Revlucent
Cigna has zero
Medicare Advantage plans.
It sold that business. The members moved to a different company sixteen months ago. But almost every healthcare vendor still has a Cigna Medicare account sitting in Salesforce, with an owner, a pipeline, and a rep working it.
That is one example. Below are four ways Medicare Advantage payer accounts go wrong in a CRM, each with the specific accounts it happens to — and five checks you can run on your own data in about two minutes.
Accounts for a company that left the business
This is one real health plan with 67,790 members. Not a single member moved. But over three and a half years, the government's record of who owns it was rewritten three times — and the name your reps would actually recognize is the one that disappeared.
One thing never changed. The company that legally holds the contract has been HealthSpring Life & Health Insurance Company the entire time. That is the only name that stayed stable — and it is almost certainly not the name in your CRM, because it is not the name on any marketing material.
Health Care Service Corporation now covers 3.67 million Medicare members. If those accounts sit under Cigna in your system, or under no parent at all, every rollup report you hand your CRO is attached to the wrong company.
Twelve major accounts your CRM will never connect to their parent
Each row below is one of the largest Medicare Advantage plans in the country. The name on the left is the name that gets typed into Salesforce, because it is the name on the contract. Nothing about it suggests the company on the right.
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| The name on the contract | The company that actually owns it | Members |
|---|---|---|
| Sierra Health and Life Insurance Company | UnitedHealth Group | 740,778 |
| Emphesys Insurance Company | Humana | 154,640 |
| Community Insurance Company | Elevance Health | 137,916 |
| BCBSM, Inc. | Aware Integrated, Inc.unrecognizable | 127,360 |
| Priority Health | Corewell Health | 109,826 |
| Blue Cross of California Partnership Plan | Elevance Health | 102,150 |
| Blue Cross and Blue Shield of North Carolina | CuraCor Solutions Corp.unrecognizable | 99,807 |
| Excellus Health Plan | Lifetime Healthcare, Inc. | 83,596 |
| HealthSpring Life & Health Insurance Company | Health Care Service Corporation | 67,790 |
| Arizona Physicians IPA | UnitedHealth Grouplooks like a clinic | 64,197 |
| Compcare Health Services Insurance Corporation | Elevance Health | 63,787 |
| Preferred Care Partners | UnitedHealth Group | 62,728 |
Three of these belong to Elevance. Three belong to UnitedHealth. That is 1.8 million members across twelve accounts that will sit as orphans unless someone maps them by hand.
This is not something an enrichment vendor can fix for you. ZoomInfo and its peers index companies as companies. These relationships only exist in the government's contract filings, and they change without notice.
The state in the account name is not the state the plan covers
Territory rules very often key off the state in an account name. When the legal entity is registered in one state but sells plans in another, members land on the wrong rep's desk — and nobody notices, because the account name looks right.
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| The account name says | But it runs this plan | Members |
|---|---|---|
| UnitedHealthcare Benefits of Texas | A Texas plan | 94,666 |
| UnitedHealthcare Benefits of Texas | A Washington planwrong rep | 78,744 |
| UnitedHealthcare of Wisconsin | A North Carolina planwrong rep | 85,480 |
| UnitedHealthcare of Wisconsin | A second North Carolina planwrong rep | 60,366 |
A Texas-named account running a 78,744-member Washington plan. A Wisconsin-named account running two North Carolina plans covering 145,846 members between them. If your territories were carved on the account name, those members are already assigned to someone who cannot serve them.
The same account is growing or shrinking depending on when you last checked
This is Healthfirst's largest plan for people covered by both Medicare and Medicaid — one of the biggest of its kind in the country. Look at it over three years and it is a growth account. Look at it over the last twelve months and it is a retention problem. Both readings are correct.
Swipe to see the full chart →
The account lost 14,976 members in a single month during open enrollment last January, and has not recovered. Tier it on a number pulled in 2025 and it is your top target. Tier it on today's number and it is a churn risk.
It runs the other way too. Devoted Health's Texas plan grew from 2,684 members to 17,287 — up 82% in the last year alone, including a 43% jump in the month it expanded from Houston to the whole state. That expansion is a buying signal, and it happened eight months ago.
Five checks to run on your own CRM
Each one is a single search in Salesforce or HubSpot. None of them need our product, or any product.
Anything tied to Medicare Advantage is a dead account. That business has belonged to Health Care Service Corporation since May 2025.
If it exists and is not linked to UnitedHealth Group, the single largest Medicare Advantage plan in the country — 740,778 members — is sitting in your system as a standalone account.
If the answer is one, you are missing at least three: Community Insurance Company, Blue Cross of California Partnership Plan, and Compcare. That is 303,853 members unattached to the parent.
Check when it was last updated. If that date is before the last open enrollment period, your account tiering is running on a number that is already wrong.
If the answer is “a rep types it in,” then everything above is a permanent condition rather than a one-time cleanup.
This is not a cleanup project. It is a maintenance problem.
The owner of that one health plan changed twice in two years. The plan name changed a third time. Right now, in this month's government filing, something similar is changing on an account you own — and it will change again next month.
Revlucent reads the government's Medicare Advantage data every month, works out who really owns what, and writes it into your CRM. A clean account list, correct parent-child hierarchy, and a membership number that updates on its own.
Where this comes from. Every figure on this page is taken from the Medicare enrollment data CMS publishes each month, traced back to January 2023. Membership counts are the government's own. Where CMS withholds a count because a plan has ten or fewer members, we leave it out of totals rather than counting it as zero. Nothing here is modeled or estimated.