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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. Medicare MSA Plans do not cover prescription drugs. You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. EmblemHealth (888 . 0000004577 00000 n
To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). <<5F4BCB39515F55479546A7F5DAE5B678>]>>
610014 003858 MA . You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. The PCN is alphanumeric as defined by the PBM/processor. Honestly, whenever I see BIN 610014 I know it's PAID. 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 . 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. 0000005026 00000 n
Both in Stockholm and Finland, an e The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. <<0F6188EC756C624CBAA438B0D92726A7>]>>
You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 0000002330 00000 n
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 0000001868 00000 n
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As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 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 The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Limitations, copayments, and restrictions may apply. Group number: Make sure the group number is populated on page 4 in RPMS Patient . 0000004799 00000 n
Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. %PDF-1.4
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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. | Renew memberhip. 0000002215 00000 n
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On the ANSI web page, enter "IIN" in the Search box. When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. during the calendar year will owe a portion of the account deposit back to the plan. ?rXWK k(`8dB=k&y(~{p{V@ [
Hz)"oz ) Your membership is expired. BANBUHP Express Scripts. RX Bin: 610014 . 0000006462 00000 n
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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. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. startxref
The application and registration procedures are identified in ISO/IEC 7812-2. 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. What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? xb```b````c` |,
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0000010641 00000 n
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. Some health plans decided to use magnetic stripe cards, some did not. xb```b``bl,@0fAgXE#$3V(a (jt
m=a(%sdA`i78*Lj7 MN
14000 Details. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. %%EOF
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 %PDF-1.3
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MCAIDADV RX5443. 0000100252 00000 n
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Medicare MSA Plans do not cover prescription drugs. 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y 0000003944 00000 n
(function() { This website is not intended for residents of New Mexico. Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . HWYkH+(
!8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb Members may enroll in a Medicare Advantage plan only during specific times of the year. Please do not turn the customer away if you receive a rejected claim. 02. 106 0 obj
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The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). startxref
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For more information contact the plan. In addition to their Minnesota Health Care Programs (MHCP) ID cards, members enrolled in a managed care organization (MCO) also receive ID cards directly from their MCOs. 0000005253 00000 n
money from Medicare into the account. CO. & UHC INS. The plan deposits This includes accounts for Grandfathered members. *hE\gUk~4>nmSLz~d}ICbQ>9MGZ,*:1E[&{nM)mB5})vB^1+g<
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A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Joined Feb 3, 2010 Messages 2 . All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. 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. 0000003018 00000 n
The term BIN is synonymous with the ISO/IEC 7812 IIN. M (BIN 6156 only . Once new versions of the standards are adopted, truncation will no longer be necessary. 0000002706 00000 n
We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. We are an independent education, research, and technology company. 0000002830 00000 n
Contact the plan provider for additional information. When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. Plug . Medicare has neither reviewed nor endorsed the information on our site. 0000011949 00000 n
All insurance policies and group benefit plans contain exclusions and limitations. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. NCPDP issues the Processor ID Number (BIN). If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. 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. Please contact the plan for further details. Have them call the phone number on the back of their Cigna ID card. Leading zeroes in the NCPDP Processor BIN are significant. 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). Day length: 8h 24m. 0000016714 00000 n
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Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance 0000009977 00000 n
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The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000021734 00000 n
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Your medical benefits allow you 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 NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. Please renew your membership to login. 0000014560 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. 0000032773 00000 n
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There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. One piece of information is the name of the health plan/PBM. 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). 0000009281 00000 n
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UMP Plus networks. wG4jZG5\s.Wu=]qjLH Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. 0000001040 00000 n
Your Premera provider network: What's 'in' it for you? Please enter the information that appears on the 0000000016 00000 n
Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 Solar noon: 12:02PM. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. In certain situations, you can. The benefit information provided is a brief summary, not a complete description of benefits. Please renew your membership to login. If you continue to browse or use this website, you agree to this updated Privacy Policy. 0000008161 00000 n
RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. 0000002170 00000 n
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International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. 0000001623 00000 n
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Refer to above list or what is printed on ID card . The PCN is defined by the PBM/processor as this identifier is unique to their business needs. 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 0000006026 00000 n
Medicare evaluates plans based on a 5-Star rating system. contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. Some entities may use the Group ID; still others may not need this level of differentiation. gcse.src = (document.location.protocol == 'https:' ? 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. 0000002069 00000 n
BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. x1 04HKl\GMyC. 2. 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. 0000011626 00000 n
Emblem Health (800) 447-8255. At home, across the country, and around the worldthe power of Blue is with you. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 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. This electronic processing of pharmacy claims meant the health plan (or their Pharmacy Benefit Manager/processor/payer on their behalf) needed a number for the electronic routing of transactions. The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. We are an independent education, research, and technology company. JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7
Express Scripts resources for pharmacists. Use the Drawing Tools tab to change the formatting of the pull quote text box.] Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 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. For more information contact the plan. 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 This document is available with NCPDP membership. We do not sell leads or share your personal information. 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. 0
MedImpact (Includes: Excellus/ FLRx) Contact the Medicare plan for more information. 0000003136 00000 n
To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010".
