CVS CAREMARK PAYER SHEET

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Medicaid Primary Billing & Medicaid as Secondary Payer Billing Other Payer Amount Paid (OPAP) Medicaid Primary Billing & Medicaid as Secondary Payer Billing Other Payer Patient Responsibility (OPPR) To prevent point of service disruption, the RxGroup must be submitted on all claims and reversals.

  Primary, Secondary, Caremark