Payer Specification Sheet
Page 1 of 17 Materials reproduced with the consent of © National Council for Prescription Drug Programs, Inc. 3851-D Payer Specification Sheet for Commercial Clients ...
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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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