Easy Claim Help Desk Payer Listing

Transcription

1 AUGUST 2009 Easy Claim Help Desk Payer Listing Payer Name BIN Phone Number 4-D Pharmacy Benefits S/D Absolute CompCare RX 7192 S/ Absolute Data Processing Inc S/ Aclaim 5848 S/D ADAP (NYS Uninsured Care Program) S/ (in state) (out of state) Advance / PCS S/D AdvancePCS S/D AdvancePCS 8514 S/D AdvancePCS Certification Testing S/D Advanced Paradigm 4336 S/D Advanced Pharmacy Care S/ Advantage Care MA-PD S/ ADVANTAGE Health Solutions S/D Aetna Standard Plan S/D Aetna US Healthcare 1884 S/D Aetna Wokermens' Compensation S/D ext or AGELITY 9265 S/W AGELITY / Advantage Wellness of America S/ AGELITY / FamilyWize S/ AGELITY / GetRxRelief S/ AGELITY / Groupnet S/W AHHS 3573 S/ Aids HealthCare Foundation 5947 S/ AKT Card 8696 S/ Alabama Medicaid 4146 S/D (Out of state) AlaGap Data Systems, Inc S/D Alaska Medicaid 9661 S/D Allwin Data Services 4766 S/D Alpha Scrip(Processor NMHCRx) S/C AME Benefits S/D American Health Care American Legion S/D American Pharmacy Network - Affinity S/ AmeriHealth 65 Basic (0366) (0367) AmeriHealth Advantage (0366) (0367) Ameriplan S/ Pharmacy Members

2 AmeriScript S/D AmeriScript (Cincinnati Financial) S/D AmeriScript (Emerald Health Employees) S/D APCI (American Pharmacy Coop, INC) S Anthem S/ Apollo S/C Argus Health Systems S/D Arizona MED D S/ Arkansas Medcaid S/D (out of state) Asuris Medicare S/D Asuris Northwest Health S/ Atlantic Prescription Services S/ Atlantic Prescription Services S/ AutoRx S/ Avia Partners S/ AVMed Health Plans S/ B-Claims RX S/D BC Rx S/ BadgerRx Gold Program S/ (weekend) Bank of Stockton 9117 S/D BEBETTER - Anthem Prescription S/D Bellin Health Systems S/ (weekend) Benecard PBF S/ Benefit Advantage 8183 S/ Benescript 3452 S/ Bergen Pluscare 3585 S/D Beyond Rx S/ Blue Cross of Michigan (DRAMS) 3585 S/D (517 Area) (616 Area) (906 Area) (313 Area) Blue Cross Blue Shield of Alaska S/D Blue Cross Blue Shield of California S/D BlueCross BlueShield of Alabama 4915 S/D Pharmacy claim's rejections BlueCross BlueShield of Arizona S/ BlueCross BlueShield of Arkansas S/ BlueCross BlueShield of Delaware S/ BlueCross BlueShield of Florida S/D BlueCross BlueShield of Florida Commerical S/D BlueCross BlueShield of Illinois S/ BlueCross BlueShield of Kansas S/ BlueCross BlueShield of Maine S/

3 Blue Cross Blue Shield of Michigan S/ BlueCross BlueShield of Mississippi 4583 S/ BlueCross BlueShield of North Carolina 7895 S/ BlueCross BlueShield of Nebraska S/ BlueCross BlueShield of New Hampshire 8563 S/D BlueCross BlueShield of New Mexico S/ BlueCross BlueShield of New Mexico S/D BlueCross BlueShield of North Dakota S/ BlueCross BlueShield of Oklahoma S/ BlueCross BlueShield of Oregon S/ BlueCross BlueShield of Rhode Island S/D BlueCross BlueShield of Texas S/ BlueCross Blueshield of Utah S/ BlueCross BlueShield of Wyoming S/ BlueCross of Northeastern Pennsylvania 3858 S/D BlueShield - Regence S/ BlueShield of Idaho S/ option# 2 BlueShield of Washington S/ Bluegrass Family Health S/ Brickstreet S/ Broadreach Medical Resources (BMR) S/ Brooks RXW/Maxi Drug, Inc S/B CACH HMO, INC S/ CALOPTIMA S/D Healthy Family/ Healthy Kids MAPD Medicaid CareClaim 4303 S/ Care Company 3573 S/ None Listed CareFirst S/D Carelington S/ Caremark/PHS CarePlus S/D CareRx S/ Cariten Health Care Carolina Crescent S/D Carter V S/ Cash Discount Program S/ Catalyst 5947 S/ Catalyst Laker Software S/ Catalyst Rx Hospiscript S/ Catalyst Rx EBRX S/ Catalyst Rx PremierScript S/ Refer to Member's Card Catalyst Rx PSG Workers Comp 5757 S/ Catalyst Rx SeniorScript S/ Refer to Member's Card Catalyst Rx/RXX S/D CCOK Commerical Business S/ CCOK Medicare Part D S/

