Ho-Chunk Nation ID Cards
Group Specific Information provided below
Required Information for Claims Submission
To ensure that there is little or no disruption in the processing of claims,
the fields listed below will be required in the submission of any claim for
payment.
Information from the ID Card:
- RxBin number
- RxPCN number
- RxGrp number (varies for each member, appears on ID Card)
- Cardholder ID
- Cardholder Name
Additional Required information not on the ID Card:
- Person Code *
- Date of Birth (DOB)
- Usual & Customary (U&C)
- Correct Days Supply for quantity dispensed
- Physician DEA
* Unfortunately the person code is not on the card.
The Pharmacist will have to ask for it.
Cardholder will be Person Code (00).
Further Assistance
To get additional information or assistance with problems or questions, please contact the
Innoviant Customer Service Department at 877.559.2955 (The Innoviant customer service department is available to answer your calls 24 hours a day, seven days a week).
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