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  • Optumrx Ncpdp Version D.0 Payer Sheet ***commercial And ...

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OptumRx NCPDP Version D.0 Payer Sheet ***COMMERCIAL AND MEDICAID*** Payer Name: OptumRx Commercial and Medicaid PartnersRx Date: 12/01/12 BIN: 610494 BIN: 015243 BIN: 015251 BIN 610613 BIN 610279.

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OptumRx is your CalPERS pharmacy benefit manager for Anthem, Health Net, Sharp, UnitedHealthcare, and Western Health Advantage. Our goal is to provide safe, easy and cost-effective ways for you to get the medication you need. How can I find a network pharmacy? 1-855-505-8110.

What BIN code do I use to process claims? All prescriptions submitted to Aetna for online adjudication must use BIN code 610502. Your software vendor will help you to obtain and /set up the necessary software to submit claims online.

OptumRx and BriovaRx are subsidiaries of UnitedHealth Group. UnitedHealthcare and the dimensional U logo are trademarks of UnitedHealth Group Incorporated. All other trademarks are the property of their respective owners. Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates.

OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an Optum® company — a leading provider of integrated health services. Learn more at optum.com.

OptumRx is a pharmacy care services company that creates smarter health care connections to help more than 65 million Americans realize improved care, lower costs and a better overall experience.

Payer sheets are documents produced by pharmacy benefits managers (PBMs) that detail the appropriate processes for submitting claims. Each PBM produces its own payer sheet, and some PBMs produce a payer sheet for each plan.

Payer claims data is a list of medications where a claim was filed. The Pharmacy Benefit Manager (PBM) is the payer and stores a list of medications specific to each patient.

OptumRx® is a full-service prescription drug benefit provider with a broad network of retail chain and independent pharmacies, Optum Specialty Pharmacy, and a mail service pharmacy through OptumRx home delivery.

2023 OptumRx BIN 610279 Payer Sheet.

Check the status of your PA by signing into optumrx.com > Benefits and claims > Prior authorization or exception request. You will see the status of any active PAs in process. If your medication is approved, the PA is entered and coverage will be provided under your benefit.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232