As previously communicated by Envolve Pharmacy Solutions (formerly US Script) and CVS Caremark®, Managed Health Services Insurance Corp. (MHS) began using the CVS Caremark pharmacy network on April 13, 2016, while claims processing and payment remained with Envolve Pharmacy Solutions. This notice is to inform you that effective January 1, 2017, CVS Caremark will begin to process claims for MHS. All claims for MHS will now be reimbursed according to your CVS Caremark Network Enrollment Forms and be paid according to CVS Caremark processing rules and payment cycles, which will appear on your CVS Caremark 835 or remittance advice.

*Please see attached PDF for more information.

ACTION REQUIRED: On December 27, 2016, the following or similar reject may have occurred on some Aetna claims: Reject 85: <<Claim Not Processed>>. This unanticipated reject has been resolved.

According to our records your pharmacy had claims impacted by this reject. If you have not already done so, please assist plan members and resubmit applicable rejected claims from the affected date of fill (December 27, 2016). Please contact the plan member as appropriate once a paid claim has been captured. If the plan member has paid cash and received the medication, please resubmit the claim and refund the member as appropriate.