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. 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. For more information contact the plan. Pharmacy Management and Credentialing | Cigna 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, We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . The BIN/IIN and PCNs are listed on the PBM/processor/plans Payer Sheets for trading partners to know the proper identifiers for routing transactions. Cigna may not control the content or links of non-Cigna websites. 0000028726 00000 n 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. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. <]>> 0000023131 00000 n For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . Chart of 2021 BIN and PCN values for each Medicare Part D prescription 0000004910 00000 n BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. gcse.async = true; Sunset: 04:14PM. wG4jZG5\s.Wu=]qjLH As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. %PDF-1.6 % var s = document.getElementsByTagName('script')[0]; Pharmacy :: The Health Plan We do not sell leads or share your personal information. MARTIN'S POINT GENERATIONS ADVANTAGE, INC. BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK, CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY, ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT, HAWAII MEDICAL SERVICE ASSOCIATION (HMSA), BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, 314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 332, 333, 334, 335, 336, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 347, 003, 008, 013, 018, 053, 068, 088, 103, 108, 113, 118, 123, 128, 133, 138, 143, 148, 153, 158, 163, 214, 215, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 246, 247, 248, 249, 250, 251, 252, 253, 254, 255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 287, 288, 289, 290, 291, 292, 293, 294, 295, 296, 297, 298, 299, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 801, 802, 805, 806, MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY, WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY, WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION, REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH, UNITEDHEALTHCARE INS. trailer Some health plans decided to use magnetic stripe cards, some did not. DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". Solar noon: 12:02PM. The PCN is alphanumeric as defined by the PBM/processor. PDF Pharmacy Providers - West Virginia The ISO/IEC 7812 IIN is a number used throughout electronic routing. Contact the plan provider for additional information. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. Members may enroll in a Medicare Advantage plan only during specific times of the year. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` 2389 38 0000002706 00000 n Your Premera provider network: What's 'in' it for you? %PDF-1.4 % 74 0 obj <> endobj 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. 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. UMP Plus networks. area. BIN and PCN Codes If Commercial claims are submitted for groups that have transitioned with the old BIN or PCN, claims will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control Number). enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. Time in Stockholm County, Sweden now Verify member eligibility and the MCO enrollment . that insure or administer group HMO, dental HMO, and other products or services in your state). Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. 0000001465 00000 n 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 TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Hb```?@(AEs,Pp IG1~D&t WQqiT/ Y* T/q)~Z? 3424 0 obj <> endobj var s = document.getElementsByTagName('script')[0]; CO. & UHC INS. (function() { We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? 0000002851 00000 n NCPDP provides a service to those health plans that do not use magnetic stripe cards. If you continue to browse or use this website, you agree to this updated Privacy Policy. 0000022896 00000 n gcse.async = true; You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 0000014626 00000 n s.parentNode.insertBefore(gcse, s); Contact the Medicare plan for more information. BIN: 610014 PCN: COPAY Reimbursement is Based on the Other Payer Patient Paid (COPAY ONLY) Plan Name/Group Name: MEDICARE PART D AS PAYER BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name: SECONDARY to MEDICARE BIN: 610031 PCN: MEDDCOBSEG PART D COBSEG OTHER PAYER PRIMARY Plan Name/Group Name: SECONDARY to MEDICARE BIN: 610031 PCN: MEDDCOPAY Express Scripts NCPDP Version D.0 Payer Sheet Department of : Fill Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). 0000005253 00000 n If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Medco Version D.0 Claim Reversal and Response Payer Sheet - YUMPU ngRH);HRsZ.>@qTi-(0Q\{*`*5&he%fJ`B49Pe(h\#70 #8:(7Q)7mW:R,ATp$&Oz5$;X\MV&N2Z%s6GzMC"C&tcz=8j 11'H[/).R(k9FMfFU%g^|Vk&q/=~CC#Pe[?0gYvnF&9,g8iVIF;>v.fcIt(W=7YKF%ej>-T7WvR"B>]D.by%z"lhhnP7 jP6@{6Ap+t fzWGD\N|@wLL5 0000006077 00000 n Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see 0000003632 00000 n var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 0000013525 00000 n Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 0000006921 00000 n All calls are toll-free. 0000001623 00000 n 0000028672 00000 n PDF ATTACHMENT 2 PLAN CONTACT AND BILLING INFORMATION - New York State 0000028633 00000 n Plan Name/Group Name: MI01/MIMEDICAID BIN:009737 PCN: P008009737 Processor: Processor/Fiscal Intermediary Effective as of: 01/01/2012 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 10/2017 NCPDP External Code List Version Date: 10/2017 The application and registration procedures are identified in ISO/IEC 7812-2. Managed care pharmacy identification - Minnesota Department of Human gcse.type = 'text/javascript'; Not a Member? 0000002715 00000 n Please renew your membership to login. cyU>]s#~e{0Bb'Su[4E(/0PS_5]bmE k!Nb%Lx@b,/c7RL Xg29jA8Ruk1  fRBYoD0F9%e=E>e?