name


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CHAIN’S INTERNAL UNIQUE PROCESSING CODES CREATED FOR BCBSAL Effective April 1, 2012 Prime will begin processing claims for commercial members of BCBSNC Plan Sponsor/ name

Chain Name

BIN

PCN

BCBSNC/ Commercial

015905

Not required

BCBSNC/ Commercial processing and reversals for a fill date PRIOR TO April 1, 2012

610014

Not required

Please fax or email back to Prime Therapeutics at: Fax #: 877-823-6373 Email: [email protected]

Chain Code (s)

Unique Processing Codes

CHAIN’S INTERNAL UNIQUE PROCESSING CODES CREATED FOR BCBSAL Medicare Part D

Plan Sponsor/ name

Chain Name

Chain Code (s)

BCBSAL/ Medicare Part D Blue Advantage BCBSAL /Medicare Part D BlueRx BCBSAL/Medicare Part D Medicare Advantage only BCBSAL/Medicare Part D Tennessee BlueAdvantage BCBSAL/Medicare Part D SEIB/Local Govt

Please fax or email back to Prime Therapeutics at: Fax #: 877-823-6373 Email: [email protected]

BIN

PCN

014897

MBG

014897

RPD

014897

GRJ

014906

ZEG

014897

BAA

Unique Processing Codes