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Navitus Health Solutions – Colorado Access Pharmacy Claims Processing

Guide

Utilization Management
Pharmacy
Provider

This document provides essential information for the processing of pharmacy claims for Colorado Access Commercial members by Navitus Health Solutions, effective January 1, 2010. It outlines the necessary details such as BIN, PCN, member ID digits, and additional processing requirements. Pharmacies are instructed to ensure their National Provider Identifier (NPI) is registered with NCPDP for seamless claims processing. Furthermore, the document emphasizes the need to utilize the NCPDP D.0 Telecommunications format for claims submissions. For further resources, pharmacies can access payer sheets via the Navitus website.