RXBIN: 610591

RXPCN: ADV

RXGRP: RX8834

During a recent pharmacy outreach, it was brought to our attention that the Patient Residence (384-4X) and Pharmacy Service Type (147-U7) fields are not available for selection within certain pharmacy software systems. These two fields together are critical to identifying the claim type (see table below). It is important to know where these fields are located within the software system and to change them as needed in order to appropriately identify the claim. Before the claim is submitted, please review the table below and make sure you are submitting the correct values. If you cannot locate these fields, please contact your software vendor for assistance.

Dear Valued Pharmacy Provider: This notice is sent to inform you of a new Citizens Rx client: myRxMedSaver (from the Barclay Marketing Group LLC). Please ensure that you have the following BINs and Group Numbers activated in your store system, effectively immediately. This is a new unfunded, nationally marketed program. myRxMedSaver program participants may present either a physical card or an electronic application with the necessary program information. Depending on how the customer became a program participant will determine the BIN and Group Number needed to successfully transmit a claim. Please use the following information for setting up your pharmacy system and submitting claims:

Eligibility Verification A Participating Pharmacy should verify the Covered Person’s Medicaid coverage at the time of service. A Participating Pharmacy can verify eligibility by calling the Texas Medicaid Healthcare Partnership (TMHP) at 1-800-925-9126 or go to TexMedConnect on the TMHP website and checking the Covered Person’s Medicaid ID number (PCN). Covered Persons may call BCBSTX customer service at 888.657.6061 with eligibility-related questions. If a Covered Person is unaware of which program he/she is enrolled in, the Covered Person may contact the Medicaid Managed Care enrollment broker. Covered Persons may call the Medicaid Client Line at 800.964.2777 for assistance with eligibility-related issues. For more information, refer to Section 8. Eligibility Verification at http://www.txvendordrug.com/about/downloads/procedure-manual.pdf