4 Champ VA (VA Health Administration) S/D Chatham Steel S/ Choice Rx 3573 S/ Cignature-Rx Medicare Part D S/ City and County of San Francisco 3585 S/ Claim One S/ Claim RX - ScripSolutions S/ Claritin Rebate Program S/ CMS Medicare Part D Program S/ CogentHealth Walgreens WC S/ Colorado Medicaid S/D ***BBC# referred on inventory reconcliation issues only--ndc h/d any non-reconciliation issues and claim issues**** Comcotec S/D Comcotec 1553 S/D Comcotec/Workers Compensation S/D Commercial Plan Communicare 6193 S/ Community CCRx S/D Community Health Plan of Sara S/D Community Partnership of Southern Arizona 7887 S/D Comprehensive Care Management 7895 S/ COMPTODAY S/ CompToday Workers Comp Program S/D Connecticare Insurance (CCI) S/ Connecticut Medicaid Full Adjud S/D Local to Farmington/Out of state In State In state Connecticut Medicaid Eligibility S/D Local to Farmington/Out of state In state Conn Pace(Ct Medicaid Part D) S/D locally Consolidated Prescription Services 5780 S/D Consulcare Precription Netk A/H Consultec S/D Corporate Pharmacy Services 4808 A/ CoreCare S/ County of Los Angeles 5260 S/D Curascript S/D Cypress Care S/ Dakota Script S/D DATA RX S/ D.C. Care Consortium S/ D.C. Care Consortium (Group INS/MCD Copay) S/ Dean Health Plan S/ Delaware Med S/D Destination Rx Diagnostek/Perform Cost Mgmt S/D

5 Direct CompRX 9620 S/ District of Columbia Medical Assistance S/D Diversified Pharm Services S/D EasyCDH S/D ELK DPH ASI EasyFSA S/D ELK DPH ASI EBMS - Catalyst Health Solutions S/ EBRX, Inc S/ Eckerd Health Services, d.b.a. TDI S/D EHIM 5285 A/D EmergeRx-D S/ Employer's Health Options 4527 S/D Enhanced Pharmacy Care 8266 S/ EPIC NY 9704 S/D Epic NY Medicare Part D S/D ESI/FHP 4451 S/D evoucher S/ Test Claims Express Scrip, Inc S/D EZ-DME 7895 S/ EZ-DME for Comprehensive Care Management 7895 S/ FAMILYWIZE S/ Federal Employees Compensation Program S/ Fidelis S/D Option 1 Finger Lakes BC/BS S/D (formerly Blue Cross/BS of Rochester) Federal Black Lung S/H First Data Corporation S/ First Health 5260 S/D First Health Rx Part D S/ Florida Medicaid S/D Flu Shots - Washington State 7895 S/D Formula Corporation 9349 S/ ext 109/ ext 109/105 Fox Insurance Company S/ Fresenius S/D FSAok S/ FutureScripts S/D Gateway Healthplan S/ Georgia Medicaid 1553 S/D Technical assistance/help desk Clinical Prior Auth support Generations Healthcare S/D Generations Healthcare (Oklahoma Retirees) S/D

