0 Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 trailer endstream endobj 75 0 obj <. 0000003516 00000 n Medicare evaluates plans based on a 5-Star rating system. 0000032773 00000 n 0000002830 00000 n Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. What is a Take-Home Drug? 0000002069 00000 n The plan deposits 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. Have them call the phone number on the back of their Cigna ID card. 0000003547 00000 n 0000013064 00000 n These numbers commonly begin with "61" as in "610014". 0000007215 00000 n We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. PDF Acute Care Plans - azahcccs.gov gcse.async = true; 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? var gcse = document.createElement('script'); 0000007443 00000 n s.parentNode.insertBefore(gcse, s); 0000000016 00000 n The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). PDF ATTACHMENT 2 PLAN CONTACT AND BILLING INFORMATION - New York State JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 This includes accounts for Grandfathered members. It refers to a six-digit number that is assigned to banks for electronic routing of transactions. 0000011550 00000 n 0000004526 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. 0000001020 00000 n NCPDP issues the Processor ID Number (BIN). When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000002330 00000 n Our. Contact the Medicare plan for more information. If they have bookmarked their old account, this will NOT show 2020 plan information. %%EOF Emblem Health (800) 447-8255. %PDF-1.4 % Medicare evaluates plans based on a 5-Star rating system. The benefit information provided is a brief summary, not a complete description of benefits. 0000100252 00000 n TTY users should call, 1-800-325-0778; or your state Medicaid Office. Highmark ID Cards | GuideStone 0000006462 00000 n contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. Sunrise, sunset, day length and solar time for Stockholm County. (function() { A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. %PDF-1.4 % area. BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. 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. PDF Payer Sheet - WellDyne 0000013525 00000 n Time in Stockholm County, Sweden now 0000029834 00000 n Og%$pB1 o:er1?P_ojKuK3L 9H(! But that's pure memorization. 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. 0000000016 00000 n Chart of 2022 BIN and PCN values for each Medicare Part D prescription This website is not intended for residents of New Mexico. BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan - Massachusetts 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 . 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. 0000005086 00000 n If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Systems for register-based monitoring of vaccine effectiveness (VE) against laboratory-confirmed influenza (LCI) in real time were set up in Stockholm County, Sweden, and Finland, before start of the 2016/17 influenza season, using population-based cohort studies. Sunset: 04:14PM. 0000019138 00000 n 0000006589 00000 n 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 . 02. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 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). gcse.type = 'text/javascript'; Below are some tips to help you get the most out of your benefits and save money. 0000004577 00000 n Hb```?@(AEs,Pp IG1~D&t Box 7012 Downey, CA . 0000014626 00000 n 3=Three Occurrences . 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. 0000004799 00000 n 0000001745 00000 n The PCN is defined by the PBM/processor as this identifier is unique to their business needs. Group number: Make sure the group number is populated on page 4 in RPMS Patient . PDF EFFECTIVE 07.27.2015 Subject to Change BIN Type Network - RxHope The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 2. 0000032330 00000 n 0000001081 00000 n Share your form with others Send it via email, link, or fax. Have them call the phone number on the back of their Cigna ID card. UMP Plus networks. 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. PDF commercial payer sheet - Express Scripts 0000046944 00000 n 0000002851 00000 n enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. 0000003144 00000 n PDF Meet your family's health partner - Premera Blue Cross PDF New ID cards are being distributed for 2022 See below for important AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . xref Those who disenroll 0000008305 00000 n In certain situations, you can. Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 0000033180 00000 n 0000006077 00000 n Please do not turn the customer away if you receive a rejected claim. Once new versions of the standards are adopted, truncation will no longer be necessary. a listing of the legal entities 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 . Medicare MSA Plans do not cover prescription drugs. If you continue to browse or use this website, you agree to this updated Privacy Policy. 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 Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . %%EOF 0000023131 00000 n The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010". The application and registration procedures are identified in ISO/IEC 7812-2. 0 xref The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. We do not sell leads or share your personal information. PDF 2020 Medicare Advantage Guide - EmblemHealth The application and registration procedures are identified in ISO/IEC 7812-2. 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. 0000001717 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. Op!> =bLxT_W\h%H,8)1mhT@(\ The term BIN is synonymous with the ISO/IEC 7812 IIN. Healthcare coverage wherever you go. 0000008854 00000 n 0000033238 00000 n We do not sell leads or share your personal information. 0000028726 00000 n 0000019287 00000 n 0000001040 00000 n The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. x1 04HKl\GMyC. Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. On the ANSI web page, enter "IIN" in the Search box. bin 610014 pcn peu - Julio Carmona Our Privacy Policy is now easier to read and better organized. BIN# 610014 BCBS 430 Date Printed 12/22/2014. 3850 0 obj <>stream 0 Please do not turn the customer away if you receive a rejected claim. 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. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000001602 00000 n <<0F6188EC756C624CBAA438B0D92726A7>]>> BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. PDF PBM BINs Help Desk - PBA Health Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. We do not reuse numbers. Sign-up for our Medicare Part D Newsletter, Have a question? 0000001868 00000 n 0000002215 00000 n Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Because of this, every member must create a new account regardless of whether they are renewing or not. Some health plans decided to use magnetic stripe cards, some did not. money from Medicare into the account. 0000003982 00000 n EmblemHealth (888 . 0000034997 00000 n 'https:' : 'http:') + Author: Kelly Wilson Created Date: 0000016714 00000 n Medicare has neither reviewed nor endorsed the information on our site. 0000002706 00000 n 0000010641 00000 n Contact the Medicare plan for more information. RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. 0000009323 00000 n '//cse.google.com/cse.js?cx=' + cx; var s = document.getElementsByTagName('script')[0]; Pharmacy :: The Health Plan The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). NCPDP - NCPDP Processor ID (BIN) 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 We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. All calls are toll-free. wG4jZG5\s.Wu=]qjLH For more information contact the plan. PDF OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Mid-season real-time estimates of seasonal influenza vaccine All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 3424 0 obj <> endobj Providers who do not contract with the plan are not required to see you except in an emergency. Those that use magnetic stripe cards apply through ANSI for an IIN. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 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 BIN: PCN: Group Number PBM: Phone Number. %%EOF Refer to above list or what is printed on ID card . UMP Plus (SEBB) 2021 Quick Start Guide. 0000022896 00000 n In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. 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. PDF Ohio Medicaid - Pharmacy Billing Reference Guide Your membership is expired. 0000029756 00000 n In certain situations, you can. 2389 0 obj<> endobj Cigna may not control the content or links of non-Cigna websites. 0000019345 00000 n HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb Please enter the information that appears on the BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# 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. 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. 0000002142 00000 n })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). 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. that insure or administer group HMO, dental HMO, and other products or services in your state). Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . PDF Rx BIN Number PCN 0000006921 00000 n Group ID will be ignored by the processor. 0000002482 00000 n }|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 D_j:i4 [lL@o?e}otGFsLH arXeq 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. startxref 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y 0000002203 00000 n gcse.src = (document.location.protocol == 'https:' ? 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 members of the enhanced Without these codes, PDF Navitus Health Solutions LLC Pharmacy Network Development 8254 36 0000016122 00000 n Details. 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. startxref PDF Medco manages the prescription drug benefit for many of your customers 0000000016 00000 n Please contact the plan for further details. 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 . s.parentNode.insertBefore(gcse, s); gcse.type = 'text/javascript'; Links will appear for the application process. 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.