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CoOportunity Health News
Before you turn someone away, please check.
Member Eligibility Self-Service e-Tools - No Waiting
With or without ID number
Log on 24/7 to secure Eligibility Inquiry application
& enter member ID number or member name and date of birth
Call 1.888.324.2064
With member ID and birthdate
Follow prompts & enter member ID number and date of birth
Interactive Voice Recognition (IVR) available 24/7
It's a new year. We're new. Our members are new. Even the ID cards are new.
So stop. Log on to our secure Provider website, or take a moment to call the Member Services number on the back of the CoOportunity Health ID card.
Want a time-and-date-stamped document that contains your eligibility search results? Use our secure eligibility application. After receiving the results for the entered member, select:
- More actions drop-down box [top right]
- Print benefits to PDF
If you don't have the member's identification number and cannot access our secure site, speak with a representative at 1.888.324.2064 from 7 a.m. to 6 p.m., Monday-Friday.
You participate with CoOportunity Health through Midlands Choice.
CoOportunity Health contracts with Midlands Choice for provider network and credentialing services.
As a Midlands Choice contracting provider, you participate in all or most of CoOportunity Health's networks.
Check the back of the ID card for claims filing information.
CoOportunity Health contracts with HealthPartners Administrators, Inc. to provide claims processing, medical management and certain other administrative services on our behalf.
Because you will not file our claims with Midlands Choice, you should enroll with HealthPartners for your Electronic Data Interchange [EDI] needs. This enrollment is for electronic transactions only.
You'll find clearinghouse information and Payer IDs on our Claims Submission page at coOportunityhealth.com. Please confirm this information with your vendor or clearinghouse prior to submission. Even if your clearinghouse is not listed, your vendor can redirect claims through a HealthPartners approved clearinghouse.
Iowa Marketplace Choice Plan [IMCP] members are not assigned to a specific provider.
Our Iowa Marketplace Choice Plan is an open-access plan. Covered members can access any provider listed under our Iowa Marketplace Choice Plan directory and are not assigned to a specific provider. For more information, visit our Plan Resources page and select the
IMCP tab.
Our membership is growing.
We started 2014 with more than 35,000 individual and group members. Take these steps to become more familiar with us:
- Learn about our plans, features, and view identification cards.
- Participate in our provider training sessions via posted video links [Phase 1 video is coming soon] or by registering for upcoming Phase 2 and Phase 3 webinars.
- Register for access to our secure Provider website to review member benefits and eligibility, claims status, and remittances.
For more information about CoOportunity Health, visit coOportunityhealth.com/provider, where you can access a complete CoOportunity Health contact list [see Help Center, left side of our provider home page].
Please share this information with your staff members,
especially those who interact with patients and work with health insurance information. | 
