Plan Sponsor Announcements
New Clients Effective January 1, 2013: American Health Medicare (AHM), First Medical, PROSSAM - see document for processing requirements (e.g., RxBIN, RxPCN, RxGroup).
Clientes nuevos efectivo a 1 de enero de 2013: American Health Medicare (AHM), First Medical, PROSSAM - ver documento para requerimientos de procesamiento (RxBIN, RxPCN, RxGroup).
Compliance & FWA Resources
Medicare Compliance and FWA Training (revised 02/2013)
General Pharmacy Operations Resources
New! Health Care Claim Payment Provider Manual (EOP X12 835)
Drug Price Appeal Request Form (English) (revised 03/2013)
Solicitud de Apelación de Precio de Medicamentos (revisado en 03/2013)
Manual Reversal Request Form (English) (revised 03/2013)
Solicitud de Reverso Manual (revisado en 01/2013)
Pharmacy Manual (English) (revised 02/2013)
Manual de Farmacia (revisado en 02/2013)
Registro de Firmas de Reclamaciones de Farmacia
Pharmacy Rejection Codes - No-Charge Rejection Codes (revised on 01/2013)
NCPDP Universal Claim Form - Sample and Instructions
CMS Beneficiary Pharmacy Notice for Medicare Part D Beneficiaries
Notificación de CMS de Farmacia para los Beneficiarios de Medicare Parte D
Formulario de Quejas
Payer Sheets
Medicare Part D Plans Payer Sheet (revised on 12/5/2012)
Commercial/ Non-Medicare Plans Payer Sheet (revised on 12/18/2012)