0000028726 00000 n NCPDP has recently updated our Privacy Policy. 0000013064 00000 n When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000022896 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 0000012588 00000 n The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 0000006462 00000 n Those that use magnetic stripe cards apply through ANSI for an IIN. What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? 0000002706 00000 n 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 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. Please do not turn the customer away if you receive a rejected claim. Health insurance can seem complicated, especially if you're new to the plan. Those who disenroll To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 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. 0000001602 00000 n You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 0000009092 00000 n In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 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 . s.parentNode.insertBefore(gcse, s); )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. Star Ratings are calculated each year and may change from one year to the next. 0000005422 00000 n 0000002170 00000 n M (BIN 6156 only . We do not sell leads or share your personal information. Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. 03. For more information contact the plan. We do not sell leads or share your personal information. If they have bookmarked their old account, this will NOT show 2020 plan information. 0000010471 00000 n <<0F6188EC756C624CBAA438B0D92726A7>]>> 0000033180 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). 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. But that's pure memorization. 0000006077 00000 n ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? 8289 0 obj <>stream during the calendar year will owe a portion of the account deposit back to the plan. Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. %PDF-1.6 % 0000032330 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 . Please do not turn the customer away if you receive a rejected claim. 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. Refer to above list or what is printed on ID card . 0 Your Dental Benefits All calls are toll-free. Please renew your membership to login. 0000003632 00000 n The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 0000010872 00000 n If using IE11, please consider using an alternative browser. '//cse.google.com/cse.js?cx=' + cx; 0000019138 00000 n 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. trailer Our Privacy Policy is now easier to read and better organized. hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 Please enter the information that appears on the RX Bin: 610014 . *hE\gUk~4>nmSLz~d}ICbQ>9MGZ,*:1E[&{nM)mB5})vB^1+g< 'DgrKZEU @kTHP"8\P*:C (W PYa+B .@.&n9i O|i2G/Xy3|`(pn|`;&30ax a= LcqOb.g`a G5'00gd8gf)g]X)5iG@ P Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . <<5F4BCB39515F55479546A7F5DAE5B678>]>> UMP Plus networks. MCAIDADV RX5443. Day length: 8h 24m. 0000028672 00000 n Contact the Medicare plan for more information. MedImpact (Includes: Excellus/ FLRx) Once new versions of the standards are adopted, truncation will no longer be necessary. There is a fee to obtain a number. 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 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. 0000002142 00000 n 0000001745 00000 n 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. 0000008305 00000 n Honestly, whenever I see BIN 610014 I know it's PAID. BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . 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 0000038251 00000 n Medicare MSA Plans do not cover prescription drugs. Please renew your membership to login. 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 . 0000001711 00000 n 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; <]>> These numbers commonly begin with "61" as in "610014". Contact the plan provider for additional information. You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. 0000007215 00000 n Medicare has neither reviewed nor endorsed the information on our site. 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 Have them call the phone number on the back of their Cigna ID card. 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. PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. xb```b````c` |, ,,2g]>%Ad`B. 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). 0000001867 00000 n 0000000016 00000 n The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). The PCN is defined by the PBM/processor as this identifier is unique to their business needs. 0000003516 00000 n 0 trailer 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. 0000001465 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 . We are not compensated for Medicare plan enrollments. WQqiT/ Y* T/q)~Z? 0000005253 00000 n Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 0000028775 00000 n 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. %%EOF D_j:i4 [lL@o?e}otGFsLH arXeq Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Links will appear for the application process. 0000009977 00000 n 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. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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. RX Group: UHEALTH . The benefit information provided is a brief summary, not a complete description of benefits. TTY users should call, 1-800-325-0778; or your state Medicaid Office. 