For professional and institutional outpatient – Temporary member ID is valid for 120 days from date of service. Eligible claims can be submitted using the temporary member ID with date of service within the validity period. For example, if Patient A had a date of service of February 4, 2020, then the temporary ID assigned to her is valid from February 4, 2020, through June 3, 2020.
For institutional inpatient – Temporary member ID is valid from date of admission and expires 120 days from date of discharge. Eligible claims can be submitted using the temporary member ID with date of admission and date of discharge within the validity period. For example, if Patient B had a date of admission of February 4, 2020, and date of discharge of February 20, 2020, then the temporary member ID assigned to him is valid from February 4, 2020, through June 19, 2020. Note: If an uninsured individual was treated in the ER before being admitted as an inpatient, use the date of admittance to the ER as the inpatient admittance date.
Claims can still be submitted after the date of validity, but the temporary member ID must be eligible for the date of service or admittance.