CVS CAREMARK PAYER SHEET
338-5C Other Payer Coverage Type M 339-6C Other Payer ID Qualifier RW Required when Other Payer ID (34Ø-7C) is used 34Ø-7C Other Payer ID RW Required when identification of the Other Payer is necessary for claim/encounter adjudication 443-E8 Other Payer Date RW Required when identification of the
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CVS CAREMARK PAYER SHEET
www.caremark.com338-5C Other Payer Coverage Type M 339-6C Other Payer ID Qualifier RW Required when Other Payer ID (34Ø-7C) is used 34Ø-7C Other Payer ID RW Required when identification of the Other Payer is necessary for claim/encounter adjudication 443-E8 Other Payer Date RW Required when identification of the
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