bin 610014 pcn peusamantha wallace and dj self
HealthNow Inc. (877) 327-1395 Medco Health Solutions (866) 544-7948 N/A 610014 Group: HNRXS HealthPlus (800) 300-8181 MedImpact Healthcare Systems, Inc. (800) 788-2949 58080 (HNY03-Health Plus NYS Medicaid) 003585 Medicaid Group: HCP9198, Family Health Plus Group: FHP9198 HIP Health Plan of New York (HIP) EmblemHealth (888 . 0000034997 00000 n Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 0000022896 00000 n })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). Og%$pB1 o:er1?P_ojKuK3L 9H(! The current local time in Stockholm County is 2 minutes ahead of apparent solar time. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs. BIN: PCN: Group Number PBM: Phone Number. When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. during the calendar year will owe a portion of the account deposit back to the plan. 0000002289 00000 n 0000007028 00000 n Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . Op!> =bLxT_W\h%H,8)1mhT@(\ s.parentNode.insertBefore(gcse, s); 0000002706 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000007555 00000 n You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 3850 0 obj <>stream gcse.type = 'text/javascript'; Have them call the phone number on the back of their Cigna ID card. Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). This includes accounts for Grandfathered members. x1 04HKl\GMyC. endstream endobj 249 0 obj <>stream 0000010872 00000 n Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. 0000008161 00000 n Contact the plan provider for additional information. Rx BIN#: 400023 Rx PCN#: 0020050403 Issuer#: (80840) CMS#:H3330-037-000 Plan Name Network: VIP Prime Comprehensive Dental X327934200116X 3 2 7 9 3 4 2 0 0 1 1 6 MEMBERS AND PROVIDERS: Network providers must provide or arrange nonemergency care. 0000000016 00000 n Please do not turn the customer away if you receive a rejected claim. All insurance policies and group benefit plans contain exclusions and limitations. BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan The three tables below shows the correct combinations effective March 1, 2018, for pharmacies to use when submitting MassHealth ACO/MCO/FFS pharmacy claims. gcse.src = (document.location.protocol == 'https:' ? Some health plans decided to use magnetic stripe cards, some did not. 0000008854 00000 n If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 0000008305 00000 n startxref xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 Refer to above list or what is printed on ID card . There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 0000100252 00000 n Managed care pharmacy identification. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Some entities may use the Group ID; still others may not need this level of differentiation. 0000007679 00000 n The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 0000009092 00000 n BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . I was doing an amox script for a dude who shows up with nothing but his wife's military ID and know they go through express scripts so I searched for plans by using BIN 610014 and entering the SSN but no matter what I tried it just would not go through. gcse.type = 'text/javascript'; Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. There is a fee to obtain a number. CO. & UHC INS. Links will appear for the application process. Use the Drawing Tools tab to change the formatting of the pull quote text box.] (function() { The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying members of the enhanced Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs, Sign-up for our Medicare Part D Newsletter, Have a question? 106 0 obj <>stream Those health plans that did not have a business reason for creating pharmacy benefit cards with a magnetic stripe were in need of a number, because they still needed to process electronic pharmacy claims. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service Sunrise, sunset, day length and solar time for Stockholm County. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. var s = document.getElementsByTagName('script')[0]; The BIN/IIN field will either be filled with the ISO/IEC 7812 IIN or the NCPDP Processor BIN, depending on which one the health plan has obtained. gcse.async = true; 01 M/I BIN 101-A1 04 M/I PCN 104 -A4 06 M/I GROUP NUMBER 301 -C1 07 M/I CARDHOLDER ID 301 -C2 Additional messaging will provide the correct BIN and PCN to use. Our Privacy Policy is now easier to read and better organized. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. 0000009323 00000 n ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? 