6 GHI S/ GPP A/C Hawaii Medicaid S/ Hawaii Medical Service 65C Plus MA-PD S/ Hawaii Medical Service ArgusRx S/ Hawaii Medical Service Association S/ Hawaii Medical Service Assoc. Quest-HMSA S/ HCPP/Foxmeyer S/B elig. Health Net Medicare Part D S/D HealthCare Computers 7895 S/ HealthEsystems S/ HealthExtrasRx (formally IPM) S/ Health Insurance Plan of Greater New York (HIP) S/ Health Partners, Inc S/ Health Partners MN 7895 S/ HealthSpring MA-PD / Prescription Drug Plan HealthTrans Cash Discount Programs S/ HealthTrans Funded A (Hambro Group) S/ HealthTrends S/ Healthy Maine Prescriptions 5526 S/ Heritage Health S/ HIP of Florida 7838 S/D HIP of New York S/D Hoosier RX S/E Horizon Mercy S/ Hospice of North Central Florida S/ Hospice Pharmacy Alliance S/ Humana S/ Humana HMO 7895 S/ Humana MA-PD, National PDP & CarePlus MA-PD S/ Hyde Rx Services S/ Idaho Medicaid S/ Idaho Medicare Part D S/ Ideal Scripts S/ Illinois Department of Central Mgmt S/ Illinois Medicaid 8259 S/B Independent Health 4626 S/D Independent Health S/D Indiana Medicaid S/E Indiana Medicaid DME 4766 S/ Ingenix Property & Casualty Connectivity (IPACC) Auto S/D Ingenix Property & Casualty Connectivity (IPACC) Work Comp S/D Innoviant S/ INS and MCD Groups S/ Integrated Prescription Management (IPM) S/D Inteq 4469 S/D

7 Interchange NMHCRx Group Health S/ Integrated Health Systems S/ Intermountain Health Care S/ InterValley Health Plan S/B IPS-QUALMED 6152 S/ Iowa Medicaid S/D (local) Jordan Reses Rx Management Services S/ Kaiser Perm - Colorado S/B Kaiser Perm - Georgia S/ Kaiser Perm - Hawaii S/B Kaiser Perm - Mid Atlantic S/B Kaiser Perm - Northern California S/ Kaiser Perm - Northwest S/ Kaiser Perm - Ohio S/B Kaiser Perm - Southern California S/ Kansas Medicaid S/D Keystone 65 Complete & AmeriHealth S/ (0366) Keystone Mercy Health Plan (KMHP) S/ (0367) Kentucky Medicaid S/D Kroger Prescription Plan (KPP) S/ Krueger International S/ LDI Pharmacy Benefit Management Co S/D Link2 Solutions Local 1199 (L1199) S/ Long Term Care Pharmacy Alliance S/ Louisiana Medicaid S/D Louisiana Medicaid Mgmt Info Systems S/D elig. Lumenos and CDHP M PLAN S/ M. Joseph and associates S/ MPB (Scriptline) S/ Maine Medicaid 3573 S/D Maine Medicaid 5526 S/ Maine Medicaid General Assistance 3573 S/D Maine Rx Plus 5526 S/ Maryland Breast and Cervical Cancer Diagnosis and Treatment S/D Maryland Department of Health and Mental Hygiene S/D Maryland Kidney Disease Program S/D Maryland Medicaid (Produr Patients Only) S/ Massachusetts Medicaid 9555 S/D MaxBenefits S/ Maxcare RX

8 Maxor Plus 9075 S/D Maxor Plus 5377 S/D Maxor Plus Medicare Part D S/D Maxor - Qualipharm 4204 S/D Maxor -Tarrant County- WWBTX 9083 S/ Mayo Health Plan S/D Mayo Management Services, Inc S/ MC-21 Corporation S/ MC-21 Corporation ALIVIO DORADO PROGRAM S/ Mckesson Health Solutions S/ Mckesson Healthcare Delivery System S/ MDwise S/ Med/Rx S/ Medco S/ Medco Balance Inquiry Payer Sheet S/ Medco Health (formerly Paid) S/C Medco Medicare COB S/C Medco NPI Certification Testing S/ Mede Select Script S/C MEDEL (state of Maine) 5526 S/ Medi-Cal (EDS) S/D (out/pos) (out/prv sup) (IN/POS) (in/prv sup) Medi-CareFirst Advantage Blue PFFS S/D Medical Security Card 6053 S/ Medical Security Card / ScriptSave 6631 S/ Medicare Part A/B S/ Medicare Part D S/ Medicare Part D POS Facilitated Enrollment S/ Medicare Pricing Inquiry 8589 S/D CA Only (Associated with Medi-Cal) (outside of state) Medifax (Covina Workers Comp RxBuy) S/ MedImpact 3585 S/B Medscript S/ MedTrak Services S/ MedTrak Services - Med Part D S/ Member Health Part D Program S/ MHS RX S/ Michigan Medicaid 9737 S/ Michigan Medicare Dis Prgm Millenium Healthcare Group 9117 S/ Minerva Health Plan 9570 S/ Minnesota Medicaid S/D Mississippi Medicaid S/D Missouri Medicaid 4047 S/D

