Payer Specification Sheet
No REQUIRED R The Field has been designated with the situation of "Required" for the Segment in the designated Transaction. No QUALIFIED REQUIREMENT RW “Required when”. The situations designated have qualifications for usage ("Required if x", "Not required if y"). Yes
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Payer Specification Sheet
www.primetherapeutics.comBCBSND have secondary coverage with BCBS of ND, BIN 61Ø455, PCN NDCOM This is required when Covered Person’s of BCBSNE have secondary coverage with BCBS of NE, BIN 61Ø455, PCN RXNEB This is required when Covered Person’s of Highmark have secondary coverage with Highmark, BIN 61Ø455, PCN NEHM This is required
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