From: WellPoint NextRx

July 13, 2006 

Important Notice: Please share this information with all Pharmacists on your Staff

Effective August 15, 2006, Wellpoint NextRx, is pleased to introduce its newest client, HealthESytems. HealthESystems represents more than 1.1 million eligible members nationwide.  Reimburstment will be in accordance with the WellPoint NextRx network rate.  For your convenience, all HealthESystems' processing information is listed on the attached payer sheet. This program will require a new payer setup, including a unique BIN number in your Pharmacy system for appropriate transaction routing / processing.  Please route the payer sheet to the appropriate individual for setup in your system at your earliest convinience. 

Members will be presenting a prescription card or a representative from HealthESystems will be contactting you if one of their members will be utilizing your Pharmacy. They will provide guidance on how to submit a claim and will be providing you with additional information about the program.

Please note the following important information.  HealthESystems will be responsible for all claims processing, customer service questions, and payment to Pharmacies.

All claims should be submitted to BIN # 012874 (unique for this client)

All Pharmacy service calls should be reffered to 800-758-5779

If you should have any questions that are not related to claims transmittal details for HealthSystems, please contact WellPoint NextRx network department at 800-230-8635, option 1.

Sincerely,

Keith A. Dostal, RPh  Staff V.P. Pharmacy Provider Networks  WellPoint NextRx

Wellpoint NextRx is a service mark of WellPoint, Inc. Services are provided by a WellPoint PBM (either Professional Claim Services Inc. doig business as WellPoint Pharmacy Management, or Anthem Prescription Management, LLC, as appropriate).

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