MedOne Prescription Claims Now Processing!!!

As of 2/27/2024 3:14 PM CST, MedOne has successfully established connectivity with an alternative routing vendor and claims are processing.  MedOne is now processing claims through RelayHealth, and all pharmacies using RelayHealth will now be able to successfully submit claims to MedOne.  For members who may have paid out of pocket over the past few days, we encourage them to work with their pharmacies to reverse and reprocess their prescriptions through insurance to avoid having to submit a Direct Member Reimbursement form to be reimbursed.

While we believe many pharmacies have pivoted to RelayHealth during the outage, there may still be pharmacies unable to process claims. For those instances, we reinforce our previous communication and resolution strategy noted in prior communications.

For any members needing assistance, please encourage them to contact our Member Advocate team at 866-335-9057.

Thank you,
MedOne Pharmacy Benefits Solutions