Educational information: Requirements can change and may vary by pharmacy type, ownership, service, payer, and jurisdiction. Confirm current requirements with official agencies and qualified professionals.
Credentialing information
Keep ownership, licenses, identifiers, addresses, banking, hours, pharmacy services, and contact information current across payer and network systems.
Contract awareness
Maintain copies of agreements and key operational requirements. Track effective dates, renewals, credentialing attestations, audit provisions, and notice obligations.
Billing documentation
Claims should be supported by complete prescription and dispensing records and any other documentation required by applicable payer rules or contracts.