READ: Reminder: Prime 2024 year-end deadlines - Prime Therapeutics
READ: Reminder: Prime 2024 year-end deadlines
Impacted: Prime's mid-market book of business
The goal of Prime Therapeutics (Prime) is to provide you and your members with high-level service. To help us do that, we wanted to remind you of important dates and deadlines before the end of year. We appreciate your partnership and look forward to the new year.
In addition to the upcoming deadlines, ID card layout requirements were due on Nov. 1, 2024.
Note: Any benefit configuration and identification card (ID) requests received after the dates below will be processed in the order in which they are received.
Year-end deadlines
Due date |
Deadline category |
Deadline details |
Nov. 22, 2024 |
Benefit configuration |
Submit new benefits by this date to ensure new benefit plans are documented and approved on time. |
Nov. 22, 2024 |
Prime ID card printing services1 |
Client approval of new or updated ID card layouts are due. |
Dec. 6, 2024 |
Benefit configuration |
All finalized requirements for benefit plan configuration revisions and new implementations must be received and approved by this date to ensure they are fully tested and in production by Jan. 1, 2025. |
Dec. 2, 2024 |
Prime ID card printing services1 |
Eligibility production file is due. |
Dec. 2, 2024 |
Eligibility interfaces2 |
New eligibility interfaces — test files are due. |
Dec. 9, 2024 forward |
Benefit configuration |
As in the past, for benefit configuration requests that are received and approved after Dec. 6, 2024, there will be an autoload benefit option available; business requests will still be accepted after this date. This allows for a plan to go live with basic plan parameters, copays and accumulations. The complete benefit build will be completed on a first-come, first-served basis. |
Dec. 13, 2024 |
Group structure |
Finalized group structure must be received by this date. Group structure is required to successfully load eligibility. |
Dec. 16, 2024 |
Eligibility interfaces2 |
New eligibility interfaces — production files are due. |
Dec. 26, 2024 |
Eligibility interfaces2 |
Existing eligibility interfaces — production files are due. |
1 Prime Therapeutics ID card printing services include new ID card layouts and updates to existing ID card layouts, including changes to benefit values on combination (Rx + Medical) ID cards produced by Prime Therapeutics.
2 Eligibility interfaces with 3rd party ID card printing services when Prime Therapeutics is not printing ID card.
Holiday hours
Our holiday observances are below. As a reminder, members can reach our Prime customer service department 24/7 (including holidays) by calling the Rx number on their ID cards. Additionally, members can access their information by logging into the member portal or through the Prescription Hub mobile app. To download the app, search 'Prescription Hub' in the Apple App Store or Google Play Store.
- Thanksgiving: Closed Thursday, Nov. 28 and Friday, Nov. 29, 2024
- Christmas Eve, Christmas Day: Closed Tuesday, Dec. 24 and Wednesday Dec. 25, 2024
- New Year’s Day: Closed Wednesday, Jan. 1, 2025
For questions, please contact your account team representative.