Neighborhood News
Helping Your Patients to Better Understand the Flu Shot
- Adjustment Request Form
- Electronic Reconsideration Correspondence
- Certified Mail
- Current Forms
- Claim Submission Reminders for Providers and Billers
Closing Your Practice to New Members
Cognitive Assessment Screening for Eligible INTEGRITY Members
Tobacco Cessation: Making a Difference in Members’ Health
Pharmacy Department Update
- Biosimilars
- Pharmacy website resources
- 340B billing
- If you are billing the pharmacy benefit for a 340B claim, please follow the stated guidance to properly submit the claim
- NCPDP Data ELEMENT 409-D9: Ingredient Cost Submitted = 340B Acquisition Cost
- NCPDP Data Element 420-DK: Submission Clarification Code = 20
- If you are billing the medical benefit for a 340B claim, please follow the stated guidance to properly submit the claim
- Modifier: UD
- Description: Medicaid level of care 13, as defined by each state
- If you are billing the pharmacy benefit for a 340B claim, please follow the stated guidance to properly submit the claim