Supporting Members Through PCP Attribution Updates

To help members stay connected to the providers they see most often, we recently updated Primary Care Provider (PCP) assignments for individuals whose claims and visit history show they regularly receive care from a different PCP than the one listed on their ID card. Members received a letter explaining the update and reminding them that they can change their PCP at any time. 

You may notice new members appearing on your panel as a result of this alignment. No action is required from your practice, but members may reach out with questions about why their PCP changed. Please continue to verify eligibility and PCP assignment through the provider portal during scheduling or check‑in. 

These updates help ensure members have the right PCP listed on their ID card, making it easier for them to access care, receive referrals, and stay connected to the provider who knows them best. 

The PCP reattribution process will run twice a year, aligning with the most recent visit/claims history to ensure that members’ ID cards reflect the PCP they have visited the most often.