2391 0 obj<>stream Contact the Medicare plan for more information. 0000016122 00000 n '//cse.google.com/cse.js?cx=' + cx; 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. 0000006248 00000 n We do not sell leads or share your personal information. BCBS of MI BIN: 610011 PCN: Varies - Never "IRX" AARP BIN: 610652 PCN: Varies - refer to ID card OptumRx BIN: 610127 PCN: 02330000 01960000 01990000 02330088 COSF GASF MASF PCN: NCCSI NCSF NWSF SCCSI SCSF OHSF 04000013 LDI / CastiaRx BIN: 020321 BIN: 800010 PCN: COM PCN: LDI SavaScript Value . 0000005026 00000 n 0000006259 00000 n 0000002142 00000 n 0000009374 00000 n RX BIN: 610114, PCN: PV 8009333734 Pharmacy Help 8669509949 www.pharmavail.com PharmAvail 3380 Trickum Road Building 400, Unit 100 Woodstock, GA 30188 HCC Pharmacy Onsite Pharmacy and 90day/Mail Order Prescriptions 8668278975 9196788261 Fax: 9196788159 TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 0000004577 00000 n 0000003344 00000 n BIN 610239 PCN: FEPRX RxGrp: 65006500 3. Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. 0000001469 00000 n 0000003547 00000 n 0000007668 00000 n 0000000975 00000 n BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. 0000002170 00000 n The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. Medicare evaluates plans based on a 5-Star rating system. DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". Sign-up for our Medicare Part D Newsletter, Have a question? 0000001040 00000 n %PDF-1.3 % 0000032773 00000 n 0000005387 00000 n 0000016616 00000 n Verify member eligibility and the MCO enrollment . Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. Providers who do not contract with the plan are not required to see you except in an emergency. For more information contact the plan. HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . 0000011095 00000 n The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. 0000001448 00000 n If you continue to browse or use this website, you agree to this updated Privacy Policy. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Group ID will be ignored by the processor. 0000033238 00000 n 0000002830 00000 n Plug . Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 0000010641 00000 n Contact the plan provider for additional information. Sign Up To Receive Emails For Events, News & General NCPDP Information. hb```>>S~1A\pDKu;sH(1mA~>bN You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). Group number: Make sure the group number is populated on page 4 in RPMS Patient . 0000009281 00000 n UMP Plus networks. Rx BIN: 019059 Rx PCN: 07570000 Rx Group: HTH ID number - the pharmacy will need to submit the CURRENT ID number used for 2021 in January 2022 Customer Service/Pharmacy Help Desk: 844-373-0970 Self-Funded Group - Renown Health - HometownRx powered by Maxor Rx BIN: 019059 Rx PCN: 07570000 Rx Group: HTH UMP Plus (SEBB) 2021 Quick Start Guide. Health insurance can seem complicated, especially if you're new to the plan. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. 0000033180 00000 n Star Ratings are calculated each year and may change from one year to the next. 0000001415 00000 n xb```b````c` |, ,,2g]>%Ad`B. Those who disenroll 45 0 obj << /Linearized 1 /O 47 /H [ 1020 449 ] /L 172513 /E 107663 /N 8 /T 171495 >> endobj xref 45 29 0000000016 00000 n that insure or administer group HMO, dental HMO, and other products or services in your state). What is a Take-Home Drug? 0000003144 00000 n If you forget if you need a group number or not, use the third party inquiry. Not all entities use the PCN to differentiate plans. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Joined Feb 3, 2010 Messages 2 . Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. Details. 0000006674 00000 n Please enter the information that appears on the The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe. MedImpact (Includes: Excellus/ FLRx) 8289 0 obj <>stream Those that use magnetic stripe cards apply through ANSI for an IIN. 0000004910 00000 n Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. plan name/group name: all plans bin: 020040 pcn: *n/a *for community health network only use pcn: ae7271 plan name/group name: all test claims bin: 020040 pcn: n/a . TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. RX Group: UHEALTH . 0000001745 00000 n Medicare has neither reviewed nor endorsed the information on our site. Medicare evaluates plans based on a 5-Star rating system. 0000002482 00000 n %PDF-1.4 % 02. Once new versions of the standards are adopted, truncation will no longer be necessary. