What information do I need to submit a claim?

Pharmacy:

You can submit claims electronically through your billing system, or by fax or mail using the contact information below. You will need the following information to submit a claim:

» Member Number: Can be found by using the lookup tool or by contacting the patient for their Member Card

» Group Number: Can be found by using the lookup tool or by contacting the patient for their Member Card

» RX BIN: 610600

» PCN: AS

» Processing Code: 08

Alpha Scrip

5080 N 40th St, Suite 339

Phoenix, AZ 85018

Phone – (866)897-2833

Fax – (602)840-9508

Site of Care/Infusion Center:

You can submit claims electronically through your billing system, or by fax or mail using the contact information below. You will need the following information to submit a claim:

» Member Number: Can be found by using the lookup tool or by contacting the patient for their Member Card

» Group Number: Can be found by using the lookup tool or by contacting the patient for their Member Card

» Payor ID: 86753

Florida Health Administrators

Payor ID 86753

P.O. Box 21426

Eagan, MN 55121

Phone – (866) 236-2673

Fax – (954) 901-2711

Authored by:

TAF Author

9 months ago

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