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. Share your form with others Send it via email, link, or fax. It refers to a six-digit number that is assigned to banks for electronic routing of transactions. 0000008854 00000 n Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. s.parentNode.insertBefore(gcse, s); 0000016714 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. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 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 Providers who do not contract with the plan are not required to see you except in an emergency. We do not reuse numbers. Your membership is expired. 0000030450 00000 n 0000001081 00000 n The plan deposits There is no registry of PCNs. 0000006921 00000 n UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. 0000014836 00000 n We are an independent education, research, and technology company. The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! This website is not intended for residents of New Mexico. 0000011626 00000 n %PDF-1.6 % 3456 0 obj <>stream However, it is highly encouraged that the Group ID is submitted for all Part D claims. startxref Emblem Health (800) 447-8255. 02. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . 0000028633 00000 n 0000001040 00000 n 0000005958 00000 n Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . Your Premera provider network: What's 'in' it for you? Author: Kelly Wilson Created Date: 0000002648 00000 n The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). 45 0 obj << /Linearized 1 /O 47 /H [ 1020 449 ] /L 172513 /E 107663 /N 8 /T 171495 >> endobj xref 45 29 0000000016 00000 n })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). Sunrise, sunset, day length and solar time for Stockholm County. Use the Drawing Tools tab to change the formatting of the pull quote text box.] Group ID will be ignored by the processor. 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 term BIN is synonymous with the ISO/IEC 7812 IIN. 0000028275 00000 n Medicare evaluates plans based on a 5-Star rating system. 0000004060 00000 n 0000006259 00000 n MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . The application and registration procedures are identified in ISO/IEC 7812-2. that insure or administer group HMO, dental HMO, and other products or services in your state). The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010". YOUR PROVIDERS. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. 0000006026 00000 n startxref U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. 0000004910 00000 n 01. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Members may enroll in a Medicare Advantage plan only during specific times of the year. Your membership is expired. I was doing an amox script for a dude who shows up with nothing but his wife's military ID and know they go through express scripts so I searched for plans by using BIN 610014 and entering the SSN but no matter what I tried it just would not go through. NCPDP provides a service to those health plans that do not use magnetic stripe cards. Click here to let us know, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA, Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York, BlueCross BlueShield: Empire, Excellus, WNY & NENY, Health Alliance Medicare Prescription Plan, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of IL, NM, OK, TX, Blue Cross and Blue Shield of Kansas or Blue KC, Regence BlueShield of Idaho and Regence BC BS Utah, Horizon Blue Cross Blue Shield of New Jersey, 001-012, 014-034, 070, 105, 106, 121-137, 801, 802, 808. The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying members of the enhanced If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. 0000002685 00000 n cyU>]s#~e{0Bb'Su[4E(/0PS_5]bmE k!Nb%Lx@b,/c7RL Xg29jA8Ruk1  fRBYoD0F9%e=E>e?-"{wQD ?c['l|S_R "qQKMF4B6B] o)/+jtqGOfPN-H ni;9uE%[7 aX4wve.\FPDvY '}Aj(bsgZJLi|]&:{|r2+>p#+Y31D|nGPrtqp\R]oMDl${mI15R/,;$5#]_zK>%,u$xwO@B,UlCt MOkd?X?. 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 What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? area. 0000001856 00000 n This document is available with NCPDP membership. 0000007450 00000 n 0000001415 00000 n You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 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). 0000009281 00000 n The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. 0000006674 00000 n endstream endobj 249 0 obj <>stream Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. 0000003944 00000 n Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. Healthcare coverage wherever you go. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` 0000023131 00000 n 0000032580 00000 n Managed care pharmacy identification. xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 0000001717 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. 0000014626 00000 n Please contact the plan for further details. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 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. %%EOF 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. All the information you need to properly process prescription claims with Cigna. endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. Op!> =bLxT_W\h%H,8)1mhT@(\ Please contact the plan for further details. 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. 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 38 Members may enroll in a Medicare Advantage plan only during specific times of the year. %PDF-1.5 % The ISO/IEC 7812 IIN is a number used throughout electronic routing. gcse.type = 'text/javascript'; 0000007443 00000 n A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan.