Where is the group ID on a SCAN Health Plan card?

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.

Is the Group ID the same as the Member ID?

The Member ID (Subscriber ID) uniquely identifies you as an individual policyholder for billing, benefits lookup, and customer service. A Group ID refers to an employer group pool or a medical provider network (IPA). You should never enter your Member ID into a Group ID field, or vice versa.

Why do patient portals like Epic MyChart demand a required Group Number?

Electronic health record portals (like Epic MyChart, AthenaHealth, and Phreesia check-in pads) use standardized templates designed for commercial employer insurance where group numbers are mandatory. When registering with an individual SCAN Medicare plan, typing "NONE" or "N/A" satisfies the portal's automated validation rule and flags your account for manual verification using your Member ID.

What if my form specifically asks for "Medical Group ID"?

If your intake form has a specific field labeled "Medical Group", "IPA", or "Facility Group ID", look on the front of your SCAN card under your Primary Care Doctor. Enter the full medical network name (e.g., Heritage Provider Network) and the 3-to-6 digit IPA/GRP code listed alongside it.

What is the Rx Group (RxGRP) on my SCAN card?

The RxGRP (such as RXSCAN) is printed in the Pharmacy section of your card alongside RxBIN (004336) and RxPCN (MEDDADV). It routes prescription drug claims through Medicare Part D pharmacy benefit managers (PBMs). You should provide this code only at pharmacy counters, never on doctor registration forms.

What if I cannot find any group number on my SCAN card?

If you cannot find a group number, first confirm whether you have an individual plan (no group number) or an employer retiree plan. Check your digital card online at scanhealthplan.com/members, ask the clinic front desk if they need your Medical Group IPA name instead, or call official SCAN Member Services at 1-800-559-3500 (TTY: 711).

Do any SCAN Health Plan members have an official Employer Group Number?

Yes. SCAN Health Plan provides Employer Group Waiver Plans (EGWP) for municipal workers, school district employees, and union retiree trusts. Members enrolled in these employer-sponsored plans have a dedicated "Group #" printed on the front of their card.

What should a specialist clinic do if they cannot verify my group authorization?

The back of every SCAN member card lists a toll-free Provider Verification telephone line and Electronic Payer ID (EDI: 95400). Clinic billing staff can call this number with your Member ID to verify your active Primary Care Physician and assigned Medical Group (IPA) in real time.

Does SCAN ID Finder collect or store my Member ID or personal health information?

This site does not request, collect, process, or store your Member ID, Medicare number, Social Security Number, date of birth, or any protected health information (PHI). The decision tool runs locally in your browser to explain card layouts and terminology.

Provider Network Reference

SCAN Medical Group ID: Where to Find It and What It Does

When doctors or specialists ask for your "Group ID", they almost always require your assigned Medical Group / IPA Name and Code.

Exact Card Location

Your Medical Group (IPA) is printed on the front of your SCAN card, directly underneath your Primary Care Doctor's name. It consists of the organization name (e.g., Heritage Provider Network, Astrana Health, Prospect Medical) and a 3-to-6 digit numeric IPA or GRP code (e.g., 0418).

How Medical Groups Work in the SCAN HMO Network

SCAN Health Plan operates as a Medicare Advantage Health Maintenance Organization (HMO). In an HMO model, clinical oversight is decentralized:

Specialist Referrals: Your primary doctor coordinates with your Medical Group to approve visits to cardiologists, orthopedists, and other specialists.
Prior Authorizations: Diagnostic imaging (MRIs, CT scans) and outpatient procedures are authorized by your Medical Group's utilization management committee, not by SCAN corporate.
Claims Delegation: Providers bill the delegated IPA directly for professional services. Review our provider billing guide for EDI payer ID and verification workflows.

Common Medical Groups Contracted with SCAN

Depending on your geographic region in California, Arizona, Nevada, or Texas, your card may list medical networks such as:

• Heritage Provider Network / Regal / Lakeside

• Astrana Health (formerly ApolloMed / NMM)

• Prospect Medical Group

• Torrance Memorial Integrated Physicians

• St. Joseph Heritage Medical Group

• Optum Care Network / Monarch Healthcare

Related Identifier Guides:

Inspect your Medical Group on our Card Simulator

Click directly on the card diagram to see where the IPA code is positioned.

View Card Diagram