Member Effectuation

InstaMed supports the ability for a payer to pass an “Effectuated” Member ID number to InstaMed that can be used to replace the placeholder Member ID that was assigned after the initial binder payment (A binder payment is usually the first premium payment that confirms or activates insurance coverage).

Member Effectuation IDF version 1.1

Request

Field #Field NameFormatReq'dMinMaxComment
1Record ID"IMMEI11"Y77
2Member IDANY180Old Member ID that needs to be updated
3Effectuated Member IDANY180Effectuated Member ID that will replace the Old Member ID (this is the new Member ID that is assigned when insurance is activated with a payer)
4HIPAA GroupANY130HIPAA Group that contains the Old Member ID that needs to be updated
5Outlet Merchant IDANO150Merchant ID associated with the outlet where APC will be moved
6Outlet Store IDANC150Store ID associated with the outlet where APC will be moved
7Outlet Terminal IDANC150Terminal ID associated with the outlet where APC will be moved

Response

Field #Field NameFormatMinMaxComment
1Record ID"IMA10"55
2Record NumberNUM110
3Request TypeAN120RecordID of source file/transaction
4StatusAN11A = Accepted or R = Rejected
5Error FieldAN130
6Error ReasonAN150