PACE

PROVIDER BULLETIN

April 3, 2009

 

Other Coverage Code “6”

EDIT

 

Effective Monday April 6, 2009, Providers submitting claims with the Other Coverage Code of “6” will have the claim(s) denied when identified as a participating pharmacy by any of the following third party plans:

 

PARTNER PLANS

 

Amerihealth Advantage (IBC)

Memberhealth Community CCRX

RxAmerica

Coventry First Health Premier

UHC AARP Medicare Rx

 

NON PARTNER PLANS

 

Geisinger

UPMC

 

Claims will be denied with: NCPDP Error 13; PACE Error 748: “Missing/Invalid Other Coverage Code.”

 

The Program will include additional third party plans in this edit as they become available.

 

 

Questions may be directed to Provider Services at 1-800-835-4080.