Change Healthcare (formerly Emdeon) will be conducting system maintenance on the SelectRx claims adjudication application the weekend of January 22, 2016.  The system will be unavailable Friday, January 22nd beginning at 11:50 pm EASTERN and is anticipated to be returned online late morning on Saturday, January 23rd.   During this time, pharmacy will receive the following rejection response from Change Healthcare’s switch.             ERX03: Connection to Payer Down     We appreciate your patience during this time!

Effective January 1, 2016, CVS/caremark began administering the prescription benefits for Wellmark Blue Cross and Blue Shield of Iowa and South Dakota. IMPORTANT: Member ID numbers begin with 3 alpha characters. Do not submit these 3 digits along with the member ID. Member ID should be 9 digits, alphanumeric. You cannot submit contract numbers or social security numbers, those claims will reject. All Wellmark members are in the RX1021 group. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS/caremark: RxBIN: 004336 RxPCN: ADV RxGrp: RX1021 Member ID Format: 9 alpha-numeric digits – DO NOT SUBMIT FIRST 3 ALPHA CHARACTERS OF MEMBER’S ID #

This fax is to notify you that NHPRI Integrity (i.e. NHPRI MMP) will be active as of 05/01//2016 in Rhode Island. We want you know as a part of its Network Validation efforts, CMS is currently making calls to pharmacies across the state of Rhode Island confirming the pharmacies that participate with NHPRI MMP. This fax confirms you are contracted to participate in the NHPRI MMP. The following items are required for submitting a claim for processing in our system for the Neighborhood Health Plan of Rhode Island Medicare Medicaid Plan: • RxBIN : 012353 • Rx PCN: 06470000 • Member ID: Unique identifier Lastly you can download a copy of the Neighborhood Health Plan of Rhode Island Medicare Medicaid Plan (MMP) payer sheet from our website at the following link: http://performrx.com/providers/payer-sheets Should you have any questions please contact Pharmacy Help Desk 1-800-555-5690 or Email: pharmhelpdesk@performrx.com

Payment Schedule Improvement Effective February 1, 2016: As you are aware OPUS Health currently reimburses your organization for all successfully processed claims on a bi-weekly schedule, however the payment dates are not consistent month over month. We recognized the challenge this presents with reconciliation of claims and tracking of payments and have made great strides in improving our process therefore simplifying the schedule. Please note the new semi-monthly payment process outlined below. As of February 1st we will convert to a semi-monthly payment schedule with payments (check dates) occurring on the 1st and 16th of each month. ·  Claims received and processed from the 1st to the 15th will be processed for payment on the 16th. ·  Claims received and processed from the 16th to the end of the month will be processed for payment on the 1st of the following month. The last billing cycle for January, currently scheduled to end on February 1st, will be shortened by one day to January 31st allowing the semi-monthly schedule to begin on February 1st. If you have any questions or require additional information, please call us at 1-800-364-4767 during regular business hours, Mon-Fri 8:30 AM - 5:30 PM ET.     If you are not the correct recipient for Plan Announcements for your organization, you are aware of others who should receive them as well, or you are having difficulty reaching the portal or logging in, please reply to the above address or call us at 1-800-364-4767 and we will be happy to assist you.   Thank you,   OPUS Health

As previously communicated on December 22, 2015, effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for Barneys New York. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS/caremark. NOTE: Some members may present cards that display "X0203" as the RXGRP number. Please add an "R" and submit the RXGRP value as "RX0203". RXBIN: 004336 RXPCN: ADV RXGRP: RX0203 Member ID Format: 5-digit alpha + 6-digit numeric Person Code : not required