Common use of Electronic Claims Transmission Clause in Contracts

Electronic Claims Transmission. PHARMACY shall transmit Claims by real time, point-of-sale claims adjudication system and receive communications from SOUTHERN SCRIPTS via such real time point-of-sale claims adjudication system at its own expense. PHARMACY shall have capabilities to provide and receive data in the most current NCPDP specifications and requirements. Verification of eligibility, drug coverage, and other applicable edits by SOUTHERN SCRIPTS to PHARMACY constitutes authorization for PHARMACY to dispense the Covered Medication to the Member and collect the Copayment as part of the Covered Prescription Services. PHARMACY shall not waive or discount Member’s Copayment. Such Covered Prescription Services provided by PHARMACY as a result of a positive adjudication shall entitle PHARMACY to reimbursement for those Covered Prescription Services. PHARMACY agrees to obtain the signature of the Member in the PHARMACY’s log book or capture and store signature electronically confirming Member’s receipt of Covered Medication.

Electronic Claims Transmission. PHARMACY shall transmit Claims by real time, point-of-sale claims adjudication system and receive communications from SOUTHERN SCRIPTS MAKORX via such real real-time point-of-sale claims adjudication system at its own expense. PHARMACY shall have capabilities to provide and receive data in the most current NCPDP specifications and requirements. Verification of eligibility, drug coverage, and other applicable edits by SOUTHERN SCRIPTS MAKORX to PHARMACY constitutes authorization for PHARMACY to dispense the Covered Medication to the Member and collect the Copayment Co-payment as part of the Covered Prescription Services. PHARMACY shall not waive or discount Member’s CopaymentCo-payment. Such Covered Prescription Services provided by PHARMACY as a result of a positive adjudication shall entitle PHARMACY to reimbursement for those Covered Prescription Services. PHARMACY agrees to obtain the signature of the Member in the PHARMACY’s log book or capture and store signature electronically confirming Member’s receipt of Covered Medication.