Payer Specification Sheet
Field # NCPDP Field Name Value Payer Usage Payer Situation 3Ø2-C2 CARDHOLDER ID M 3Ø1-C1 GROUP ID BCRIWRI RXCAP RW RW Payer Requirement: Required for BCBS of RI Work Related Injury only, BIN 61Ø455, PCN BCRI Required for Capital Blue Cross BIN 61Ø455, PCN CBC 3Ø6-C6 ...
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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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