Eligibility Lookup Tool – a website to electronically view a member’s Medicaid eligibility
AccessNow – a touchtone telephone eligibility line
ANSI 270 and the ANSI 271 – an indirect connection to the Medicaid computer system
Eligibility Lookup Tool
The Eligibility Lookup Tool is a website that allows a provider to electronically view a member’s Medicaid eligibility and plan enrollment information. The Eligibility Lookup Tool will also tell you if the patient is restricted to a specific provider and if the patient is responsible for co-pays. In addition, the Eligibility Lookup Tool can be used to verify Primary Care Network (PCN) and Children’s Health Insurance Program (CHIP) eligibility. Training materials on how to use the Eligibility Lookup Tool are available here.
AccessNow
Use a touchtone telephone to operate AccessNow. It provides information on patient eligibility, patient restrictions, other insurance coverage, MCP enrollment, and Primary Care Provider information, when applicable. Instructions for use of AccessNow are available from Medicaid.
In the Salt Lake City area, call: (801) 538-6155
In Utah, Idaho, Wyoming, Colorado, New Mexico, Arizona, and Nevada, call: Toll-free 1-800-662-9651
From other states, call: (801) 538-6155
ANSI 270 and ANSI 271
These two HIPAA compliant transactions provide member eligibility and claim status for providers who are members of the Utah Health Information Network (UHIN). To use these tools:
Obtain a Trading Partner Number (TPN) from UHIN or call (801) 466-7705.
Use the free software from UHIN (or any HIPAA compliant software) to transmit your request.
After two hours use your software to retrieve the Medicaid response to your query.
Check out these links for instructions and more information about the Eligibility Lookup Tool, AccessNow, and the ANSI 270 and ANSI 271.
The amount you pay for your health insurance every month. In addition to your premium, you usually have to pay other costs for your health care, including a deductible, copayments, and coinsurance. If you have a Marketplace health plan, you may be able to lower your costs with a premium tax credit.
to your health insurance company – not the Health Insurance Marketplace® – so your medical coverage can begin. If you’ve already paid your premium, you can check if your health insurance is active online or in your plan materials to make sure your health insurance has started:IMPORTANT Continue to pay your monthly premiums
Make sure you continue to pay your monthly premiums to your health insurance company on time. They could end your coverage if you fall behind.
Verify your enrollment online
- Log in to your HealthCare.gov account.
- Click on your name in the top right and select "My applications & coverage" from the dropdown.
- Select your completed application under “Your existing applications.”
- Here you’ll see a summary of your coverage. Your coverage start date depends on when you enrolled or changed plans.
- If you don’t see your summary or still aren’t sure you’ve finished enrollment, call your insurance company. They can confirm if you have enrolled and paid your first premium.
Check your health insurance enrollment materials
- Your plan will send you a membership package with enrollment materials and a health insurance card as proof of your insurance.
- Carefully review these, and look through your plan’s provider directory to see where you can get care.
- You’ll use the card when you get health care services, so keep it in a safe place.
- If you didn’t receive a card, call your insurer to see if you should have received one already and to make sure your coverage is effective. You can find your insurer’s phone number on their website.
Want to change your health insurance plan? If you’d like to change your plan, you can do so now only if you experience a qualifying life event — like losing other coverage, having a baby, or getting married — and apply with a Special Enrollment Period.