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 trailer 0000033095 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. | Renew memberhip. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. 0000028775 00000 n 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. 0000016527 00000 n 0000005387 00000 n The current local time in Stockholm County is 2 minutes ahead of apparent solar time. 0000003518 00000 n CO. & UHC INS. 0000038251 00000 n 0000003516 00000 n xref })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). 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). Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . gcse.src = (document.location.protocol == 'https:' ? 0000003383 00000 n 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. xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 All calls are toll-free. BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . 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 0000006324 00000 n 0000002073 00000 n As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . 'https:' : 'http:') + Refer to above list or what is printed on ID card . 3=Three Occurrences . Health insurance can seem complicated, especially if you're new to the plan. var gcse = document.createElement('script'); 0000016122 00000 n 0000011949 00000 n Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. trailer Hb```?@(AEs,Pp IG1~D&t 0000002034 00000 n Some entities may use the Group ID; still others may not need this level of differentiation. Box 7012 Downey, CA . The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 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 . Not all entities use the PCN to differentiate plans. Group ID will be ignored by the processor. endstream endobj 75 0 obj <. 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) The benefit information provided is a brief summary, not a complete description of benefits. Have them call the phone number on the back of their Cigna ID card. RX Group: UHEALTH . 8254 0 obj <> endobj trailer 0000002482 00000 n gcse.src = (document.location.protocol == 'https:' ? 0000032773 00000 n %PDF-1.6 % 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. 0000002203 00000 n 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. %%EOF Members may enroll in a Medicare Advantage plan only during specific times of the year. 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. What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? There is a fee to obtain a number. The plan deposits 0000014836 00000 n Sunrise, sunset, day length and solar time for Stockholm County. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Group number: Make sure the group number is populated on page 4 in RPMS Patient . For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), You can position the text box anywhere in the document. 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. In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. 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. 8254 36 2389 38 WQqiT/ Y* T/q)~Z? money from Medicare into the account. 0000011095 00000 n 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. 0000006674 00000 n Ut JJ`&PXIIaAAq0. One piece of information is the name of the health plan/PBM. 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?. Emblem Health (800) 447-8255. Limitations, copayments, and restrictions may apply. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. Sign Up To Receive Emails For Events, News & General NCPDP Information. Rx PCN: N/A 0 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 hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 0000000927 00000 n %%EOF s.parentNode.insertBefore(gcse, s); Your membership is expired. 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 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. 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? xref 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y Your Dental Benefits 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 Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance 0000005026 00000 n Managed care pharmacy identification. Op!> =bLxT_W\h%H,8)1mhT@(\ 0000000016 00000 n 0000008305 00000 n 0000002715 00000 n 0000014560 00000 n The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 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. 0000034997 00000 n 0000023131 00000 n <<5F4BCB39515F55479546A7F5DAE5B678>]>> Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . 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. Please renew your membership to login. 0000010641 00000 n 0000001081 00000 n Medicare MSA Plans do not cover prescription drugs. Members are instructed to show both ID cards before receiving health care services. money from Medicare into the account. 0000070373 00000 n Star Ratings are calculated each year and may change from one year to the next. 0000008238 00000 n BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . RX Group: UHEALTH . AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . 0000006248 00000 n 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). You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 0000012588 00000 n It refers to a six-digit number that is assigned to banks for electronic routing of transactions. Medicare has neither reviewed nor endorsed the information on our site. Please do not turn the customer away if you receive a rejected claim. All insurance policies and group benefit plans contain exclusions and limitations. 0000029834 00000 n during the calendar year will owe a portion of the account deposit back to the plan. 0000011626 00000 n 0000030450 00000 n 0 0000000016 00000 n 'https:' : 'http:') + This website is not intended for residents of New Mexico. We do not sell leads or share your personal information. Star Ratings are calculated each year and may change from one year to the next. Contact the plan provider for additional information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 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 0000007028 00000 n Not a Member? The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. x1 04HKl\GMyC. 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. area. Please contact the plan for further details. Share your form with others Send it via email, link, or fax. 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 0000009374 00000 n 0000001415 00000 n gcse.type = 'text/javascript'; var s = document.getElementsByTagName('script')[0]; What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? 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 Have them call the phone number on the back of their Cigna ID card. UMP Plus networks. Sunset: 04:14PM. 0000001448 00000 n What is a Take-Home Drug? Day length: 8h 24m. Please renew your membership to login. %PDF-1.4 % 0000022896 00000 n 0000002463 00000 n 0000004060 00000 n UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 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. Honestly, whenever I see BIN 610014 I know it's PAID. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. Please do not turn the customer away if you receive a rejected claim. At home, across the country, and around the worldthe power of Blue is with you. On the ANSI web page, enter "IIN" in the Search box. Members may enroll in a Medicare Advantage plan only during specific times of the year. 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. 0000007555 00000 n 0000012195 00000 n 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 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. U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. Providers who do not contract with the plan are not required to see you except in an emergency. 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 term BIN is synonymous with the ISO/IEC 7812 IIN. 4=Four Occurrences. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. 8289 0 obj <>stream PCN: Varies by plan - refer to ID card. 0000001020 00000 n Since 8 digit IINs are now being assigned, use the first 6 digits of the IIN as the BIN even if the first digit(s) is a zero. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 0000006921 00000 n 74 0 obj <> endobj Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 0000001717 00000 n Both in Stockholm and Finland, an e There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. %PDF-1.6 % gcse.async = true; Some health plans decided to use magnetic stripe cards, some did not. 03. 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. Sign-up for our Medicare Part D Newsletter, Have a question? 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. 3850 0 obj <>stream Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Updated Privacy Policy, Documents | Guides and Templates | Informational. 0000005253 00000 n 109-A9 Transaction count 1 to 4 M Up to 4 Those that use magnetic stripe cards apply through ANSI for an IIN. 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. '//cse.google.com/cse.js?cx=' + cx; 0000019138 00000 n Details. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? 0000032580 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 Limitations, copayments, and restrictions may apply. General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. %PDF-1.3 % 0000003982 00000 n 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. 0000001711 00000 n Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 0000021562 00000 n 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. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# 0000000975 00000 n {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 0000029111 00000 n International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. Medicare has neither reviewed nor endorsed the information on our site. There is no registry of PCNs. Contact the plan provider for additional 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 For more information contact the plan. 0000006259 00000 n DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA".

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