D_j:i4 [lL@o?e}otGFsLH arXeq 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). 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 %PDF-1.6 % I was doing an amox script for a dude who shows up with nothing but his wife's military ID and know they go through express scripts so I searched for plans by using BIN 610014 and entering the SSN but no matter what I tried it just would not go through. Rx PCN: N/A However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Our. %PDF-1.4 % 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. 0000004285 00000 n 0 var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000028775 00000 n We do not sell leads or share your personal information. 0000016527 00000 n The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 0000006324 00000 n You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. var gcse = document.createElement('script'); 0000002289 00000 n 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. money from Medicare into the account. 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. Solar noon: 12:02PM. Share your form with others Send it via email, link, or fax. TTY users should call, 1-800-325-0778; or your state Medicaid Office. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. 0000022896 00000 n You can position the text box anywhere in the document. Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. 0000005958 00000 n These numbers commonly begin with "61" as in "610014". %PDF-1.6 % 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. that insure or administer group HMO, dental HMO, and other products or services in your state). 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Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 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. 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. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 0000013064 00000 n 0000003144 00000 n var s = document.getElementsByTagName('script')[0]; Use the Drawing Tools tab to change the formatting of the pull quote text box.] Plug . 'https:' : 'http:') + Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . 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 . International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. 0000028726 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 0000002482 00000 n Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . NCPDP has recently updated our Privacy Policy. 0000003944 00000 n 03. 3=Three Occurrences . RX Group: UHEALTH . 0000004060 00000 n All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Some entities may use the Group ID; still others may not need this level of differentiation. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 0000002715 00000 n 0000012195 00000 n Emblem Health (800) 447-8255. Your membership is expired. 0000002648 00000 n Sign-up for our Medicare Part D Newsletter, Have a question? contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . 0000004799 00000 n Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . We are not compensated for Medicare plan enrollments. If you forget if you need a group number or not, use the third party inquiry. Not a Member? BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name BIN: PCN: Plan Name/Group Name: BIN: PCN: Plan Name/Group Name: BIN: PCN: Processor: TelePAID System Effective as of: 12/08/2011 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 07/01/2007 NCPDP External Code List Version Date: 10/01/2009 The PCN is alphanumeric as defined by the PBM/processor. %%EOF Sunrise: 07:50AM. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. 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). var s = document.getElementsByTagName('script')[0]; 0000003516 00000 n var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. (function() { 0000004526 00000 n The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. 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 Providers who do not contract with the plan are not required to see you except in an emergency. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000007028 00000 n You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. We do not reuse numbers. 0000038251 00000 n YOUR PROVIDERS. 0000002170 00000 n Our Privacy Policy is now easier to read and better organized. 0000032330 00000 n Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. 0000021562 00000 n r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. 0000100252 00000 n 0000007668 00000 n 0000002330 00000 n 02. Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000002706 00000 n The PCN, like the BIN/IIN appears on the pharmacy ID card, in accordance with the rules defined in theNCPDP Pharmacy ID and Combination Card Implementation Guide. 0000033180 00000 n 0000033095 00000 n UMP Plus (SEBB) 2021 Quick Start Guide. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) 0000002203 00000 n ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? Managed care pharmacy identification. For more information contact the plan. 0000016714 00000 n Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. 0000001040 00000 n TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. Medicare MSA Plans do not cover prescription drugs. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. PCN: Varies by plan - refer to ID card. Og%$pB1 o:er1?P_ojKuK3L 9H(! 0000004577 00000 n MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . In certain situations, you can. 0000011949 00000 n The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. For more information contact the plan. 0000005854 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000001856 00000 n General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. 0000003136 00000 n 0000007555 00000 n Sign Up To Receive Emails For Events, News & General NCPDP Information. 0000002333 00000 n Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. Plan Name/Group Name: MI01/MIMEDICAID BIN:009737 PCN: P008009737 Processor: Processor/Fiscal Intermediary Effective as of: 01/01/2012 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 10/2017 NCPDP External Code List Version Date: 10/2017 0000006026 00000 n %PDF-1.3 % Leading zeroes in the NCPDP Processor BIN are significant. 0000012588 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. 0000005387 00000 n 0000001465 00000 n <<0F6188EC756C624CBAA438B0D92726A7>]>> Those who disenroll UMP Plus networks. If you continue to browse or use this website, you agree to this updated Privacy Policy. Sunset: 04:14PM. Details. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 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 . 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. 0000008238 00000 n startxref P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 0000001647 00000 n It refers to a six-digit number that is assigned to banks for electronic routing of transactions. RX Bin for GuideStone Health Plans Except for Secure Health (No PCN Number required) 610014; Rx Bin for Secure Health TM Plans 003858 ; PCN Number for Secure Health TM Plans A4; You can also visit GuideStoneHealth.org and create an account to print a temporary ID card on or after your health plan effective date. The 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, There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 610014 003858 MA . 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. 2389 0 obj<> endobj %PDF-1.4 % 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. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 0000070373 00000 n 0 NCPDP issues the Processor ID Number (BIN). 0000006077 00000 n MedImpact (Includes: Excellus/ FLRx) The PCN is defined by the PBM/processor as this identifier is unique to their business needs. What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? 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. 0000005086 00000 n 0000003982 00000 n 0000000927 00000 n Author: Kelly Wilson Created Date: Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. 0000010471 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 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. Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . 0000001745 00000 n 0000007450 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. 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. 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. 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. 74 33 0000029111 00000 n 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. But that's pure memorization. The benefit information provided is a brief summary, not a complete description of benefits. Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.