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Revised January, 2010 CONFIDENTIAL AND PROPRIETARY - page 17 / 31

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17 / 31

CONFIDENTIAL AND PROPRIETARY

Checks

All checks are printed and mailed to the pharmacy entity according to the payment cycles specified above.

EFT (Electronic Funds Transfer)

WHI offers an EFT (Direct Deposit) option in lieu of paper checks for payments to pharmacies, PSAO’s, and TPA’s. If you wish to be paid electronically, please submit your request to Provider.Relations@walgreens.com and we will fax or email the EFT form to you.

Remittance Advices

For each check or EFT payment, Walgreens Health Initiatives will provide a remittance advice. Unless otherwise arranged with Walgreens Health Initiatives, these reports are provided in printed paper format and are mailed to the pharmacies within 10 calendar days of the date of the paper check.

835 Remittance Files

Electronic 835 remittance files are available upon request from the pharmacy to Provider.Relations@walgreens.com. An 835 setup questionnaire and form can be sent to the pharmacy via fax and email. Once the form is returned and reviewed a determination will be made if a security survey must be completed by the pharmacy. After all documents and requests are approved, Walgreens Health Initiatives can “push” these files to your FTP site or mail them on a CD to your remittance address. The setup process can take up to four weeks to complete as it requires the coordination of both the security and IT Departments on both sides (pharmacy and PBM).

Personal Health Information (PHI) Data Transmission Policy

In order to maintain HIPAA compliance, Walgreens Health Initiatives has several verification steps in place for the transmission of PHI, performed by several Walgreens Health Initiatives’ departments. In order to allow for sufficient time for the verification process, Walgreens Health Initiatives instituted the following policy:

  • All changes in format and distribution of PHI data must be made in writing by the pharmacy.

  • If the pharmacy is retaining a payment service or PSOA/TPA to reconcile their accounts, our affiliation policy will apply as listed below.

Additions If Walgreens Health Initiatives received notification from a PSAO/TPA of a new service relationship starting between the 1st of the month and the 15th, the effective or start

Walgreens Health Initiatives – Pharmacy Manual

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