Forty percent of claims submitted to Anthem under WellPoint's POS system for Part D dual eligibles have "junk" in the cardholder ID field, said a company spokeswoman during a CMS conference call. Since incorrect data slow down claims processing, Anthem instituted hard edits in the cardholder ID field to reject claims back to pharmacies that do not use the correct format for Medicare numbers.
Wrong dual-eligible IDs slow Rx claims
Forty percent of claims submitted to Anthem under WellPoint's POS system for Part D dual eligibles have "junk" in the cardholder ID field, said a company spokeswoman during a CMS conference call. Since incorrect data slow down claims processing, Anthem instituted hard edits in the cardholder ID field to reject claims back to pharmacies that do not use the correct format for Medicare numbers. Anthem had updated its payer sheet for the WellPoint POS system, which can be accessed by going to http://www.anthemprescription.com/ and clicking on Online Services for Providers.
To see more Hot off the Press news articles, click here http://www.drugtopics.com/Hot+off+the+Press.
Examining Trends in Long-Term Opioid Use, Importance of Pharmacist-Physician Collaboration
March 27th 2024At APhA 2024, 2 posters looked into how collaboration between physicians and community pharmacists is crucial when it comes to opioid prescriptions, and current opioid use patterns among older adults.