Payer record

PRIVATE PR

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Payer setup

Plan—
BIN / PCN98765400 / MEDD
Address—
Contact—
Transmit onlineEnabled
Max claims / retry1 / 3
Cost / days basisAWP /
Copay0.00
StatusActive

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Formulary — 0 items

Drug nameNDCCode
No formulary entries on file.

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