9 Missouri Senior Rx S/D Missouri Dept. of Transportation S/D for Medicare Part - D For Commercial Business Montana Medicaid S/D Montana Mental Health Services Program S/D MPC Managed Pharmacy Care S/D My Health, My ChoiceSM S/D mymatrixx S/ National Health Network 4923 S/ National Medical Health Card 3650 S/D National Pharmaceutical Services 4758 S/D National Prescription Administrators, Inc S/D Navitus Health Solutions S/D Nebraska Medicaid S/D NetCard Systems / RxWEST 8878 S/ Network Health 3585 S/D Nevada Medicaid 9646 S/ New Benefits Cash Disc Prgm S/ New Hampshire Medicaid 9513 S/D New Jersey Medicaid Full Adjud S/D New Mexico Medicaid S/D New York Medicaid 4740 S/D New York Medicare Dis Prgm S/ NY EPIC Beneficiaries Non-NY EPIC Beneficiaries NMHC S/ NMHC Non-Medicare Part D S/ North Carolina Medicaid S/D North Dakota Medicaid S/D North Dakota Medicaid- Aids Drug S/D North Dakota Medicaid- Children Spec S/D North Dakota Medicaid- Workers Comp S/D North Dakota Medicaid- Youth Correct S/D Northwest Pharmacy Services 6086 S/D Novascript 8035 S/ NY American Indian Health Program S/ NY EPIC PART D S/ NYS Adult Cystic Fibrosis Assistance Program S/ NYS EPIC 9704 S/ Oakwood 9117 S/ Occuscript 8936 S/ OH Bureau-Children w/ Medical Handicaps S/D Ohio BWC S/D Ohio Medicaid S/D Oklahoma Medicaid S/D OHCA Call Center EDI Omnisys 4303 S/D Open Pharmacy Network S/D

10 Optimum S/D Option Health Care Network S/ Opus Health Information Systems S/ OPUS-ISM LLC S/D Oregon Medicaid S/D Outcome Resources 9885 S/ Outlook RX Pharmacies Members Pace 2286 S/D Palliative Drug Card Program S/ Paramount Rx S/D Partners Rx Private Label S/ Passport Advantage S/D Patient Choice 4682 S/ PBM Plus S/ PBM Plus/CareNetwork S/D PC Professionals/NHN 4923 S/D Pennsylvania Medicaid S/D Pennsylvania Medicare Dis Prgm PA PACE Beneficiaries Non-PA PACE Beneficiaries Pa Promise Plan Perform Cost Management S/ PerformRx-PDP S/ Perspective Health Group S/ Refer to Member's Card Pharmacare S/D Pharmastrategies S/ Pharmacies Members Pharmacy Advantage System 4682 S/ Pharmacy Associates, Inc S/D Pharmacy Data Management S/D Pharnacy Data Management, Inc S/ Pharmacy Insurance Corp of America S/ Pharmacy Network of North Carolina 7110 S/ Physician Services Wokmens Comp S/ Pharmacy Service Corporation of New York S/D Pharmacy Services Group 5757 S/D Pharmacy Services of Oregon S/D Pharmadynamics S/ PharmAvail S/ Provider Relations Help Desk Info PharPix S/ Refer to Member's Card Physician Rx Care Discount S/ PMG of Ohio S/ PPS (Pronto-Pharma Scripts) 4591 S/ PPSC Cash 4682 S/ PPSC Health Care District 4682 S/ PPSC Managed Care 4682 S/

