Details
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Change Request
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Resolution: Persuasive with Modification
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Highest
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US CARIN Digital Insurance Card (DIC) (FHIR)
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current
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Payer/Provider Information Exchange
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Background
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2.4
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Mark Roberts/Cille Kissel: 11-0-1
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Clarification
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Non-substantive
Description
While it is true that some patients may have separate cards for pharmacy benefits, many major medical insurers include PBM info (Rx BIN and RxPCN) on the primary insurance card. This guide should accommodate this pharmacy benefit information, as combination cards are quite common throughout the industry. While I realize BIN/PCN are included later in the guide. This statement "This IG is not intended to replace use of any existing standards for pharmacy insurance cards, i.e. NCPDP standards, and is being provided to augment existing physical insurance cards where pharmacy benefits may need to be included with other coverage" should be more clear that prescription benefit info is addressed in this guide, but it does not replace pharmacy-specific benefit card standards.