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 11-A1 BIN Number See BIN/PCN table, above M 12-A2 Version Release Number D=Version D.0 M 13-A3 Transaction Code B1=Billing M 14-A4 Processor Control Number As indicated above M 19-A9 Transaction Count 1=One Occurrence 2=Two Occurrences 3=Three Occurrences 4=Four Occurrences M (BIN 6156 only allows TRANS COUNT = 1). At home, across the country, and around the worldthe power of Blue is with you. 0000003516 00000 n The Bank Identification Number (BIN) is a term commonly used in the credit card industry. 0000029834 00000 n Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see All calls are toll-free. area. trailer Share your form with others Send it via email, link, or fax. 0000003018 00000 n As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). endstream endobj startxref CO. OF NY, BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA, MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK, 001, 002, 003, 004, 005, 006, 007, 008, 009, 010, 011, 012, 014, 015, 016, 017, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 070, 105, 106, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 801, 802, 808. Leading zeroes in the NCPDP Processor BIN are significant. 0000004285 00000 n C. CPhT1969 New Member. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` Your Dental Benefits If they have bookmarked their old account, this will NOT show 2020 plan information. 0000029111 00000 n 3440 0 obj <>/Filter/FlateDecode/ID[<83A1511E809EEA4884A369FF9F7C8102>]/Index[3424 33]/Info 3423 0 R/Length 84/Prev 249481/Root 3425 0 R/Size 3457/Type/XRef/W[1 2 1]>>stream Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000007096 00000 n Both in Stockholm and Finland, an e 0000003982 00000 n General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. Y fz Y!t|n^JFR0=eS(72H;F^2Myb hIaR:6Y\VO%\":l`v-?y-D[WsF'L"6[C(# )j$\R3 !krl[lp3#u40T534k0ElJQzsC0GKi;}c-Bd9(pU!8;wj0~8@^DUt1Th~;rB] qySULJk(!T&*BTEo0k 6Q4c)![8U/^:y} BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . 0000006462 00000 n trailer In certain situations, you can. We are not compensated for Medicare plan enrollments. Your membership is expired. Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . 0000001081 00000 n Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. All the information you need to properly process prescription claims with Cigna. 0 0000001711 00000 n 'https:' : 'http:') + trailer << /Size 74 /Info 43 0 R /Root 46 0 R /Prev 171485 /ID[<37aecaa143068a95479ba03747276abf><049f79498583002e530f12be65619304>] >> startxref 0 %%EOF 46 0 obj << /Type /Catalog /Pages 42 0 R /Metadata 44 0 R /PageLabels 41 0 R >> endobj 72 0 obj << /S 297 /L 404 /Filter /FlateDecode /Length 73 0 R >> stream Providers who do not contract with the plan are not required to see you except in an emergency. In certain situations, you can. Hb```?@(AEs,Pp IG1~D&t TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. The PCN, like the BIN/IIN appears on the pharmacy ID card, in accordance with the rules defined in theNCPDP Pharmacy ID and Combination Card Implementation Guide. 0000001856 00000 n 0000005854 00000 n 0000006589 00000 n Systems for register-based monitoring of vaccine effectiveness (VE) against laboratory-confirmed influenza (LCI) in real time were set up in Stockholm County, Sweden, and Finland, before start of the 2016/17 influenza season, using population-based cohort studies. 0000014626 00000 n MCAIDADV RX5443. cyU>]s#~e{0Bb'Su[4E(/0PS_5]bmE k!Nb%Lx@b,/c7RL Xg29jA8Ruk1 fRBYoD0F9%e=E>e?-"{wQD ?c['l|S_R "qQKMF4B6B] o)/+jtqGOfPN-H ni;9uE%[7 aX4wve.\FPDvY '}Aj(bsgZJLi|]&:{|r2+>p#+Y31D|nGPrtqp\R]oMDl${mI15R/,;$5#]_zK>%,u$xwO@B,UlCt MOkd?X?. RX Bin for GuideStone Health Plans Except for Secure Health (No PCN Number required) 610014; Rx Bin for Secure Health TM Plans 003858 ; PCN Number for Secure Health TM Plans A4; You can also visit GuideStoneHealth.org and create an account to print a temporary ID card on or after your health plan effective date. In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Day length: 8h 24m. NCPDP issues the Processor ID Number (BIN). What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? 0000016714 00000 n For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Express Scripts resources for pharmacists. gcse.async = true; We are an independent education, research, and technology company. 0000000016 00000 n <<5F4BCB39515F55479546A7F5DAE5B678>]>> 74 33 0000001020 00000 n 109-A9 Transaction count 1 to 4 M Up to 4 Cigna may not control the content or links of non-Cigna websites. MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . startxref Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . Please contact the plan for further details. It refers to a six-digit number that is assigned to banks for electronic routing of transactions. The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! a listing of the legal entities The benefit information provided is a brief summary, not a complete description of benefits. 