11 PPSC Workers Compensation 4682 S/ Preferred PatientRx S/ Presbyterian Health S/ PrescribaRx S/D PreScrip Managed Care and Cash Programs 4682 S/ Prescription Advantage (Mass SPAP) S/ Prescription Solutions S/D Prescription Solutions Part D S/D Prime Therapeutics (Propar) S/D Prime Therapeutics (Propar) S/D Prime Therapeutics Supplemental S/ Priority Health S/D ProAct S/D ProCare EHP PBM S/ ProCare PBM 9430 S/ Proclaim - ScripSolutions S/D Public Health Service Bureau/California ADAP 4519 S Public Health Service Bureau Quality Helath Plans S/D Raley s 3573 S/ Regence RX Regence RX PART D/MAPD_PDP S/ RegenceRx S/ Regence RX 303 MEDICARE S/ Regence RxEDO S/D RelayHealth Pharmacy Value Plan S/ Restat S/B Rhode Island Medicaid S/D Rhode Island - Medicare Part D S/ Rex Club 5491 S/D RiteAid S/ Rocky Mountain Health Medicare Part D S/ Rocky Mountain Health Plans S/ RX Advantage 6631 S/ RX America S/ RX America Medicare Part D S/D RX Innovations 7417 S/ RxNet of California 3592 S/ Rx Options 9893 S/B Rx Options Inc Part D program S/ RX/x Pharmacy Solutions S/ RxAmerica Medicare Part D S/ RxStrategies 9803 S/ RxWest 8878 S/ Safeway Managed Care Phcy S/ San Bernardino County Department of Behavioral Health S/D SAV RX ADVANTAGE 8563 S/

12 SAV RX 6558 S/D Scott & White HMO A/D Scott & White RX Services A/D Script Care, LTD 4410 S/ Scripnet S/ ScripNet Pharmacy Program S/ ScripSolutions S/ Scriptrax S/ ScriptSave 9224 S/ ScriptSave Retail POS System 6053 S/D Seabury & Smith Associates S/ Select Care of Oklahoma (Tribute) S/D Select Care of Texas (TexanPlus) S/D Select Health S/B Serve You Custom RX Management 1553 S/ Sierra Health Services 7382 S/ Weekends & Holidays Smith Premier Services S/ South Dakota Medicad S/D (in state) S/ (out of state) SPS Worker s Comp Plan S/D State Farm Auto Claims S/ State Farm Health S/ State Farm Work Comp Claims S/ State of CA Parolees 9117 S/ Sterling/Ideal Scripts S/ Summa Care 5947 S/ SunRx S/ SXC Health Solutions Inc S/ Tahoe Truckee Sierra Disposal Co S/D Teamsters Rx S/ Teamsters Local 237 Welfare Fund (L237) S/ Texas Medicaid S/ TexasFirst (TexanPlus) S/D The Macaluso Group (TMG) S/D Therapeutic Alternative Program (TAP) S/D Therapy First S/D Third Party Solutions dba TPS 5567 S/ Timesys 4261 S/ TMESYS S/D Today s Health S/D Today's Options PFFS S/D Today's Options PPO S/D Total Script 6524 S/D Tri County Schools Insurance Group S/ TrialCard 4682 S/ Transaction Prescription Network 7093 S/

13 Tricare/ ESI 3858 S/ Triple i S/ TrueCare Pharmacy Trust Script S/ United Drug 4428 S/ US Script 8019 S/D Utah Medicaid S/ VA Health Administration Center (Champ VA) S/ ValueRx Vermont Medicaid S/C Virginia Medicaid (in state) S/ (out of state) Virginia Premier Gold S/D Vista Health Plan Vytra S/ Walgreen Health Initiatives S/ Walgreen Health Initiatives - COSVI S/ Walgreens Health Initiatives Part D S/ WalMart Workers Compensation S/D x12921 Washington Labor and Industry S/ Washington Medicaid S/ Well Care HMO, Inc S/ WellPoint Medicare Part D Pos FE S/ WellPoint Pharmacy Management S/D West Virginia Medicaid S/ West Virginia Workers Comp S/ Wholesale Benefit Club Cash Discount S/D Wisconsin Medicaid S/ WMS Prescription Drug Plan S/ Wyoming Department of Health S/D

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