PACE

PROVIDER BULLETIN

February 17, 2006

 

MEDICARE PART D PRESCRIPTIONS

and

OTHER COVERAGE CODES

 

Beginning January 1, 2006, many PACE/PACENET Cardholders:

 

 

Eventually virtually all PACE/PACENET cardholders will have both a PACE/PACENET card and a Medicare Part D plan card.

 

As enrollment in Part D plans continue, Providers should continue to ask Cardholders if they have a Part D plan.  Providers must bill these Medicare Part D plans before billing PACE/PACENET.

 

If a claim is submitted to PACE/PACENET with an:

 

 

Providers must be able to verify the accuracy of this other coverage code on audit.

 

Failure to substantiate the validity of the submitted code will result in the disallowance of the claim.

 

Questions may be directed to Provider Services at:

1-800-835-4080