Important Notice - QualChoice

** Important Notice **

Changes for QualChoice

Effective 1/1/22

New Plan Information

Effective 1/1/2022, Magellan Rx will assume administrative operation of the pharmacy benefits for QualChoice. At that time, pharmacies must submit claims for payment to RxBIN: 017449 and RxPCN: 6792000.

Plan Name QualChoice

QualChoice Routing Information

RxBIN: 017449

RxPCN: 6792000

Group MRHQCH

Payer Specification

In preparation for this transition, a Payer Specification Sheet (MRx Commercial Payer Sheet) is

available online at . We encourage you to review the

Payer Specification sheet and contact your software vendor to make any necessary changes to support this transition.

Processing Claims

For assistance processing claims, please contact the Magellan EDI Help Desk at 1-833-6160136.

Member Communications

Eligible members will receive new benefit cards. Beginning 1/1/2022, all related pharmacy claims must be processed using the assigned numbers reflected on the new cards.

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