees must log in to the Blue Shield member portal for online information about their vision coverage. The August medical bills will should be mailed at the end of July and arrive on or about August1 st.] What will not change as a result of the new system? Benefit plan(s), rates, and renewal date Your employees will continue to have access to quality coverage Your employees will continue to access information regarding their plan benefits and claims online at blueshieldca.com What are the changes to Employer Connection? You may continue to login to Employer Connection [at blueshieldca.com/employer] using your existing username and password. With the newly enhanced version of Employer Connection, you ll be able to: Make real-time* member updates, such as adding or terminating coverage Manage your group s medical, dental, vision, and life insurance membership Download and review current and past Blue Shield invoices Order member ID cards Enter your employees open enrollment selections upon renewal

3 Create and manage additional users for your Employer Connection account Create and download custom census and billing reports *Some transactions may be routed for manual review As we get closer to the migration date, we will send you additional information about activating and getting started with your Employer Connection Plus account. check out the Employer Connection tutorial video here [link from Cherry] to learn more about the new features available to you. Please click here to download a Quick Reference Guide, FAQs, a detailed Administrator s Guide and a sample member ID card. We are committed to improving our systems to make it easier for you to do business with us. Your business is important to us, and we want to ensure that we continue to provide you with the best service possible. Please review the attached documents for reference. If you have any questions about this system upgrade, please don t hesitate to contact me. CE Signature/Contact Information Paper Version: Dear <HR Admin>: We are pleased to announce we are updating our membership and claims systems to an enhanced platform already used by more than 70 other health plans across the country. These updates to our business and technology platforms will improve the way that we provide service to you. Key benefits of the new membership and claims system include: Faster, more accurate claims processing and payments Quicker enrollment and coverage for new members New online tools for more convenient benefits management A more streamlined billing process with a single bill Changes you will notice, effective August 1, 2013.

4 You ll soon receive: A new account number for billing purposes A new group number that replaces your current customer number New subgroup number(s) that replace your existing billing unit(s) A consolidated bill with an improved format and a tear-off remittance slip A new customer service contact number What will change for Blue Shield members? Your employees will receive: A new member ID card with a new subscriber number effective August 1st New customer service numbers, which will appear on the new member ID card A new dental ID card with a new subscriber number (as applicable) All of these changes will take effect August 1st. [Placeholder (Dental only): If you ve been receiving a separate bill for Blue Shield dental HMO coverage, you can expect to receive one bill for medical and dental coverage starting August 1 st. The August medical bills should be mailed at the end of March and arrive on or around August 1 st.] [Placeholder (Vision only): If you have a Blue Shield vision plan and have been receiving separate bills for this coverage, you will start receiving all medical and vision plan billing on one statement. This will take effect by July1 st. The August medical bills will be delayed due to this change and will be mailed at the end of March and arrive on or around August 1 st. Here s what you can expect for August bills: You will receive a separate bill for vision coverage for August and should pay as you normally would In some situations, you might see an August medical bill with a reference to your vision plan, but with a $0 premium listed for vision. This is due to timing of the data transfer to the new system.] [Placeholder (MES web portal): Please note the MES vision portal will shut down on July 31 st. After this time, your employees must log in to the Blue Shield member portal for online information about their vision coverage. The April medical bills should be mailed at the end of July and arrive on or about August 1 st. ] What will not change as a result of the new system?

5 Benefit plan(s), rates, and renewal date Your employees will continue to have access to quality coverage Your employees will continue to access information regarding their plan benefits and claims online at blueshieldca.com ] Next Steps Starting August 1st, you will be able to go to blueshieldca.com/employer to register for Employer Connection by clicking on the Register Now button under the log in area. Access to Employer Connection provides: Secure, convenient 24/7 online access to your Blue Shield plan information View and manage your group s medical, dental, vision and life membership Real-time* open enrollment and account maintenance capabilities, with an option for employees to self-enroll Create and download custom census reports Order Blue Shield member ID cards online *Some transactions may be routed for manual review As we get closer to the migration date, we will send you additional information about activating and getting started with your Employer Connection account. Check out the Employer Connection tutorial video here to learn more about the new features available to you. Please click here to download a Quick Reference Guide, FAQs, a detailed Administrator s Guide and a sample member ID card. We are committed to improving our systems to make it easier for you to do business with us. Your business is important to us, and we want to ensure that we continue to provide you with the best service possible. We ll continue to provide you with timely updates about our system improvements. In the meantime, please review the attached reference documents. If you have any questions about this system upgrade, please don t hesitate to contact me. CE Signature/Contact Information

