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Medicare Advantage Identifier Reference

Where Is the Group ID on SCAN Health Plan?

Last reviewed: · Independent Member Reference
Quick Direct Answer

On individual SCAN Health Plan Medicare Advantage cards, there is no insurance group ID because coverage is contracted individually through Medicare, not through an employer. If a medical provider or patient portal requests a group number, provide your Medical Group (IPA) name printed beneath your doctor's name, enter "NONE" on intake portals, or use your RxGRP (e.g., RXSCAN) at pharmacies.

Direct Answer Word Count: ~64 words · Human-verifiedSource: SCAN Health Plan Member Documentation
Find My IdentifierCard Anatomy DiagramFAQ
Zero data collection·CMS Medicare Advantage HMO guidelines
Interactive Lookup Utility

Find Your Identifier in 2 Steps

Select your document type and the field you are trying to complete to see what to provide.

Step 1: What document or form are you looking at?
Step 2: What identifier is the form asking for?

Select your document type (Step 1)

Make your selection on the left to see the direct answer and card coordinates.

Client-side evaluation. Zero personal numbers or health records collected.
Card Anatomy Reference

Where Identifiers Live on a SCAN Health Plan Card

Select any section of the sample card below to inspect its label, purpose, and relationship to the requested "Group ID".

SCANHEALTH PLAN
Medicare Advantage (HMO)
* Individual Medicare plans have no Employer Group #.

Click any field on the card to inspect its meaning on the right.

Selected Field ReferenceDoctor Group Match

Medical Group / IPA Name & Facility Group ID

Format: Group Name (e.g., "HERITAGE PROVIDER NETWORK", "ASTRANA HEALTH", "TORRANCE MEMORIAL IPA") often paired with an IPA or Medical Group code (e.g., "GRP: 1234" or "IPA: 045").
Official Function:

The name and code of the Independent Practice Association (IPA) or medical group your Primary Care Physician (PCP) is affiliated with.

When It Is Used:

Specialist visits, referrals, imaging, outpatient surgical authorization, and hospital admission.

Why Forms Request "Group ID":

THIS IS WHAT 90% OF DOCTORS AND CLINICS ACTUALLY MEAN when they ask an HMO patient for their "Group ID" or "Medical Group Number".

What Is the SCAN Group ID?

A traditional Insurance Group ID is a number assigned to an employer or labor union that purchases health coverage for a group of employees. Because individual SCAN Health Plan enrollees sign up directly through Medicare, individual plans have no employer group number.

Instead, SCAN provider documentation refers to the Medical Group Name and ID (such as an Independent Practice Association or IPA). Only members enrolled through employer-sponsored retiree plans (EGWP) carry an official Employer Group Number.

Key Distinction:Commercial insurance groups link you to an employer. SCAN Medical Groups link your care to a network of local physicians and specialists who coordinate your clinical authorizations.

Is the Group ID the Same as the Member ID?

No. The Member ID and Group ID are two completely distinct identifiers that serve different administrative functions:

SCAN Member ID (Subscriber ID)

A unique 9 to 11 digit account number (e.g., 012345678-01) specific to you as an individual. Medical billers use this number to check your personal eligibility, copay tiers, and claims history.

Medical Group / Group ID

Identifies the network of physicians (IPA) managing clinical approvals (e.g., Heritage Provider Network, code 0418). It is shared across all members assigned to that medical network.

You should never enter your Member ID into a Group ID field, as automated clearinghouses will reject the claim for an invalid format.

Where Should I Look?

Depending on who is asking for your identifier, look at the following areas on your physical or digital SCAN ID card:

  • 1. Front of Card (Left Column) — Medical Group / IPALocated directly under your Primary Care Doctor's name. Lists your medical network (e.g., Heritage, Astrana, Prospect) and numeric IPA/GRP code.
  • 2. Online Patient Portals (MyChart, AthenaHealth)If a web form requires a group number with an asterisk (*), type NONE or N/A.
  • 3. Pharmacy Counter (Part D Prescriptions)Look in the Pharmacy box for your RxGRP (e.g., RXSCAN), RxBIN (004336), and RxPCN (MEDDADV).

What If My Form Says Medical Group ID?

If a form explicitly asks for your "Medical Group ID", "IPA ID", or "Facility Group ID#", the provider is requesting the physician network linked to your primary doctor.

SCAN Health Plan operates as an HMO, meaning all specialist consultations, outpatient surgeries, diagnostic MRIs, and prior authorizations are approved by your designated Medical Group, not by SCAN corporate headquarters.

How to Fill Out the Form:

1. Enter the Medical Group Name exactly as printed on your card (e.g., Heritage Provider Network).

2. Enter the numeric IPA/GRP code listed next to it (e.g., 0418).

What If I Can't Find the Number?

Do not guess an identifier. Using an incorrect group code can result in delayed medical authorizations, rejected pharmacy prescriptions, or billing errors.

If your physical card is missing or illegible, follow these verified verification steps:

1.
Access Your Digital ID Card Online: Log in to your secure member account at scanhealthplan.com/members to view and print your active card with current Medical Group details.
2.
Call SCAN Member Services: Dial 1-800-559-3500 (TTY: 711). Member services representatives are available 8 a.m. to 8 p.m., 7 days a week, to confirm your active identifiers and order a replacement card.
3.
Have Your Provider Call Provider Services: Clinical offices can call the Provider Verification phone number printed on the back of your card (Electronic Payer ID: 95400) to verify your Medical Group assignment directly.
Independent Site Disclosure & Verification Notice

SCAN ID Finder is an independent informational utility and is not affiliated with, sponsored by, or authorized by Senior Care Action Network (dba SCAN Health Plan) or CMS. We do not provide medical, legal, or insurance advice. Always verify important coverage and identifier requirements directly with your official plan documents or the healthcare organization requesting the identifier.

