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474-8E See B1 information B2 NPI Blanks DUR/PPS LEVEL OF EFFORT Claim Rev ersal Reversal Accepted A Approved Reversal Not Processed optumrx. OptumRx NCPDP Version D. 0 Payer Sheet COMMERCIAL AND MEDICAID FOR BIN 610279 PLEASE REFER TO UHC PAYER SHEET Date 05/18/2015 BIN 610494 BIN 610613 BIN 610084 BIN 017366 BIN 018141 BIN 016580 BIN 610127 Payer Name OptumRx Commercial and Medicaid COMMUNITY HEALTH Maryland Medicaid ProAct FlexScripts/ProAct MedalistRx Legacy Innoviant Commercial PCN 9999...
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