6 QuickEnroll Version: Dear <<HR Admin>>: We are pleased to announce we are updating our membership and claims systems to an enhanced platform already used by more than 70 health plans across the country. These updates to our business and technology platforms will improve the way that we provide service to you. Key benefits of the new membership and claims system include: Faster, more accurate claims processing and payments Quicker enrollment and coverage for new members New online tools for more convenient benefits management A more streamlined billing process with a single bill Changes you will notice, effective August 1, You ll soon receive: A new account number for billing purposes A new group number that replaces your current customer number New subgroup number(s) that replace your existing billing unit(s) A consolidated bill with an improved format and a tear-off remittance slip A new customer service contact phone number What will change for Blue Shield members? Your employees will receive: A new member ID card with a new subscriber number, effective August 1st New customer service numbers, which will appear on the new member ID card A new dental ID card with a new subscriber number (as applicable) All of these changes will take effect August 1st.

7 [Placeholder (Dental only): If you ve been receiving a separate bill for Blue Shield dental HMO coverage, you can expect to receive one bill for medical and dental coverage starting August 1 st. The August medical bills should be mailed at the end of March and arrive on or about August1 st.] [Placeholder (Vision only): If you have a Blue Shield vision plan and have been receiving separate bills for this coverage, you will start receiving all billing for medical and specialty benefits on one statement. This will take effect by September 1 st. The August medical bills should be mailed at the end of March and arrive on or about August 1 st. Here s what you can expect for August bills: You will receive a separate bill for vision coverage for Augus and should pay as you normally would In some situations, you might see an August medical bill with a reference to your vision plan, but with a $0 premium listed for vision. This is due to timing of the data transfer to the new system.] [Placeholder (MES web portal): Please note the MES portal will shut down on July 31 st. After this time, your employees must log in to the Blue Shield member portal for online information about their vision coverage. The April medical bills will should be mailed at the end of March and arrive on or about August 1 st.] What will not change as a result of the new system? Benefit plan(s), rates, and renewal date Your employees will continue to have access to quality coverage Your employees will continue to access information regarding their plan benefits and claims online at blueshieldca.com What are the changes to QuickEnroll? You will receive an activation from Employer Connection on August 1 st with the subject line TIME SENSITIVE: Register for Employer Connection now. You will no longer have access to your QuickEnroll account after July 30 th. However, in its place we are pleased to offer you online billing and account maintenance capabilities via our newly enhanced Employer Connection, which will allow you to: Make real-time* member updates, such as adding or terminating coverage Manage your group s medical, dental, vision, and life insurance membership

8 Download and review current and past Blue Shield invoices Order member ID cards Enter your employees open enrollment selections upon renewal Create and manage additional users for your Employer Connection account Create and download custom census and billing reports * Some transactions may be routed for manual review As we get closer to the migration date, we will send you additional information about activating and getting started with your Employer Connection account. Check out the Employer Connection tutorial video here to learn more about the new features available to you. Please click here to download a Quick Reference Guide, FAQs, a detailed Administrator s Guide, and a sample member ID card. Important note: For urgent transactions needed after July 30 th, but prior to activation of your Employer Connection account on August 1 st, please contact the Large Group Customer Service team at (800) for expedited processing. We are committed to improving our systems to make it easier for you to do business with us. Your business is important to us, and we want to ensure that we continue to provide you with the best service possible. Please review the attached documents for reference. If you have any questions about this system upgrade, please don t hesitate to contact me. CE Signature/Contact Information