Health plan identification (ID) cards - Chapter 2, 2022 UnitedHealthcare Administrative Guide

Members may not have access to physical ID cards if they are not required by law. We are moving towards eliminating physical ID cards. You may find UnitedHealthcare-specific member information that will help you identify the member’s health benefit plan in the UnitedHealthcare Provider Portal.

You may download and keep a copy of both sides of the health plan ID card for your records. Possession of a physical ID card is not proof of eligibility.

Quick Tip: Member ID Cards

View and download current ID cards for most members when you verify eligibility and benefits in the UnitedHealthcare Provider Portal at uhcprovider.com > Sign In. You can also view member ID cards using the Eligibility and Benefits API solution.

Commercial health ID card legend

UnitedHealthcare Individual Customizable ID Card, showing member information that will appear on front of card.
MultiPlan card back, showing member and provider contact information on a sample card.
  1. UnitedHealthcare brand: This includes UnitedHealthcare, All Savers, UnitedHealthcare Level Funded, UnitedHealthcare Oxford Level Funded, Golden Rule, UnitedHealthcare Oxford, UnitedHealthOne, UMR and UnitedHealthcare Shared Services (UHSS), UnitedHealthcare Freedom Plans.
  2. Member Plan Identifier: This is a customized field to describe the member’s benefit plan (i.e., Individual Exchange, Tiered Benefits, ACO).
  3. Payer ID: Indicates claim can be submitted electronically using the number shown on card. Contact your vendor or clearinghouse to set up payer in your system, if necessary.
  4. PCP name and phone number: Included for benefit plans that have PCP selection requirements. For Individual Exchange Members “PCP required” is listed in place of the PCP name and number. This section may also include Laboratory (LAB), Preferred Lab Network (PLN) and Radiology (RAD) participant codes.
  5. Copay information: If this area is blank, the member is not required to make a copay at the time of service.
  6. Benefit plan name: identifies the applicable benefit plan name.
  7. Referral requirements identifier: Identifies plans with referral requirements. Requires PCP to send electronic referrals.
  8. For members section: Lists benefit plan contact information and, if applicable, referrals and notifications information.
  9. For providers section: Includes the prescription plan name.

Medicare Advantage (MA) Health Care ID Card 

UCard front of card, showing sample member information.
UCard back of card, showing contact information for: providers, dental, pharmacists, and claims.
MA ID card legend:
  1. Payer ID: Indicates claim can be submitted electronically using the number shown on card. Contact your vendor or clearinghouse to set up payer in your system, if necessary.
  2. PCP: Included for benefit plans that require a PCP selection.
  3. Prescription information: If the benefit plan includes Part D prescription drug coverage, the Rx Bin, PCN and Group code are visible. If Part D coverage is not included, this area lists information for Medicare Part B Drugs.
  4. Copay information: Select plans do not list copay information or may have a variance.
  5. Benefit plan name: Identifies the applicable benefit plan name.
  6. Plan ID number: Identifies the plan ID number that corresponds to Centers for Medicare & Medicaid (CMS) filings.
  7. For members: Lists benefit plan contact information for the member.
  8. For providers: Lists benefit plan contact information for the health care provider.
  9. Dental benefits: Included if routine dental benefits are part of the benefit plan and/or if the member purchased an optional supplemental dental benefit rider.
  10. (a.) Referrals required: Identifies benefit plans with referral requirements. Refer to the Medicare Advantage (MA) Referral Required Plans section in Chapter 6: Referrals for more detailed information. 

(b.) No referrals required: If the benefit plan does not require referrals “No Referral Required” appears on the member’s ID card.