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EmblemHealth (888 . Box 7012 Downey, CA . 0000009281 00000 n In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. 2. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. trailer 0000002069 00000 n Please renew your membership to login. 0000030450 00000 n 0000006259 00000 n 0000016527 00000 n 0000007028 00000 n 74 33 0000006248 00000 n 0000032773 00000 n 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Some health plans decided to use magnetic stripe cards, some did not. gcse.async = true; Those that use magnetic stripe cards apply through ANSI for an IIN. '//cse.google.com/cse.js?cx=' + cx; Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . 0000001867 00000 n C. CPhT1969 New Member. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 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. Your Premera provider network: What's 'in' it for you? 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . All insurance policies and group benefit plans contain exclusions and limitations. 0000006462 00000 n 74 0 obj <> endobj The PCN is alphanumeric as defined by the PBM/processor. 0000011949 00000 n RX Bin: 610014 . Contact the plan provider for additional information. Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 Those who disenroll var gcse = document.createElement('script'); Medicare evaluates plans based on a 5-Star rating system. 0000001647 00000 n 0000003944 00000 n Leading zeroes in the NCPDP Processor BIN are significant. 0000003144 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 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. x1 04HKl\GMyC. What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? var s = document.getElementsByTagName('script')[0]; 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. The application and registration procedures are identified in ISO/IEC 7812-2. 0000070373 00000 n The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. Honestly, whenever I see BIN 610014 I know it's PAID. }|a3M3J=/`zy[X >]!/c 5'{ Xri endstream endobj 73 0 obj 336 endobj 47 0 obj << /Type /Page /Parent 42 0 R /Resources 48 0 R /Contents 56 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 >> endobj 48 0 obj << /ProcSet [ /PDF /Text /ImageC ] /Font << /TT2 53 0 R /TT4 52 0 R /TT6 51 0 R /TT8 57 0 R /TT10 60 0 R /TT12 61 0 R >> /XObject << /Im1 63 0 R >> /ExtGState << /GS1 66 0 R >> /ColorSpace << /Cs6 55 0 R >> >> endobj 49 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 0 /Descent -216 /Flags 34 /FontBBox [ -568 -307 2000 1007 ] /FontName /FHGHLD+TimesNewRoman /ItalicAngle 0 /StemV 0 /FontFile2 67 0 R >> endobj 50 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 0 /Descent -216 /Flags 34 /FontBBox [ -558 -307 2000 1026 ] /FontName /FHGHND+TimesNewRoman,Bold /ItalicAngle 0 /StemV 133 /FontFile2 68 0 R >> endobj 51 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 32 /Widths [ 250 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHND+TimesNewRoman,Bold /FontDescriptor 50 0 R >> endobj 52 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 49 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHLD+TimesNewRoman /FontDescriptor 49 0 R >> endobj 53 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 119 /Widths [ 352 0 0 0 0 0 0 0 0 0 0 0 364 0 364 454 636 636 0 0 636 0 0 636 0 0 0 0 0 0 0 0 0 0 0 0 771 0 575 0 751 421 455 0 557 843 748 0 603 0 0 684 0 0 0 0 0 0 0 0 0 0 0 0 0 601 0 521 623 596 0 0 633 274 0 592 274 973 633 607 623 0 427 521 394 633 592 818 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHKH+Verdana /FontDescriptor 54 0 R >> endobj 54 0 obj << /Type /FontDescriptor /Ascent 1005 /CapHeight 0 /Descent -209 /Flags 32 /FontBBox [ -50 -207 1447 1000 ] /FontName /FHGHKH+Verdana /ItalicAngle 0 /StemV 96 /FontFile2 65 0 R >> endobj 55 0 obj [ /ICCBased 64 0 R ] endobj 56 0 obj << /Length 1929 /Filter /FlateDecode >> stream 0000005958 00000 n UMP Plus networks. 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. 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. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . Medicare MSA Plans do not cover prescription drugs. 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. 0000001623 00000 n Limitations, copayments, and restrictions may apply. To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. 4=Four Occurrences. 01. Providers who do not contract with the plan are not required to see you except in an emergency. 0000006589 00000 n Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 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 0000004285 00000 n %PDF-1.4 % Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Sign Up To Receive Emails For Events, News & General NCPDP Information. 0000029111 00000 n Please renew your membership to login. 0000012195 00000 n JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 If using IE11, please consider using an alternative browser. Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 0000010641 00000 n U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. Medicare evaluates plans based on a 5-Star rating system. This document is available with NCPDP membership. Day length: 8h 24m. This electronic processing of pharmacy claims meant the health plan (or their Pharmacy Benefit Manager/processor/payer on their behalf) needed a number for the electronic routing of transactions. Rx BIN#: 400023 Rx PCN#: 0020050403 Issuer#: (80840) CMS#:H3330-037-000 Plan Name Network: VIP Prime Comprehensive Dental X327934200116X 3 2 7 9 3 4 2 0 0 1 1 6 MEMBERS AND PROVIDERS: Network providers must provide or arrange nonemergency care. Please contact the plan for further details. %%EOF 2389 38 These standards are developed by theInternational Organization for Standardization / International Electrotechnical Commission (https://www.iso.org/home.html) (ISO/IEC) Joint Technical Committee (JTC) 1,Information Technology, Subcommittee (SC) 17,Cards and personal identification, Working Group (WG) 5. As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. 0000001040 00000 n Please enter the information that appears on the The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). Managed care pharmacy identification. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. 0000005387 00000 n 0000002685 00000 n Links will appear for the application process. ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? 0000021734 00000 n HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb 0000001602 00000 n 0000002215 00000 n Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` Verify member eligibility and the MCO enrollment . The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. The application and registration procedures are identified in ISO/IEC 7812-2. It refers to a six-digit number that is assigned to banks for electronic routing of transactions. Emblem Health (800) 447-8255. 0000021562 00000 n Providers who do not contract with the plan are not required to see you except in an emergency. 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, What is a Take-Home Drug? RX Bin: 610014 . 0000014560 00000 n NCPDP has recently updated our Privacy Policy. But that's pure memorization. 0000013064 00000 n In certain situations, you can. Members may enroll in a Medicare Advantage plan only during specific times of the year. during the calendar year will owe a portion of the account deposit back to the plan. Plug . Contact the Medicare plan for more information. 