0000000927 00000 n <]>> 0000003136 00000 n 610014 003858 MA . Limitations, copayments, and restrictions may apply. PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. 0000002685 00000 n However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. 0000000016 00000 n 0 What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 0000002073 00000 n 0000007450 00000 n Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . Your membership is expired. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. 0000002715 00000 n 'https:' : 'http:') + 0000001647 00000 n The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 0000005422 00000 n 0000003518 00000 n 0000001717 00000 n M (BIN 6156 only . Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. YOUR PROVIDERS. 0000032580 00000 n 0000014836 00000 n We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. TTY users should call, 1-800-325-0778; or your state Medicaid Office. 0000008238 00000 n For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. 0000019345 00000 n Anthem Blue Cross Rx BIN: 020099 PCN: IS Blue Shield of California Rx BIN: 004336 PCN: 77993333 Chinese Community Health Plan RX BIN: 003585 RX PCN: ASPROD1 Cigna + Oscar RX BIN: 003858 PCN: A4 Health Net* Rx BIN: 004336 PCN: HNET Kaiser Permanente-Northern CA Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address: P.O. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# %%EOF Honestly, whenever I see BIN 610014 I know it's PAID. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. Your medical benefits allow you Those who disenroll Contact the Medicare plan for more information. NCPDP has recently updated our Privacy Policy. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000002330 00000 n We are not compensated for Medicare plan enrollments. ngRH);HRsZ.>@qTi-(0Q\{*`*5&he%fJ`B49Pe(h\#70 #8:(7Q)7mW:R,ATp$&Oz5$;X\MV&N2Z%s6GzMC"C&tcz=8j 11'H[/).R(k9FMfFU%g^|Vk&q/=~CC#Pe[?0gYvnF&9,g8iVIF;>v.fcIt(W=7YKF%ej>-T7WvR"B>]D.by%z"lhhnP7 jP6@{6Ap+t fzWGD\N|@wLL5 %%EOF Members may enroll in a Medicare Advantage plan only during specific times of the year. 0000002034 00000 n The PCN is alphanumeric as defined by the PBM/processor. 0000038251 00000 n The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 3424 0 obj <> endobj What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 0000002069 00000 n 74 0 obj <> endobj 3=Three Occurrences . Please contact the plan for further details. Healthcare coverage wherever you go. trailer WQqiT/ Y* T/q)~Z? 0000005086 00000 n Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . Please do not turn the customer away if you receive a rejected claim. PCN GROUP : Type Network: Location Help Desk Number: ARGUS 1.1.2015 HealthCare Corp of America /Prescription Corp of America HCA-PCA 340 Basics 600428 06730000 Medicaid: National 1-800-309-1603: ARGUS 1.1.2015 Health Network Dscnt Card 600428: 1HEALTH Commercial: National 1-866-921-7286: ARGUS 1.1.2015 Health Options 600428: 07130000 Commercial . wG4jZG5\s.Wu=]qjLH Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . Star Ratings are calculated each year and may change from one year to the next. BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . 0000010471 00000 n gcse.src = (document.location.protocol == 'https:' ? HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? Click here to let us know, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA, Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York, BlueCross BlueShield: Empire, Excellus, WNY & NENY, Health Alliance Medicare Prescription Plan, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of IL, NM, OK, TX, Blue Cross and Blue Shield of Kansas or Blue KC, Regence BlueShield of Idaho and Regence BC BS Utah, Horizon Blue Cross Blue Shield of New Jersey, 001-012, 014-034, 070, 105, 106, 121-137, 801, 802, 808. If the health plan uses theNCPDP Pharmacy ID and Combination Card Implementation Guidethat NCPDP members have created, the BIN/IIN is clearly shown on the card. 0 You can position the text box anywhere in the document. enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. 0000005253 00000 n 0000016527 00000 n var gcse = document.createElement('script'); NCPDP provides a service to those health plans that do not use magnetic stripe cards. 01. The PCN is defined by the PBM/processor as this identifier is unique to their business needs.