Pharmacy Payer Sheets

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