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Welcome  » April 19, 2024 1:14 AM
Program Name: BadgerCare Plus and Medicaid Handbook Area: Pharmacy
04/19/2024  

Coordination of Benefits : Other Coverage Information

Topic #14517

Medication Therapy Management Coordination of Benefits

Other health insurance sources also have MTM programs. If a member is eligible for an other health insurance MTM program, the pharmacy provider is required to submit the claim to the member's other health insurance before submitting the claim to ForwardHealth.

The 1500 Health Insurance Claim Form Completion Instructions contain information regarding documenting other insurance information.

Pharmacies are responsible for COB. ForwardHealth is the payer of last resort.

 
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