Customer Resources

Enrollment Services

Exchange sensitive electronic data related to claims, patient eligibility, and ERA and EFT payments by enrolling today.

 

Payer Lists

Benefit from our connectivity. View payers and transactions in the nation’s largest payment cycle network.


 

State Payer Sheets

The following payer sheets provide the format and the required fields that pharmacies must follow when submitting claims to the payers. Each state has their own payer sheets located on the links below.

Formulary Downloads

Download lists of recommended preferred drugs for coverage by your plan, including brand and generic medications.

 

HIPAA Simplified Portal

Insight and guidance into healthcare regulations, transaction standards, timelines, and program updates.

 

Customer Resources

  • Enrollment Services

  • Payer Lists

    Benefit from our connectivity. View payers and transactions in the nation’s largest payment cycle network.

    Learn More

  • State Payer Sheets

    The following payer sheets provide the format and the required fields that pharmacies must follow when submitting claims to the payers. Each state has their own payer sheets located on the links below.

    Learn More

  • Formulary Downloads

    Download lists of recommended preferred drugs for coverage by your plan, including brand and generic medications.

    Learn More

  • HIPAA Simplified Portal

    Insight and guidance into healthcare regulations, transaction standards, timelines, and program updates.

    Learn More