CVS CAREMARK PAYER SHEET

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CVS CAREMARK PAYER SHEET Commercial Primary Table of Contents HIGHLIGHTS Updates, Changes & Reminders ........................................ .............. 3 PART 1: GENERAL INFORMATION ........................................ ................................... 4 Pharmacy Help Desk Information ........................................ ............................... 4 PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS ........................... 5 PART 3: REVERSAL TRANSACTION ........................................ .............................. 11 PART 4: PAID (OR DUPLICATE OF PAID) RESPONSE.

Payer/Processor Name: CVS Caremark® Plan Name/Group Name: All . Effective as of: October 2Ø2Ø ... 3Ø9-C9 Eligibility Clarification Code RW Required when necessary for plan ... 465-EY Provider ID Qualifier Ø2 R Ø2 – State License Number

  Eligibility, Name, Payer, Caremark, Caremark payer