Pharmacy claims processing for Cigna customers is being gradually moved to the Catamaran RxClaim Platform. As of March 1, an additional 261 Cigna clients, representing approximately 39,000 customers, will transition to RxClaim.

A full list of all Cigna clients that will be on RxClaim as of March 1, 2015 can be found on the Catamaran provider portal. If you have access, please log in at www.catamaranrx.com/pharmacies to view the list under Pharmacy Information. If you do not have access to the portal, send an email to Provider.relations@catamaranrx.com to request the list. You will receive a response within 24 hours. Put "Cigna March 1 Client List" in the subject line of the email.

Today Wednesday, February 11, 2015 there was an urgent eligibility issue identified for Medicare members of the Regence Health plan in the Northwest (BIN: 610623 PCN: 02100000, 02110000 and 02120000) causing their claims to reject for coverage terminated. There is activity underway to correct this issue and reload the eligibility for these members and we expect this issue to be resolved within 24 hours. In the interim if you have a Regence member at your pharmacy in need of medication we would ask that you contact our help desk at 1-888-437-1508 for eligibility verification in order to fully dispense the medication as prescribed. If you are experiencing rejections for Regence members that are not at your pharmacy or are not expected to be within 24 hours, please attempt to rerun your claim in 24 hours.

This week's Generic News includes information on the Weekly Generics Campaign, updates from McKesson, and news from APCI's Approved Vendors!

Participating Pharmacies may be experiencing rejections when trying to process claims for Covered Persons of Blue Cross Blue Shield of North Carolina (BCBSNC).

The correct ID number contains the alpha character ‘W’ followed by a ten-digit number. The ten-digit number consists of the Covered Person ID followed by the relationship code found on the ID card.

RxEDO COB Processing Update

Rx BIN: 610220 Rx PCN: 03980000  

What You Need to Know  

RxEDO will allow COB processing. The Payer Sheet has been updated to reflect this change.  

Payer Sheets

To view the payer sheets on www.argushealth.com

• Click MyArgus link in the upper right-hand corner of the website.
• Click MyArgus
• Enter the User ID and the password
• Select Pharmacy
• Select the RxEDO 0398 (COB Copay Only) D.0 payer sheet under the D.0 Commercial/Generic drop-down box.