Third-party Contact Guidance
| What Happens | Who to Contact |
|---|---|
| Pharmacy provider receives a rejection from the primary insurance. | The primary insurance. Medicaid does not have the ability to assist with the correction of a non-Medicaid rejection. |
|
Pharmacy provider is told the person does not have any other insurance although Medicaid has other insurance on file. |
The Texas Pharmacy Third Party Insurance Call Center. The call center will re-verify the other insurance within 72 hours and update the claim processing system as necessary. |
| Pharmacy provider does not know how to enter a coordination of benefits claim. | Your software help desk or corporate office. |