View Source Documentation & Editorial Standards →Full Medical & Legal Disclaimer →
Technical Comparison

SCAN Member ID vs. Group ID vs. Medical Group ID

Healthcare forms often use overlapping terminology. Use this reference matrix to distinguish what each identifier does and who requires it.

Identifier NameAlso Known AsPrimary PurposeCard LocationExample FormatWho Requires It
SCAN Member IDSubscriber ID / Member #Identifies you as an individual enrolled in SCAN Health Plan.Front of card, prominently displayed in the upper-left or center.9 to 11 digits (e.g. 012345678-01)Everyone: Doctors, hospitals, pharmacies, SCAN customer support.
Medical Group / IPA IDPrimary Medical Group / Facility Group #Identifies the network of physicians and clinics managing your HMO care and approvals.Front of card, right below or next to your primary doctor's name.Full name (e.g., "Heritage Provider Network") + 3-6 digit codeSpecialists, outpatient surgical centers, imaging clinics, physical therapists.
Rx Group (RxGRP)Prescription Group / Part D GroupRoutes prescription medication drug claims to Medicare Part D pharmacy benefit processors.Front or lower back of card, in the Pharmacy box alongside RxBIN and RxPCN.Alphanumeric code (e.g., RXSCAN, MEDD, or 6-character code)Retail pharmacies (CVS, Walgreens, etc.), mail-order pharmacies, pharmacists.
Employer Group NumberGroup ID / Group # (Retirees Only)Identifies the employer, union, or retiree trust funding supplemental group benefits.Front of card, only on Employer Group Waiver Plan (EGWP) member cards.4 to 8 alphanumeric charactersEmployer HR, retiree benefit administrators, commercial billing clearinghouses.
CMS Contract & Plan IDPBP Code / Plan IDIdentifies the federal Centers for Medicare & Medicaid Services benefit package.Front of card, usually under the plan name (e.g., SCAN Classic, Balance).H-number followed by dash (e.g., H5425-001)CMS compliance, Medicare auditors, electronic claim clearinghouses.
Medicare MBI NumberMedicare Beneficiary Identifier (Red, White & Blue card)Federal Original Medicare identifier assigned by the Social Security Administration.NOT on your SCAN card. Located on your official federal Medicare card.11 characters (numbers & uppercase letters, e.g., 1EG4-TE5-MK72)Initial enrollment, hospital billing when switching between Original Medicare and Medicare Advantage.
Summary: When medical specialists ask for your "Group ID", they require your Medical Group / IPA Name. When a pharmacy asks for your "Group ID", they require your RxGRP.
Portal & Form Guide

How to Complete Online Forms That Demand a Group ID

Standard instructions for patient portals and diagnostic scheduling systems.

Epic MyChart & AthenaHealth

Issue:

Form requires a mandatory "Group Number *" field with an asterisk and blocks submission.

What to Enter:
Enter "NONE" or "N/A"
Steps:
  • Enter "SCAN Health Plan" as your Payer / Insurance Company.
  • Enter your exact Member ID from your card.
  • In the required "Group Number" field, type NONE.
  • If an "IPA / Medical Group" field is present, select your Medical Group.
Commercial EMR portals enforce group numbers for employer plans. Entering "NONE" allows form submission and flags the record for manual verification using your Member ID.

Quest Diagnostics & Labcorp

Issue:

Online scheduler prompts for "Group Number / Account ID" when adding insurance.

What to Enter:
Leave blank or enter "NONE"
Steps:
  • Select "SCAN Health Plan" from the carrier list.
  • Provide your 9–11 digit Member ID.
  • If the Group field is optional, leave it blank; if required, type NONE.
  • Bring your physical paper lab requisition to the appointment.
Diagnostic labs verify Medicare Advantage coverage via the doctor authorization attached to your lab order slip.

Retail Pharmacies (CVS / Walgreens)

Issue:

Pharmacy registration asks for "Insurance Group ID" when filling prescriptions.

What to Enter:
Provide RxGRP (e.g., "RXSCAN")
Steps:
  • Locate the Pharmacy section on your SCAN card.
  • Provide RxBIN: 004336.
  • Provide RxPCN: MEDDADV.
  • In the Group field, enter RxGRP: RXSCAN.
Pharmacies process claims through Medicare Part D Pharmacy Benefit Managers. They require RxBIN, RxPCN, and RxGRP.
Knowledge Base

Frequently Asked Questions

Verified answers for Medicare beneficiaries, caregivers, and clinic billing coordinators.

Most individual SCAN cards do not have an Insurance Group ID. Instead, provide your Medical Group (IPA) name or enter "NONE".

If you enrolled in SCAN Health Plan as an individual Medicare beneficiary (the case for most members), your card does not feature an Insurance Group ID or Group Number. Because Medicare Advantage is an individual contract, the key routing identifier your doctor requires is your Medical Group / IPA name and code, located on the front of your card below your primary doctor's name. Members enrolled through an employer or union retiree group plan will have an explicit Group # printed on the front.

Official Member Services: 1-800-559-3500 (TTY: 711)
Member Portal Login
Official Source Verification

Official SCAN Health Plan Member Support

Call official Member Services: 1-800-559-3500 (TTY: 711) or visit scanhealthplan.com.

SCAN Portal