KHC Copayment Information

Contact the KHC program for copayment information. The copay amount due is returned in the "Patient Pay Amount" field (505-F5) of the pharmacy paid claim response. Refer to the Claims Billing (B1) Transaction payer sheets for specific transaction, segment, and field requirements.

Pharmacy providers can perform an eligibility verification transaction to find the client's copayment amount. Refer to the Eligibility Verification (E1) Transaction for specific transaction, segment, field requirements, and response messages.