Dispensing
Patient
Prescriber
Products
Third Party
Pricing
Process Queues
Reports
System Settings
Masters
Hello
Jessica, Wilson
Pharmacist
My Profile
Help
Log Out
Payer Name:
Medicare DMERC
Abbrev:
DMERC
Search
Patient
Prescriber
Drug
Search
Cancel
Master Info
Payer Name
Reconciliation Payer
Batch Reconciliation
Group Name
Abbrev
Chain Host ID
Last Used Date
12/03/2017
Effective Date
Discontinue Date
Bin
Processor Cntl
Vndr/Cert ID
Plan ID
Switch
None
Adj Version
32
# Claims/Xmit
Plan Type
None
Formulary
None
Place of Service
Pharmacy
Residence
None
Provider ID
DMERC Submitter ID
Prescriber Licencse
UPIN
Medicare
Workers Comp
Medicaid
Stage of
Pharmacy
Online Adj
Allow Adjudication to Non-Primary
Plan
Plan Name
Address Line 1
Address Line 2
City
State
WI
ZIP
Attn.
Contact Name
Phone
Ext.
Tolerances
Brand
Amount
%
Basis
None
Alert
Warning
Generic
Amount
%
Basis
None
Alert
Warning
Non-Primary Billing
Type
Normal
Recalculate
SeniorCare
Send Other Payer Info
Usual & Customary
Use AAC for 340B U&C
U&C Based on Retail Cash Pricing
Set U&C Equal to Price
Include sales tax in price
Pharmacy Service Type
1 - Community/Retail Pharmacy Service
Price Schedules
Brand
None
Generic
None
OTC
None
Compound
None
Dispending Fees
Brand Fee Amt
%
Generic Fee Amt
%
OTC Fee Amt
%
Compound Fee Amt
%
