Claim Billing, Response and Reversal Payer Sheet BIN 017522, PCN AC, effective 01 01 2022

Claims Billing and Response Payer Sheet BIN 023401, PCN CPT, effective 07 01 2023

Claims Billing and Response Payer Sheet BIN 023385, PCN CPT, effective 10 01 2022

Claim Billing and Response Payer Sheet BIN 610747, PCN SS0262, effective 04 01 2021

Claim Billing and Response Payer Sheet BIN 610747, PCN SS6938, effective 04 01 2021

Claim Billing and Response Payer Sheet BIN(s) 017290, 018448, 019505, 020503, 020511, 021957, effective 07 05 2023

Claim Billing and Response Payer Sheet BIN 639930, PCN STL1 effective 12/16/2022

Claim Billing and Response Payer Sheet BIN 639930, PCN STL2 effective 01/01/2023

Claim Billing and Response Payer Sheet BIN 021544, effective 12/16/2022

Claim Billing and Response Payer Sheet BIN 021544, PCN(s) WHA, SLV, MHR effective 07/01/2023

Claim Billing and Response Payer Sheet BIN 600428, PCN AH effective 04 19 2021

Claim Billing, Response, and Reversal Payer Sheet BIN 017522, PCN HH, effective 07 06 2023

Claim Billing and Response Payer Sheet BIN 024756, PCN ASCHMEDD, effective 01 01 2022

Claim Billing and Response Payer Sheet BIN(s) 017051, 021668, 610208, 610228, 610237, effective 05 10 2023

RealRx Payer Sheet_20230101 BIN 610830 PCNs REALRX, REALRXAP, REALRXMHC

RealRx Payer Sheet_20230101 BIN 610830 PCNs REALRXHU, RRXHCU