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1267 Professional Parkway Gainesville, GA 30507NCPDP Version D.0 Commercial Payer Sheet GENERAL INFORMATIONPayer Name: ProCare PBM Plan Name/Group Name: RX123, LLCDate: 08/01/2020PCN: Blank fill BIN:
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Procare PBM is a subsidiary of Procare Health that provides pharmacy benefit management services, while MC-21 refers to a specific form or reporting requirement related to Medicaid and healthcare services.
Healthcare providers, pharmacies, and organizations that manage or provide Medicaid services are typically required to file Procare PBM and MC-21.
To fill out Procare PBM and MC-21, users need to follow the specific guidelines provided by the respective agency, ensuring all required fields are filled with accurate patient and service information.
The purpose of Procare PBM and MC-21 is to facilitate reporting and compliance for Medicaid services, ensuring accurate data submission for healthcare reimbursements and management.
The information that must be reported includes patient data, service dates, medication details, provider information, and any other relevant healthcare service metrics.
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