Please do not turn the customer away if you receive a rejected claim. 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. %PDF-1.6
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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. Because of this, every member must create a new account regardless of whether they are renewing or not. 0000032580 00000 n
This document is available with NCPDP membership. 0000007555 00000 n
TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Joined Feb 3, 2010 Messages 2 . 0000005854 00000 n
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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). 8289 0 obj
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The application and registration procedures are identified in ISO/IEC 7812-2. %%EOF
The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. 0000005026 00000 n
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For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), M (BIN 6156 only . A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. var s = document.getElementsByTagName('script')[0]; 0000007096 00000 n
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. 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 . We are not compensated for Medicare plan enrollments. For more information contact the plan. Medicare has neither reviewed nor endorsed the information on our site. We do not sell leads or share your personal information. 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). Sign-up for our Medicare Part D Newsletter, Have a question? BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . Refer to above list or what is printed on ID card . *hE\gUk~4>nmSLz~d}ICbQ>9MGZ,*:1E[&{nM)mB5})vB^1+g<
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Those who disenroll 0000007215 00000 n
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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. BANBUHP Express Scripts. Your medical benefits allow you cyU>]s#~e{0Bb'Su[4E(/0PS_5]bmE
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The Bank Identification Number (BIN) is a term commonly used in the credit card industry. 0000003982 00000 n
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BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. Please renew your membership to login. <<5F4BCB39515F55479546A7F5DAE5B678>]>>
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Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 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 . 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 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. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Your Dental Benefits 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). 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. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. 0000001717 00000 n
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In certain situations, you can. Our. 3440 0 obj
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The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000006248 00000 n
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. 0000019138 00000 n
'//cse.google.com/cse.js?cx=' + cx; NCPDP has recently updated our Privacy Policy. Rx PCN: N/A To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 0000002333 00000 n
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Group number: Make sure the group number is populated on page 4 in RPMS Patient . 0000070373 00000 n
To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000004799 00000 n
For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), UMP Plus networks. Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . Medicare MSA Plans do not cover prescription drugs. gcse.async = true; endstream
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Op!> =bLxT_W\h%H,8)1mhT@(\ Our. during the calendar year will owe a portion of the account deposit back to the plan. What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7
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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. If using IE11, please consider using an alternative browser. The ISO/IEC 7812 IIN is a number used throughout electronic routing.
Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 0000004577 00000 n
Box 7012 Downey, CA . The Privacy Policy has also been updated to better clarify what information we collect and how we use it. gcse.src = (document.location.protocol == 'https:' ? Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. gcse.src = (document.location.protocol == 'https:' ? ?rXWK k(`8dB=k&y(~{p{V@ [
Hz)"oz ) Some health plans decided to use magnetic stripe cards, some did not. Contact the Medicare plan for more information. 4=Four Occurrences. 0000016122 00000 n
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Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Og%$pB1 o:er1?P_ojKuK3L 9H(! RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. 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. The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. The PCN is defined by the PBM/processor as this identifier is unique to their business needs. endstream
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Author: Kelly Wilson Created Date: Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. 0000019287 00000 n
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There is a fee to obtain a number. Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 The benefit information provided is a brief summary, not a complete description of benefits. <]>>
Sunrise, sunset, day length and solar time for Stockholm County. that insure or administer group HMO, dental HMO, and other products or services in your state). We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. BIN number See above M Pages 1 and 2 for BIN/PCN : 102-A2 : Version/Release number D.0 M : 103-A3 : Transaction code B1, B3 M : 104-A4 : Processor control number : M . However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000002851 00000 n
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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 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) 0000003944 00000 n
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 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. Plug . Hb```?@(AEs,Pp
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Healthcare coverage wherever you go. BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. 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. s.parentNode.insertBefore(gcse, s); We are an independent education, research, and technology company. The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. 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 You can position the text box anywhere in the document. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . RX Group: UHEALTH . RX Bin: 610014 . We are not compensated for Medicare plan enrollments. Your Premera provider network: What's 'in' it for you? gcse.type = 'text/javascript'; 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. 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. 0000001020 00000 n
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. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Medicare evaluates plans based on a 5-Star rating system. D_j:i4
[lL@o?e}otGFsLH arXeq In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. 0000001415 00000 n
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Day length: 8h 24m. 0000007668 00000 n
You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. Verify member eligibility and the MCO enrollment . hbbd``b`AR 6H da@D`m@\Y6
$Ma}d100RN2@ 8
The application and registration procedures are identified in ISO/IEC 7812-2. ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . 0000004526 00000 n
Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see 0000010872 00000 n
If Commercial claims are submitted for groups that have transitioned with the old BIN or PCN, claims will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control Number). Contact the plan provider for additional information. 0000029111 00000 n
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If you forget if you need a group number or not, use the third party inquiry. 109-A9 Transaction count 1 to 4 M Up to 4 0000001647 00000 n
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CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. Contact the Medicare plan for more information. We do not sell leads or share your personal information. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. 610014 003858 MA . ;;_XKkMUsZWPTdyRWp :{j
dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g`
However, it is highly encouraged that the Group ID is submitted for all Part D claims. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). 0000002073 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. 03. Medicare MSA Plans do not cover prescription drugs. 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. 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. 02. 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 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. U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7
% "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 74 0 obj
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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 Please renew your membership to login. 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. 0000003344 00000 n
Have them call the phone number on the back of their Cigna ID card. 0000013525 00000 n
The plan deposits startxref
0
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General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. 0000002330 00000 n
But that's pure memorization. gcse.async = true; 0000002215 00000 n
TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. PCN: Varies by plan - refer to ID card. 0000011029 00000 n