0000002203 00000 n 0000001465 00000 n 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) 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 0 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 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). 0000006077 00000 n At home, across the country, and around the worldthe power of Blue is with you. Health insurance can seem complicated, especially if you're new to the plan. 3424 0 obj <> endobj The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Our. 0000029756 00000 n When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) 0000000975 00000 n CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream Healthcare coverage wherever you go. Sunset: 04:14PM. If they have bookmarked their old account, this will NOT show 2020 plan information. MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . Your medical benefits allow you The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 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. gcse.src = (document.location.protocol == 'https:' ? enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. Rx Information: MEDCO 1-800-842-2038 . You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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 Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. 0000005854 00000 n You can position the text box anywhere in the document. All the information you need to properly process prescription claims with Cigna. 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. 0000007668 00000 n 0000004799 00000 n 0000033095 00000 n xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000016714 00000 n 0000001745 00000 n If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. These standards are developed by theInternational Organization for Standardization / International Electrotechnical Commission(ISO/IEC) Joint Technical Committee (JTC) 1,Information Technology, Subcommittee (SC) 17,Cards and personal identification, Working Group (WG) 5. '//cse.google.com/cse.js?cx=' + cx; Og%$pB1 o:er1?P_ojKuK3L 9H(! 2389 0 obj<> endobj For more information contact the plan. 3850 0 obj <>stream All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 0000014626 00000 n 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 0000005086 00000 n For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Once new versions of the standards are adopted, truncation will no longer be necessary. 11-a1 bin number (see above) m 12-a2 version/releasenumber d m 13-a3 transaction code b1, b3 m 14-a4 processor control number m . You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. 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 The plan deposits On the ANSI web page, enter "IIN" in the Search box. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 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. 0000001415 00000 n DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 0000001717 00000 n hb```>>S~1A\pDKu;sH(1mA~>bN that insure or administer group HMO, dental HMO, and other products or services in your state). gcse.type = 'text/javascript'; 0000023131 00000 n A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Not a Member? 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 . Limitations, copayments, and restrictions may apply. 0000028275 00000 n endstream endobj startxref 0000001448 00000 n %%EOF endstream endobj 249 0 obj <>stream %PDF-1.4 % You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). Rx PCN: N/A 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 during the calendar year will owe a portion of the account deposit back to the plan. 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. 0000046944 00000 n 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?. %%EOF 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Medicare has neither reviewed nor endorsed the information on our site. xref 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). All calls are toll-free. The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 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. 0000019138 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. 0000003982 00000 n 0000033238 00000 n The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 0000000927 00000 n 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. 0000003518 00000 n 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). wG4jZG5\s.Wu=]qjLH 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. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. 0000009374 00000 n 0000029834 00000 n The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. | Renew memberhip. 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. 0000032330 00000 n 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. Below are some tips to help you get the most out of your benefits and save money. 0000000016 00000 n 8289 0 obj <>stream The plan deposits Refer to above list or what is printed on ID card . gcse.src = (document.location.protocol == 'https:' ? When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000001469 00000 n Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . Because of this, every member must create a new account regardless of whether they are renewing or not. 0000005253 00000 n 0000009092 00000 n 0000001868 00000 n 0000100252 00000 n 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 0000007450 00000 n Please contact the plan for further details. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 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 Those who disenroll 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. What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? 0000008305 00000 n As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. %PDF-1.6 % BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. 0000011626 00000 n M (BIN 6156 only . CO. & UHC INS. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 'https:' : 'http:') + %PDF-1.3 % Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. The term BIN is synonymous with the ISO/IEC 7812 IIN. 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. 0000000016 00000 n Author: Kelly Wilson Created Date: hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 0000028672 00000 n 0000006324 00000 n Your membership is expired. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. 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). var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; s.parentNode.insertBefore(gcse, s); ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. CDPHP (800) 388-2994. 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. 0000002482 00000 n <<5F4BCB39515F55479546A7F5DAE5B678>]>> The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. startxref money from Medicare into the account. 0000016616 00000 n Your Dental Benefits To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000009323 00000 n 0 xref 0000028633 00000 n Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. 0000038251 00000 n 109-A9 Transaction count 1 to 4 M Up to 4 A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 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. 0000003136 00000 n 0000005026 00000 n 0000034997 00000 n gcse.async = true; We are not compensated for Medicare plan enrollments. 0000001711 00000 n 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 . <<0F6188EC756C624CBAA438B0D92726A7>]>> 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). 0000001020 00000 n 0000007555 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.
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