Please note a system issue that was occurring for Anthem Commercial and Medicaid members only has been corrected, and claims for these members should be processing normally.

Please reprocess any claims that may have rejected for Anthem Commercial and Medicaid members with NCPDP reject 85, "Claim Not Processed", or NCPDP reject 97 "Payer Unavailable" during this brief outage.

Effective January 1, 2017, HometownRx will be processed through Argus Health Systems.

*Please see attached PDF for more information.

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 1st, 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 update or create plan member profiles to reflect the claims processing changes and note new phone numbers included in this communication.

RXBIN: 004336

RXPCN: MCAIDADV

RXGRP: RX5440

Member ID Format: 12 digits, numeric

*Please see attached PDF for more information.