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 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 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? What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? 01. Medicare has neither reviewed nor endorsed the information on our site. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. Sign-up for our Medicare Part D Newsletter, Have a question? PDF Acute Care Plans - azahcccs.gov 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 Plug . 0000019138 00000 n 0000033095 00000 n {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 PCN: Varies by plan - refer to ID card. 0000001717 00000 n xb```b````c` |, ,,2g]>%Ad`B. 0000002463 00000 n 8254 0 obj <> endobj It refers to a six-digit number that is assigned to banks for electronic routing of transactions. 0000013525 00000 n BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . 0000001856 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 <<0F6188EC756C624CBAA438B0D92726A7>]>> 0000010471 00000 n Both in Stockholm and Finland, an e PDF PBM BINs Help Desk - PBA Health For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. area. 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. gcse.type = 'text/javascript'; There is a fee to obtain a number. CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. 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 . Below are some tips to help you get the most out of your benefits and save money. 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. Pharmacy :: The Health Plan Some entities may use the Group ID; still others may not need this level of differentiation. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. 0000002170 00000 n Chart of 2022 BIN and PCN values for each Medicare Part D prescription There is no registry of PCNs. BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan - Massachusetts 0000005026 00000 n Medicare has neither reviewed nor endorsed the information on our site. PDF New ID cards are being distributed for 2022 See below for important BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. 0000003518 00000 n What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010". 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. 0000032580 00000 n The application and registration procedures are identified in ISO/IEC 7812-2. Region BIN PCN/ Group Help Desk Fiserv Health Plans Innoviant National 610127 01960000 877-559-2955 Fishing Partnership Health Plan MedImpact MA 003585 Grp 35026 800-788-2949 FlexScripts WHI/WHP TX/FL 603286 01410000, GP 513274 800/207-2568 FLRx FLRx National 610475 See Card 585-327-7530 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. UMP Plus (SEBB) 2021 Quick Start Guide. 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. The Bank Identification Number (BIN) is a term commonly used in the credit card industry. ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) 0000001868 00000 n | Renew memberhip. M (BIN 6156 only . Updated Privacy Policy, Documents | Guides and Templates | Informational. 0000001745 00000 n 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. But that's pure memorization. 0000010641 00000 n We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 3=Three Occurrences . endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream trailer 0000014836 00000 n 0000016714 00000 n trailer Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . 0000007679 00000 n TTY users should call, 1-800-325-0778; or your state Medicaid Office. Limitations, copayments, and restrictions may apply. 0000004060 00000 n PDF SAS Benefit Vendor Contact Information 0000012588 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. 0000004910 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Solar noon: 12:02PM. 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. Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. 02. PDF Medco manages the prescription drug benefit for many of your customers Medicare evaluates plans based on a 5-Star rating system. money from Medicare into the account. The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. Once new versions of the standards are adopted, truncation will no longer be necessary. var s = document.getElementsByTagName('script')[0]; xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. Not a Member? Medco Version D.0 Claim Reversal and Response Payer Sheet - YUMPU U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. We are not compensated for Medicare plan enrollments. 0000004285 00000 n 0000007450 00000 n Pharmacy Management and Credentialing | Cigna RX Bin: 610014 . These standards are developed by theInternational Organization for Standardization / International Electrotechnical Commission(ISO/IEC) Joint Technical Committee (JTC) 1,Information Technology, Subcommittee (SC) 17,Cards and personal identification, Working Group (WG) 5. var gcse = document.createElement('script'); Sunrise, sunset, day length and solar time for Stockholm County. <<5F4BCB39515F55479546A7F5DAE5B678>]>> 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. BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. 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. 0000002706 00000 n 74 0 obj <> endobj 0000003944 00000 n Box 7012 Downey, CA . On the ANSI web page, enter "IIN" in the Search box. 0000013064 00000 n 0000011029 00000 n %PDF-1.4 % 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). BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . 610014 003858 MA . BIN: PCN: Group Number PBM: Phone Number. These standards are developed by theInternational Organization for Standardization / International Electrotechnical Commission (https://www.iso.org/home.html) (ISO/IEC) Joint Technical Committee (JTC) 1,Information Technology, Subcommittee (SC) 17,Cards and personal identification, Working Group (WG) 5. *hE\gUk~4>nmSLz~d}ICbQ>9MGZ,*:1E[&{nM)mB5})vB^1+g< 'DgrKZEU @kTHP"8\P*:C (W PYa+B .@.&n9i O|i2G/Xy3|`(pn|`;&30ax a= LcqOb.g`a G5'00gd8gf)g]X)5iG@ P %%EOF 3850 0 obj <>stream 0000002851 00000 n Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 0000006462 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. At home, across the country, and around the worldthe power of Blue is with you. 0000004526 00000 n %PDF-1.4 % RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Rx PCN: N/A The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. 8254 36 a listing of the legal entities Highmark ID Cards | GuideStone during the calendar year will owe a portion of the account deposit back to the plan. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. startxref The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. 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 Without these codes, 0000001623 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. 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. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; We are not compensated for Medicare plan enrollments. 0000034997 00000 n Healthcare coverage wherever you go. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. <]>> Verify member eligibility and the MCO enrollment . 3424 0 obj <> endobj 0000009092 00000 n
