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SECONDARY CLAIM FORM Do not staple or tape receipts or attachments to this form. Instructions This form should be used ONLY if you are submitting claims for secondary prescription coverage. AFTER

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How to fill out cvs caremark secondary claim

01

To fill out a CVS Caremark secondary claim, follow these steps:

02

Obtain the primary insurance explanation of benefits (EOB) that shows the claim was processed and paid.

03

Make sure you have all the required information to complete the secondary claim, including the patient's name, ID number, and date of birth.

04

Visit the CVS Caremark website or call their customer service to access the secondary claim form.

05

Fill out the secondary claim form accurately and completely, providing all the necessary details and attaching the primary EOB.

06

Double-check all the information before submitting the form to ensure accuracy.

07

Submit the completed secondary claim form and any supporting documents to CVS Caremark by mail or through their online portal.

08

Keep a copy of the submitted documents for your records.

09

Wait for CVS Caremark to process the claim and provide a reimbursement, if applicable.

Who needs cvs caremark secondary claim?

01

Anyone who has primary insurance coverage and wants to submit a claim for additional coverage or reimbursement from CVS Caremark may need to fill out a CVS Caremark secondary claim. This could include individuals who have multiple insurance policies or those who have a primary insurance plan that does not cover the full cost of a medication or healthcare service.

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What is cvs caremark secondary claim?

Cvs Caremark Secondary Claim is a claim filed after the primary insurance has been billed. It is submitted to a secondary insurance for additional coverage.

Who is required to file cvs caremark secondary claim?

The healthcare provider or pharmacy is required to file cvs caremark secondary claim after the primary insurance has been billed.

How to fill out cvs caremark secondary claim?

To fill out cvs caremark secondary claim, you need to provide information about the primary insurance coverage, the services provided, and any payments received.

What is the purpose of cvs caremark secondary claim?

The purpose of cvs caremark secondary claim is to receive additional coverage for services already provided by the primary insurance.

What information must be reported on cvs caremark secondary claim?

Information such as primary insurance details, services provided, payments received, and any remaining balance must be reported on cvs caremark secondary claim.

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