What happens if a member does not indicate a PCP on their enrollment application?

If a member does not indicate a Primary Care Physician (PCP) on their enrollment application, the standard procedure is that a PCP will automatically be assigned. This is a common practice in managed care systems to ensure that every member has a designated healthcare provider responsible for coordinating their medical care. Assigning a PCP prevents gaps in care, helps streamline patient management, and ensures that members have a point of contact for their health needs.

Automatically assigning a PCP also ensures that the enrollment process remains efficient. If members were required to select a PCP themselves, it could lead to delays in the enrollment and access to care. This process supports a smooth transition into the healthcare plan while maintaining a structure for patient care.