Providers Portal

Provider Log In

Pharmacy Communications

  1. Aviso de clientes nuevos - First Medical - PROSSAM - American Health Medicare
    .pdf file (94.25 KB)
    December 04, 2012
    Download
  2. New! Plan Sponsor Announcements - First Medical - PROSSAM - American Health Medicare
    .pdf file (92.47 KB)
    December 03, 2012
    Download

Fraud, Waste and Abuse

  1. New! Compliance and FWA Pharmacy Training (revised 07/2012)
    .pdf file (387.84 KB)
    July 03, 2012
    Download
  2. New! Training Test (revised 07/2012) - to be completed with Compliance and FWA Pharmacy Training
    .pdf file (290.93 KB)
    July 03, 2012
    Download

Pharmacy Operations

  1. Solicitud de Reverso Manual
    .pdf file (181.63 KB)
    January 02, 2013
    Download
  2. Manual de Farmacia
    .pdf file (1.37 MB)
    December 28, 2012
    Download
  3. CMS Beneficiary Pharmacy Notice for Medicare Part D Beneficiaries (Spanish)
    .pdf file (54.19 KB)
    September 10, 2012
    Download
  4. CMS Beneficiary Pharmacy Notice for Medicare Part D Beneficiaries (English)
    .pdf file (28.38 KB)
    October 01, 2012
    Download
  5. New! Pharmacy Rejection Codes (No-Charge Rejection Codes)
    .pdf file (147.69 KB)
    July 10, 2012
    Download
  6. Comunicado a los Proveedores
    .pdf file (50.25 KB)
    July 08, 2011
    Download
  7. Registro de Firmas de Reclamaciones de Farmacia
    .pdf file (34.29 KB)
    May 25, 2011
    Download
  8. Universal Claim Form and Instructions
    .pdf file (301.03 KB)
    May 25, 2011
    Download

Grievances

  1. Pharmacy Providers Complaint Form
    .pdf file (70.57 KB)
    May 25, 2011
    Download

Payer Sheets

  1. Commercial/ Non-Medicare Plans Payer Sheet
    .pdf file (382.83 KB)
    December 18, 2012
    Download
  2. Medicare Part D Plans Payer Sheet
    .pdf file (396.52 KB)
    December 05, 2012
    Download