Member Eligibility Search

To check member eligibility, follow these steps:

1.       Hover over the Searches tab.

2.       Click on the Member Search pull-down option as shown below.

3.       On the Member Search screen, enter the search criteria for the member you wish to search.

4.       This feature allows you to search for a member by Member Name, Affinity Member ID and Member Date of Birth. (Affinity Member ID is a required field.)

5.       On the Member Summary screen, you may review the eligibility information for this member

6.       Clicking on the BLUE Member Name, users will be able to see a higher level of detail about this member’s eligibility which includes member demographic information, Eligibility Detail and assigned PCP.

7.       Clicking "View Eligibility History" link at the top of the page directly under the "Member Detail" page title, will allow the user to see this members previous eligibility history with Affinity Health Plan.

8.       Clicking "View Claims" link at the top of the page directly under the "Member Detail" page title, will allow the user to see this members claim history.

9.       Clicking DONE will allow the user to go back to the Eligibility Detail & Eligibility Summary Screens as needed.

10.       To search for additional Members, click the SEARCH AGAIN option at the bottom of the Eligibility Response Screen.

**Note**

Users can search for up to 30 members in one search operation. After filling a page, click Add to display another line of search options. Click Search after all required information has been entered. Click Delete to remove the member from the search.

View printable version of the guide.

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