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.

What is the SCAN Group ID if a doctor asks for it?

SCAN Health Plan is an HMO. Medical care, specialist referrals, and prior authorizations are managed by your assigned Medical Group or Independent Practice Association (IPA)—such as Heritage Provider Network, Astrana Health, Prospect Medical Group, or Torrance Memorial IPA. When clinic staff ask for a group number, providing your Medical Group name and IPA code fulfills their network authorization requirements.

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 & Biller Operations Reference

SCAN Provider & Facility Group ID Guide

Essential administrative information for medical practices, specialist clinics, and hospital billing coordinators managing SCAN Health Plan patient accounts.

Key Billing & Clearinghouse Specifications

Electronic Payer ID (EDI)95400

Facility Group MatchDelegated IPA / Medical Group

Provider VerificationSee Back of Member Card

Understanding Facility Group ID# in SCAN Provider Workflows

In SCAN Health Plan provider documentation, interactive voice response (IVR) phone verification systems, and clearinghouse 270/271 eligibility inquiries, the term "Facility Group ID#" or "Primary Medical Group" refers to the Independent Practice Association (IPA) contracting the patient's Primary Care Physician.

Because SCAN operates under a delegated risk HMO structure:

Specialist Referrals: Prior authorizations must be submitted directly to the member's assigned Medical Group (IPA), not to SCAN corporate.
Institutional Claims: Hospital and facility claims are routed through Electronic Payer ID 95400.
Professional Claims: Contracted professional services are billed directly to the delegated IPA's claims clearinghouse.

How to Verify Patient Eligibility

1. Check the front of the patient's card for their 9–11 digit Member ID and assigned Medical Group name.

2. For real-time authorization checks, call the Provider Services phone line listed on the back of the card.

3. Access the secure SCAN Provider Portal or verify via EDI 270/271 clearinghouse transactions using Payer ID 95400.

Main Group ID Member Guide →Card Anatomy Visual Reference →Group Number Entry Instructions →