Important Alerts and Reminders
- Effective July 1, CVS Caremark is the Benefit Funds’ pharmacy benefit manager. Please review the CVS Caremark Preferred Drug List – Standard Control for Clients with Advanced Control Specialty Formulary for 1199SEIU Funds in searchable and print-friendly PDF formats, including the clinically appropriate preferred brand-name medicines, or call (833) 250-3273. We encourage you to prescribe medications to your 1199SEIU patients from this list to avoid having members incur out-of-pocket costs, to seek prior authorization when required and to comply with the medical exception process as needed.
- Keep your information up to date, including your payment and billing address. Please review the information we have on record for you and submit any changes using the Provider Demographic Information Change Request Form, along with a Form W-9. You can easily access the form and instructions from the Benefit Funds’ online provider directory by finding your listing in the directory, selecting “Report an Issue” and indicating your role as provider. While in the online directory, add your photo to your directory profile by selecting “Upload Provider Photo.” If you are outside New York City and are an Aetna provider, please ensure that Aetna has your updated information on file.
- Enroll in the NaviNet Provider portal to verify 1199SEIU patient eligibility, benefits, claims status and payment details.
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