Transcription of CVS CAREMARK PAYER SHEET
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CVS CAREMARK PAYER SHEET
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 .. 13 PART 5: REJECT RESPONSE .. 18 APPENDIX A: BIN / PCN COMBINATIONS .. 22 Primary BIN and PCN Values .. 22 APPENDIX B: Sales Tax Submission .. 23 Sales Tax Billing Claim Submission .. 23 APPENDIX C: VACCINE PROCESSING .. 24 Commercial Vaccine Processing .. 24 APPENDIX D: COMPOUND BILLING .. 25 Route of Administration Transition .. 25 10/02/2020 Page 2 of 25 HIGHLIGHTS Updates, Changes & Reminders This PAYER SHEET refers to Primary Commercial Billing. Refer to under the health Professional Services link for additional PAYER sheets regarding the following: Commercial Other PAYER Patient Responsibility (OPPR) Commercial Other PAYER Amount Paid (OPAP) Medicare Part D Primary Billing and Medicare as Supplemental PAYER Billing Medicare Part D Other PAYER Patient Responsibility (OPPR) Medicare Part D Other PAYER Amount Paid (OPAP) ADAP/SPAP Medicare Part D Other PAYER Patient Responsibility (OPPR) Medicaid MSP and Medicaid as Supplemental PAYER billing Other PAYER Patient Responsibility (OPPR) Medicai
the Health Professional Services link for additional payer sheets regarding the following: Commercial Other Payer Patient Responsibility (OPPR) Commercial Other Payer Amount Paid (OPAP) Medicare Part D Primary Billing and Medicare as Supplemental Payer Billing ... CVS CAREMARK PAYER SHEET ...
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