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: Determine eligibility, check claim status, correct errant claims and submit new claims. View
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Claims Filing Guide
Electronic Data Interchange (EDI)
: Resource for the Health Insurance Portability and Accountability Act (HIPAA) requirements and testing.
Forms for Providers
Pharmacy Search
: Pharmacies participating in the Caremark managed-pharmacy network.
Note:
Not all groups use Caremark.
Providers' News
: Quarterly publication.
National Provider Identifiers
(39 KB PDF):
Network Participation Guidelines
Provider Directory
Three-Tier Formulary
(2894 KB PDF): List of common generic, preferred and third-tier drugs and those that require prior authorization.
Dental Claims filed before January 1, 2008
Dental Claims filed after January 1, 2008
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