DialClerk Directory

Pharmacy benefit managers

Elixir Solutions (Elixir Rx)

Phone, published email, fax, addresses and the next step for your office.

11 contact routesNo directory research calls placed

claims

BIN 800004 — member reimbursement claims form

Official page read
Phone800-771-4648Fax

866-552-8939

Published email

clinical@medimpact.com

Completed BIN 800004 member reimbursement claim form and required receipt documentation as printed on page 2; not PA intake or generic benefit inquiries.

Published hours

Claims-form questions: 8 a.m.-9 p.m. Central; days not stated

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address
MedImpact 10181 Scripps Gateway Ct. San Diego, CA 92131

BIN 800004 member reimbursement claim forms and paid-pharmacy receipt documentation only; the general reimbursement form has a different North Canton address.

The current member page explicitly links this as the Member Reimbursement Form for BIN 800004. Its page 2 confirms the inherited phone/fax pair for reimbursement, not prior authorization. Visual review confirms clinical@medimpact.com despite overlapping extracted text. Use the BIN shown on the member card. Current linked PDF metadata was modified April 16, 2026; its copyright is 2024 and legacy form text also remains. Older keyedclaims@elixirsolutions.com / P.O. Box 3047 leads are not used.

View source ↗ · Source checked 2026-10-22 · elixir members ↗ · elixir contact ↗ · elixir home ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

member services

BIN 800004 (MTK) — pharmacy benefit questions

Official page read
Phone800-771-4648Published email

care@medimpact.com

Pharmacy-benefit questions for the member-card BIN 800004 contact entry; not the separate reimbursement-form email.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Current site says Elixir is now MedImpact. Match the BIN on the member ID card. This contact-page entry is for Rx benefits; BIN 800004 reimbursement submission uses its own current claim form and clinical@medimpact.com.

View source ↗ · Source checked 2026-10-22 · elixir home ↗ · elixir members ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

member services

BIN 009893 (ROI) — pharmacy benefit questions

Official page read
Phone800-361-4542Published email

care@medimpact.com

Pharmacy-benefit questions for the member-card BIN 009893 contact entry; not general PA or reimbursement submission.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Use the BIN on the member ID card or the card-specific customer-care number. TTY is 711. The same phone also serves the separately identified retail pharmacy help desk.

View source ↗ · Source checked 2026-10-22 · elixir home ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy help desk

Retail pharmacy help desk and pharmaceutical-management questions

Official page read
Phone800-361-4542Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Current provider page lists the pharmacy help desk and uses this customer-care number for UM criteria, copays/formulary tiers and other pharmaceutical-management questions. Puerto Rico pharmacies calling about MCS claims have a distinct route. No general PA fax or reimbursement fax is inferred from this help-desk entry.

View source ↗ · Source checked 2026-10-22 · elixir contact ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

General PA 33419 — medically accepted indication coverage determination

Official page read
Phone800-361-4542Fax

866-414-3453

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Current provider page links General Prior Authorization - 33419. The form title is Coverage determination request form and its EOC entry is Medically-Accepted Indication Prior Authorization. Its printed contact is 800-361-4542 / fax 866-414-3453. This does not establish that the same form applies to every BIN, plan or medication-specific exception. Current form footer is copyright 2024 / E12024 despite a 2020 filename. PromptPA and other electronic methods are linked separately on the provider page.

View source ↗ · Source checked 2026-10-22 · elixir providers ↗

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

claims

General member reimbursement — current DMR form

Official page read
Phone

No phone listed for this route

Fax

866-646-1403

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address
MedImpact 7835 Freedom Avenue NW North Canton, OH 44720

Completed general member-reimbursement form and requested receipts under that form; not the separate BIN 800004 reimbursement form.

The current member page lists this general reimbursement form separately from the BIN 800004 form. The provider-page copy has identical bytes. Current footer is copyright 2024 / E12024. No phone or submission email is added where the form does not publish one.

View source ↗ · Source checked 2026-10-22 · elixir members ↗ · elixir providers ↗ · elixir general dmr ↗

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fax other

Non-Medicare designation of authorized party — completed forms

Official page read
Phone

No phone listed for this route

Fax

866-250-5178

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address
MedImpact Attn: Customer Care 10181 Scripps Gateway Ct. San Diego, CA 92131

Completed non-Medicare Designation of Authorized Party forms; the form separately instructs Medicare participants to use CMS-1696 and mail it to Customer Care at this address.

The current linked form says it is for non-Medicare participants. Do not use it to imply that someone is already authorized. Its fax/mail are form intake, not claim or PA intake. Written revocation is addressed to the Privacy Officer separately.

View source ↗ · Source checked 2026-10-22 · elixir members ↗

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email other

Designation of authorized party — written revocation

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address
MedImpact Privacy Officer 10181 Scripps Gateway Ct. San Diego, CA 92131

Written revocation of the designation authorization described in the current form; not completed-form intake addressed to Customer Care.

The form directs written revocation to the Privacy Officer. No revocation email or fax is inferred from the Customer Care submission instructions.

View source ↗ · Source checked 2026-10-22 · elixir members ↗

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edi clearinghouse support

Retail pharmacy billing and electronic payment/remittance

Official page read
Phone

No phone listed for this route

Published email

PharmacyPayables@elixirsolutions.com

Published submission destination for pharmacy electronic-payment/remittance forms and questions; also labeled billing on the contact page.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Current provider page instructs participating pharmacies to submit electronic payment/remittance forms to this role address and use it for questions. No bank information or forms were submitted.

View source ↗ · Source checked 2026-10-22 · elixir contact ↗

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email other

Retail pharmacy audits

Official page read
Phone

No phone listed for this route

Published email

PharmacyAudits@elixirsolutions.com

Retail pharmacy audit questions as labeled on the current contact page; not member reimbursement, PA or general clinical-document intake.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

Not researched for this route

Audit role email remains published on the current Elixir contact page despite the site’s MedImpact transition.

View source ↗ · Source checked 2026-10-22 · elixir home ↗

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pharmacy help desk

Puerto Rico pharmacies — MCS claims and MAC concerns

Official page read
Phone844-633-1064Published email

mac-elixir@medimpact.com

MAC concerns for pharmacies located in Puerto Rico calling on behalf of MCS claims; not a universal MAC appeal or claim-submission inbox.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Puerto Rico

Mailing address

Not researched for this route

Both the telephone and MAC email are expressly scoped to Puerto Rico pharmacies and MCS claims. The provider page directs other MAC appeals to the pharmacy portal.

View source ↗ · Source checked 2026-10-22

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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