Members' financial responsibilities

A member's financial responsibilities (cost shares) vary depending on the specific plan benefits, copayments, coinsurance, and deductibles.

You can check member eligibility using our Eligibility Inquiry tool. After your search, scroll to the bottom of the Eligibility Inquiry Results page and click Summary of Benefits. You can also check a member's eligibility by calling the Provider Assistance Unit at 1-509-241-7206 or toll-free at 1-888-767-4670.

Once we process your claim, you must bill the member for their share of the bill only, as stated on the Remittance Advice you receive with your payment.