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For Pharmacists

Claims Information

The following information will assist you in submitting claims to PBM Plus.

  • Claim adjudication requires any NCPDP Version 3 or Version 5 transaction.
  • The BIN (Bank Identification Number) is 610106.
  • PBM Plus has distinct lines of business requiring the use of different Processor Control Numbers. Please refer to the PCN printed on the member's ID card.
  • The member's ID Number is printed on the ID card. If a person code is listed, it should be placed in the Person Code Field. If letters are listed they should be included in the ID Number.
  • Date of birth is required.
  • Gender is required.
  • Group Numbers are occasionally required and therefore should be submitted. If not required, an invalid group number will not cause the claim to reject.
  • Pharmacy questions can be directed to 1-866-618-3494.

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