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Integrity Benefit Network
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Effective Date:
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5/1/2008
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Processor:
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Data Rx Management, Inc
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BIN Number:
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610568
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PCN:
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DRX
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Group Numbers:
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145, 145M, 150, 150M, 182, 182M, 191, 191M, 2001, 2001M
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ID Numbers:
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Use patient social security number
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Pharmacy Help:
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Members wishing to use the mail order program, will need to contact DrugSource at 847-258-1920.
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For ALL questions regarding eligibility or prior authorizations, please call: Sandra Pfrimmer – claims manager for IBN 770-428-1604
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For claims processing questions, please call Data Rx Management at 877-823-1273.
Data Rx Management fax number is 903-465-0799.
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IBN Standard PDL
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Note: All claims with a service date prior to May 1, 2008 should not be processed under this plan.
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