All insurance policies and group benefit plans contain exclusions and limitations. 74 0 obj
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We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 0000004910 00000 n
Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 0000004060 00000 n
To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 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. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions.
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24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. '//cse.google.com/cse.js?cx=' + cx; 0000002648 00000 n
The benefit information provided is a brief summary, not a complete description of benefits. In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000022896 00000 n
Those health plans that did not have a business reason for creating pharmacy benefit cards with a magnetic stripe were in need of a number, because they still needed to process electronic pharmacy claims. 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 is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. D_j:i4
[lL@o?e}otGFsLH arXeq The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 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. 0000006674 00000 n
Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. EmblemHealth (888 . 0000014626 00000 n
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The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. Joined Feb 3, 2010 Messages 2 . endstream
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General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. %PDF-1.4
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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. If using IE11, please consider using an alternative browser. 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 The Privacy Policy has also been updated to better clarify what information we collect and how we use it. Star Ratings are calculated each year and may change from one year to the next. 0000000927 00000 n
;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? Members may enroll in a Medicare Advantage plan only during specific times of the year. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 0000005086 00000 n
02. Author: Kelly Wilson Created Date: M (BIN 6156 only . xref
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For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . Your membership is expired. 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. 0000006248 00000 n
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You can position the text box anywhere in the document. Medicare has neither reviewed nor endorsed the information on our site. trailer
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Because of this, every member must create a new account regardless of whether they are renewing or not. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. trailer
Not all entities use the PCN to differentiate plans. 0000003344 00000 n
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These numbers commonly begin with "61" as in "610014". For more information contact the plan. 0000003383 00000 n
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. 03. 0000014836 00000 n
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Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Group ID will be ignored by the processor. Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. startxref
Those who disenroll 0000007096 00000 n
Some health plans decided to use magnetic stripe cards, some did not. 0000016527 00000 n
wG4jZG5\s.Wu=]qjLH gcse.async = true; RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. 0000002069 00000 n
BIN 610239 PCN: FEPRX RxGrp: 65006500 3. Hb```?@(AEs,Pp
IG1~D&t 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 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 . 0000003018 00000 n
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610014 003858 MA . %PDF-1.3
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In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Share your form with others Send it via email, link, or fax. CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. area. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 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 . 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$\R3 !krl[lp3#u40T534k0ElJQzsC0GKi;}c-Bd9(pU!8;wj0~8@^DUt1Th~;rB] qySULJk(!T&*BTEo0k 6Q4c)![8U/^:y} Solar noon: 12:02PM. BCBS of MI BIN: 610011 PCN: Varies - Never "IRX" AARP BIN: 610652 PCN: Varies - refer to ID card OptumRx BIN: 610127 PCN: 02330000 01960000 01990000 02330088 COSF GASF MASF PCN: NCCSI NCSF NWSF SCCSI SCSF OHSF 04000013 LDI / CastiaRx BIN: 020321 BIN: 800010 PCN: COM PCN: LDI SavaScript Value . 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see The term BIN is synonymous with the ISO/IEC 7812 IIN. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. var s = document.getElementsByTagName('script')[0]; UMP Plus (SEBB) 2021 Quick Start Guide. startxref
Have them call the phone number on the back of their Cigna ID card. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 0000010471 00000 n
Contact the plan provider for additional information. 0000011949 00000 n
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<. YOUR PROVIDERS. Og%$pB1 o:er1?P_ojKuK3L 9H(! 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. 0000028775 00000 n
BIN# 610014 BCBS 430 Date Printed 12/22/2014. 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. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. The current local time in Stockholm County is 2 minutes ahead of apparent solar time. during the calendar year will owe a portion of the account deposit back to the plan. })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). 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. It refers to a six-digit number that is assigned to banks for electronic routing of transactions. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), xb```b````c` |,
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Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . 0000005026 00000 n
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There is a fee to obtain a number. Box 7012 Downey, CA . Please enter the information that appears on the Cigna may not control the content or links of non-Cigna websites. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. If you forget if you need a group number or not, use the third party inquiry. 0000005387 00000 n
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The application and registration procedures are identified in ISO/IEC 7812-2. var s = document.getElementsByTagName('script')[0]; 0
If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. 0000006324 00000 n
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All the information you need to properly process prescription claims with Cigna. Medicare MSA Plans do not cover prescription drugs. 'https:' : 'http:') + 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). NCPDP has recently updated our Privacy Policy. 0000000016 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 Please contact the plan for further details. 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 . 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. RX Group: UHEALTH . This includes accounts for Grandfathered members. 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 0000033238 00000 n
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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. 8254 36
Some entities may use the Group ID; still others may not need this level of differentiation. MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . 0000021562 00000 n
Refer to above list or what is printed on ID card . <]>>
We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. ?rXWK k(`8dB=k&y(~{p{V@ [
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But that's pure memorization. Sunrise, sunset, day length and solar time for Stockholm County. 0000002706 00000 n
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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 members of the enhanced This website is not intended for residents of New Mexico. 0000001469 00000 n
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. var gcse = document.createElement('script'); TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . We are an independent education, research, and technology company. 0000002073 00000 n
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Express Scripts resources for pharmacists. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. The plan deposits 0000028726 00000 n
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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 Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . 0000009374 00000 n
You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y Plug . 0000010872 00000 n
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A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 0000001415 00000 n
Sign Up To Receive Emails For Events, News & General NCPDP Information. BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. WQqiT/ Y* T/q)~Z? 0000034997 00000 n
Our. 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. All calls are toll-free. One piece of information is the name of the health plan/PBM. Rx PCN: N/A 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. In certain situations, you can. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The Bank Identification Number (BIN) is a term commonly used in the credit card industry. *hE\gUk~4>nmSLz~d}ICbQ>9MGZ,*:1E[&{nM)mB5})vB^1+g<
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In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 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. Providers who do not contract with the plan are not required to see you except in an emergency. 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. %PDF-1.6
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ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . Below are some tips to help you get the most out of your benefits and save money. We do not reuse numbers. 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
UMP Plus networks. 0000003944 00000 n
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BANBUHP Express Scripts. 0000008305 00000 n
MedImpact (Includes: Excellus/ FLRx) 0000002333 00000 n
You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. %PDF-1.5
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var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 610014 MEDDPRIME BUCKEYE COMMUNITY HEALTH PLAN, INC. 001 012353 03200000 002 003 004 Humana Medicare Employer (HMO) CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Medicare Advantage (PPO) Care Improvement Plus 014 H0104 BLUE CROSS AND BLUE SHIELD OF ALABAMA 010 014897 MBG Blue Advantage (PPO) RPD 011 804 0000100252 00000 n
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Contact the plan provider for additional information. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Limitations, copayments, and restrictions may apply. 0000029111 00000 n
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. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227).
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What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. 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. 0000009323 00000 n
Contact the Medicare plan for more information. 0000007028 00000 n
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We do not sell leads or share your personal information.
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