Pharmacy Payer Sheets

Transaction	Program(s)	Date
Claim Billing Transaction (B1) Payer specifications (PDF)	Medicaid CSHCN HTW	Sept. 21, 2020
Claim Billing Transaction (B1) Payer specifications (PDF)	KHC	Sept. 21, 2020
Claim Billing Reversal Transaction (B2) Payer specifications (PDF)	Medicaid CSHCN HTW KHC	Sept. 21, 2020
Eligibility Verification (E1) Payer specifications (PDF)	Medicaid CHIP CSHCN HTW KHC	Sept. 21, 2020

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