NE NV / Teva / MedImpact Healthcare Systems Inc. / /
Country
United States / /
Currency
USD / / /
Facility
Pharmacy Information / Anytime Pharmacy / PHARMACY INFORMATION Prescription Label Example / COMPOUND PRESCRIPTIONS The pharmacy / Pharmacy National Provider ID / / /
IndustryTerm
pharmacy showing primary insurance payment / health plan/insurance / plan/insurance information / state law / language translations services / insurance / insurance application / insurance benefits / pharmacy network / insurance proceeds / fraudulent insurance act / insurance card / /
Organization
Medicare Advantage Organization / MEDICARE / /
Person
JANE DOB / / /
Position
pharmacist / Physician / Pharmacy Telephone Number Pharmacy Name* Street Address City NPI* State Zip Pharmacist / /
Microsoft Word[removed]Blue Advantage Rx Manual Claim Form.doc