PHARMACY PROVIDERS, PLEASE NOTE!!!

IF YOU ARE UNSURE ABOUT THE COVERAGE OF A DRUG PRODUCT, PLEASE CONTACT THE PBM HELP DESK AT 1-800-648-0790.  

  PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID. 

NOTICE TO ALL PROVIDERS

THE PREVIOUSLY PUBLISHED SCHEDULE FOR THE EXPANSION OF THE COMMUNITYCARE
PROGRAM IN 2003 HAS BEEN CHANGED. THE REVISED COMMUNITYCARE IMPLEMENTATION SCHEDULE FOR 2003 IS AS FOLLOWS: 

MARCH 2003 - ACADIA, EVANGELINE, IBERIA, LAFAYETTE, ST. LANDRY, ST. MARTIN, AND VERMILION 
JUNE 2003 - BOSSIER, CADDO, CALDWELL, FRANKLIN, LINCOLN, OUACHITA, AND TENSAS 
SEPTEMBER 2003 - ORLEANS 
DECEMBER 2002 - PLAQUEMINE, ST. BERNARD, JEFFERSON - EAST BANK AND JEFFERSON - WEST BANK 

QUESTIONS REGARDING THIS MATTER MAY BE DIRECTED TO UNISYS PROVIDER RELATIONS AT 1-800-473-2783. 

ATTENTION PROVIDERS BILLING ELECTRONICALLY

PROVIDERS BILLING WITH THE EQUIVALENT OF HCFA 1500 SPECS NOW HAVE THE CAPABILITY OF SUBMITTING BOTH A PRIMARY AND A SECONDARY DIAGNOSIS FOR CLAIM TRANSMISSIONS. PREVIOUSLY ONLY A PRIMARY DIAGNOSIS COULD BE ENTERED IN THESE SPECS. IF NEEDED, PLEASE MAKE THE NECESSARY CHANGE TO YOUR SOFTWARE TO ALLOW SUBMISSION OF THE SECONDARY DIAGNOSIS AS IT IS NOW ACCEPTABLE BY UNISYS. MORE INFORMATION, INCLUDING A COPY OF THE REVISED HCFA 1500 SPECIFICATIONS, WILL BE PUBLISHED IN THE UPCOMING PROVIDER UPDATE. IF YOU NEED A COPY OF THE REVISED SPECS PRIOR TO THAT TIME, PLEASE HAVE YOUR SOFTWARE VENDOR CONTACT UNISYS EMC DEPARTMENT AT 225/237-3200.