-"{wQD ?c['l|S_R "qQKMF4B6B] o)/+jtqGOfPN-H ni;9uE%[7 aX4wve.\FPDvY '}Aj(bsgZJLi|]&:{|r2+>p#+Y31D|nGPrtqp\R]oMDl${mI15R/,;$5#]_zK>%,u$xwO@B,UlCt MOkd?X?. Rx BIN#: 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. %%EOF Updated Privacy Policy, Documents | Guides and Templates | Informational. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 0000008238 00000 n 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. 0000004060 00000 n Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance 0000030450 00000 n PDF Medco manages the prescription drug benefit for many of your customers area. How to bill retail rx to Tricare? : r/pharmacy - reddit RX Bin: 610014 . 0000001711 00000 n Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 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. The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. Rx Information: MEDCO 1-800-842-2038 . Those who disenroll 0000046944 00000 n 0000001868 00000 n But that's pure memorization. %PDF-1.4 % Members may enroll in a Medicare Advantage plan only during specific times of the year. It is important to understand the difference between the ISO/IEC 7812 IIN and NCPDP Processor ID Number (BIN) before applying for a Processor ID Number (BIN). 0000012588 00000 n 0000016527 00000 n 0000011095 00000 n Pharmacist Resource Center Please contact the plan for further details. 0000001602 00000 n Contact the plan provider for additional information. PDF IMPORTANT PROVIDER NOTICE Medicare Part D Information - PBA Health 0000006026 00000 n contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. 0000016714 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000007450 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. 2391 0 obj<>stream 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? 0000001867 00000 n For more information contact the plan. MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . during the calendar year will owe a portion of the account deposit back to the plan. 0000000016 00000 n 106 0 obj <>stream BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . PDF EFFECTIVE 07.27.2015 Subject to Change BIN Type Network - RxHope Medicare has neither reviewed nor endorsed the information on our site. Your medical benefits allow you Medicare MSA Plans do not cover prescription drugs. This website is not intended for residents of New Mexico. We do not reuse numbers. Box 7012 Downey, CA . 0000002069 00000 n 0000009977 00000 n 0000001415 00000 n Og%$pB1 o:er1?P_ojKuK3L 9H(! 0000100252 00000 n 0000007668 00000 n TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. PCN List for BIN 610241 MeridianRx PCN Group ID Line of Business MHPILMCD N/A Medicaid Pharmacy Help Desk Information Inquiries to MeridianRx may be directed to our 24 hour Pharmacy Assistance Center. Instructions for setting up RPMS POS for Blue Cross/Blue Shield Federal You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. Please enter the information that appears on the 0000002333 00000 n 0000002482 00000 n Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. Health insurance can seem complicated, especially if you're new to the plan. 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. 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. 0000002142 00000 n When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000028275 00000 n Details. r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. Star Ratings are calculated each year and may change from one year to the next. 0000016616 00000 n 3=Three Occurrences . 0000002330 00000 n Group ID will be ignored by the processor. Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. %PDF-1.6 % BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . 0000002170 00000 n 0 0000003018 00000 n PDF Medco Version D.0 Medicare Part D Payer Sheet - BCBSM var gcse = document.createElement('script'); Both in Stockholm and Finland, an e You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Some entities may use the Group ID; still others may not need this level of differentiation. 2389 0 obj<> endobj Sign-up for our Medicare Part D Newsletter, Have a question? trailer 0000021562 00000 n 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 . var gcse = document.createElement('script'); 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 . This document is available with NCPDP membership. PDF Medco Medicare Prescription Plan, and in support of a number of other 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. Sunrise: 07:50AM. If they have bookmarked their old account, this will NOT show 2020 plan information. If Commercial claims are submitted for groups that have transitioned with the old BIN or PCN, claims will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control Number). 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. 0000033180 00000 n 0000006248 00000 n 0000001448 00000 n In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 0000009281 00000 n 0000032773 00000 n Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . Members are instructed to show both ID cards before receiving health care services. On the ANSI web page, enter "IIN" in the Search box. 0000003944 00000 n The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! 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. 8254 0 obj <> endobj 74 33 0000029111 00000 n Your membership is expired. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. 0000003383 00000 n 0000003144 00000 n For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. BIN# 610014 BCBS 430 Date Printed 12/22/2014. 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 PDF Payer Sheet - WellDyne 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 0000014560 00000 n Star Ratings are calculated each year and may change from one year to the next. 0000004577 00000 n 0 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. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 0000005026 00000 n Ut JJ`&PXIIaAAq0. 0000001469 00000 n '//cse.google.com/cse.js?cx=' + cx; bin 610014 pcn peu - Julio Carmona
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