IMPORTANT INFORMATION
FOR PACE PROVIDERS
October 6,
2006
PACE/PACENET Part D
List
·
PACE
has enrolled over 150,000 cardholders in the Program’s seven (7) selected
Medicare Part D Prescription Plans.
·
PACE
is providing this cumulative list of all cardholders currently enrolled in the
selected Medicare Part D plans who frequent your pharmacy. This enclosed list
contains the PACE cardholder’s name, PACE card number, the Medicare Part D
insurer’s name, BIN, PCN, Group name/number
and the cardholder’s ID number.
· PACE cardholders are continually
enrolling in Part D plans; therefore, this list can not be all inclusive.
Providers should continue to inquire if a PACE/PACENET cardholder has a
Medicare Part D card.
·
IMPORTANT: In the event a cardholder
dis-enrolls from a PACE partner plan resulting in the claim being denied for
“non-matched cardholder ID” (NCPDP 52) or “Filled After Coverage Terminated”
(NCPDP 69), the claim can be
submitted to PACE with:
o
an OCC
of 3,
o
the
plan’s deny code and
o
the
BIN of the plan listed on the PACE file.
PACE will honor the claim during the
time that the Program’s other coverage record does not contain the most current
eligibility data from the partner plan.
Questions may be directed to
Provider Services at
1-800-835-4080.