Children's Mercy Family Health Partners

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March 1, 2012

Attention: Pharmacy Providers

Children’s Mercy Family Health Partners RXBIN: 610415

RXPCN: PCS

RXGRP#: CMF11000

This notification is to inform you that Children’s Mercy Family Health Partners is now part of Coventry Health Care of Kansas, Inc. The new identification cards will be sent throughout February. The following information will assist your pharmacy in submitting claims for this plan sponsor. Please note: In the event the plan member has not received their new ID card, claim may be adjudicated using the old ID card’s RXBIN, RXPCN and RXGRP number. RXBIN Member Identification Cards

Submit claims to Caremark Bank Identification Number (RXBIN) 610415. Children’s Mercy Family Health Partners plan members now carry cards similar to the one illustrated on the left.

New Card

Old Card

RXPCN

PCS

RXGRP

Use RXGRP number CMF11000

Copay

Please rely on the claims system to determine the correct amount to collect from the plan member.

Region

Kansas

If you have questions or need assistance please call the Pharmacy Help Desk at 1-800-345-5413. Thank you for delivering high quality, cost-effective pharmacy services to Children’s Mercy Family Health Partners plan members.

This communication and any attachments may contain confidential information. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution, or copying of it or its contents, is prohibited. If you have received this communication in error, please notify the sender immediately by telephone and destroy all copies of this communication and any attachments. Page 1 of 1