Provider Resources
Applying for a Patient
- Basic Patient Info, including:
-
- Name
- Address
- Phone number
- Date of birth
- Patient insurance and prescription info
- Patient income information (household size and household income).
Pharmacy Providers
The Assistance Fund contracts with Alpha Scrip for Pharmacy Claims. 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: (877) 274-3244
Fax: (602) 840-9508
Site of Care Providers
For healthcare providers who are administering a prescription medication at their site, payments are facilitated through a claims administrator, Florida Health Administrators. 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
Contact Us
If you still can’t find what you need, feel free to reach out. We’re happy to help!
Contact UsProvider FAQs
For more in-depth answers to common provider questions, take a look through our FAQs.
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