When You don’t Recognize a Provider on Your Report to Member

There may be times where the provider’s name on the Report to Member isn’t familiar to you. In these cases, the provider may have provided a laboratory, diagnostic, anesthesia or other service where there was no direct contact with you.

To confirm that the medical service was on your behalf:

  • Check to see if you have a related service done on or around the same date. For example, if you saw a doctor for a broken leg, you may have a claim from a radiologist for reading your X-rays to confirm that your leg is broken.
  • Call your primary provider. Your provider will have a record of any referrals they made on your behalf for medical services or supplies.

If you find errors on your Report to Member, report them by calling HMSA Customer Relations.

For additional important information, we encourage you to read:

What is a Report to Member?