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c4C)iG/Y88. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. xref
Members may enroll in a Medicare Advantage plan only during specific times of the year. BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . <]>>
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As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. 0000023131 00000 n
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Not all entities use the PCN to differentiate plans. Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. }|a3M3J=/`zy[X
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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, it is highly encouraged that the Group ID is submitted for all Part D claims. ;;_XKkMUsZWPTdyRWp :{j
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Medicare has neither reviewed nor endorsed the information on our site. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 3850 0 obj
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Please do not turn the customer away if you receive a rejected claim. 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). s.parentNode.insertBefore(gcse, s); We do not sell leads or share your personal information. 0000002289 00000 n
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. 74 33
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PCN: Varies by plan - refer to ID card. BIN: PCN: Group Number PBM: Phone Number. '//cse.google.com/cse.js?cx=' + cx; These numbers commonly begin with "61" as in "610014". 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. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . 0000034997 00000 n
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Star Ratings are calculated each year and may change from one year to the next. xref
What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? 0000002073 00000 n
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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 .
Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . 0000007668 00000 n
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. 03. The plan deposits TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. The benefit information provided is a brief summary, not a complete description of benefits. 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. that insure or administer group HMO, dental HMO, and other products or services in your state). Limitations, copayments, and restrictions may apply. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. 0000002203 00000 n
The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. area. BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. %PDF-1.6
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var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048),
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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 . NCPDP has recently updated our Privacy Policy. Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . NCPDP provides a service to those health plans that do not use magnetic stripe cards. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Rx PCN: N/A Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! 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? gcse.type = 'text/javascript';
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+. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 01. The application and registration procedures are identified in ISO/IEC 7812-2. 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. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . 0000019345 00000 n
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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. 2391 0 obj<>stream
Group ID will be ignored by the processor. WQqiT/ Y* T/q)~Z? 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). RX Bin: 610014 . In certain situations, you can. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 0000013525 00000 n
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SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC. HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC. WELLCARE HEALTH INSURANCE OF TENNESSEE, INC. FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY, BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK, COMPCARE HEALTH SERVICES INSURANCE CORPORATION, BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY, CENTRAL VALLEY MEDICAL SERVICES CORPORATION, CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC, WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA. 8254 0 obj
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BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. Because of this, every member must create a new account regardless of whether they are renewing or not. 2389 0 obj<>
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during the calendar year will owe a portion of the account deposit back to the plan. In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. var s = document.getElementsByTagName('script')[0]; BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name BIN: PCN: Plan Name/Group Name: BIN: PCN: Plan Name/Group Name: BIN: PCN: Processor: TelePAID System Effective as of: 12/08/2011 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 07/01/2007 NCPDP External Code List Version Date: 10/01/2009 3=Three Occurrences . To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call, 1-800-325-0778; or your state Medicaid Office. 0000006589 00000 n
We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. %%EOF
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Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . 610014 800-824-0898 Integrated Prescription Management (IPM) 014658 877-860-8846 LDI Integrated Pharmacy Services 800010 800-652-9550 Magellan Health Services (Includes: Kentucky Passport) 015053, 016523 800-790-1631 McKesson Specialty 610524 800-657-7613 *Independently Contracted. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? 0000008854 00000 n
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enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. 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). 0000006921 00000 n
Providers who do not contract with the plan are not required to see you except in an emergency. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Ut JJ`&PXIIaAAq0. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Y
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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} We do not reuse numbers. RX Group: UHEALTH . AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . CDPHP (800) 388-2994. 0000008305 00000 n
However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. 0
hb```>>S~1A\pDKu;sH(1mA~>bN UMP Plus (SEBB) 2021 Quick Start Guide. 0000003547 00000 n
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RX Group: UHEALTH . Verify member eligibility and the MCO enrollment . 0000003516 00000 n
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To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. 109-A9 Transaction count 1 to 4 M Up to 4