PACE

Provider Bulletin

July 27, 2007

 

PROGRAM CHANGES

 

Effective Tuesday, July 31, 2007 the following edits will be implemented:

 

 

 

             

Pharmacists should verify with the physician that the dosing is correct, document this fact for their records and resubmit to Highmark with the override code of “02”. This code is to be entered into the “submission clarification code field” also called the “Rx denial override” field.

 

 

 

Questions should be directed to Provider Services at

 1-800-835-4080.