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Below are some tips to help you get the most out of your benefits and save money. 2391 0 obj<>stream Have them call the phone number on the back of their Cigna ID card. YOUR PROVIDERS. Please renew your membership to login. 0000004060 00000 n 0000019345 00000 n PDF Navitus Health Solutions LLC Pharmacy Network Development Our Privacy Policy is now easier to read and better organized. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. Rx PCN: N/A To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000010641 00000 n The application and registration procedures are identified in ISO/IEC 7812-2. 0000002482 00000 n | Renew memberhip. PCN: Varies by plan - refer to ID card. 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. 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. 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. endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream If you continue to browse or use this website, you agree to this updated Privacy Policy. 0000034997 00000 n 0000016616 00000 n r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. BIN# 610014 BCBS 430 Date Printed 12/22/2014. 0000014836 00000 n 0000019287 00000 n BIN and PCN Codes 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. 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. var s = document.getElementsByTagName('script')[0]; 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 . PDF Acute Care Plans - azahcccs.gov The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 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. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 0000014560 00000 n 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. NCPDP provides a service to those health plans that do not use magnetic stripe cards. Providers who do not contract with the plan are not required to see you except in an emergency. Providers who do not contract with the plan are not required to see you except in an emergency. 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. RX Group: UHEALTH . 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. 0000001040 00000 n 8254 0 obj <> endobj We do not reuse numbers. PDF Group Health Plan Information for IRS/SSA/CMS Data Match Y fz 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} 0000016527 00000 n The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. 0000007555 00000 n PDF PBM BINs Help Desk - PBA Health BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# <<5F4BCB39515F55479546A7F5DAE5B678>]>> Medicare has neither reviewed nor endorsed the information on our site. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. xref We are not compensated for Medicare plan enrollments. Updated Privacy Policy, Documents | Guides and Templates | Informational. PDF Payer Sheet - WellDyne 0000002830 00000 n The PCN is defined by the PBM/processor as this identifier is unique to their business needs. Day length: 8h 24m. 0000008161 00000 n 0000006259 00000 n All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. This includes accounts for Grandfathered members. Managed care pharmacy identification. 0000006324 00000 n The benefit information provided is a brief summary, not a complete description of benefits. PDF ATTACHMENT 2 PLAN CONTACT AND BILLING INFORMATION - New York State BANBUHP Express Scripts. 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 0000005253 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 Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. WQqiT/ Y* T/q)~Z? There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 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). 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 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 . PDF NCPDP Version D.0 Payer Sheet - EpiphanyRx UMP Plus (SEBB) 2021 Quick Start Guide. Please renew your membership to login. %PDF-1.5 % %%EOF 0000011029 00000 n 8254 36 Details. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), bin 610014 pcn peu - Julio Carmona 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. 0000001867 00000 n The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000006674 00000 n 0000001020 00000 n 0000021734 00000 n DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". 0000001717 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 03. What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? Medicare MSA Plans do not cover prescription drugs. Please contact the plan for further details. 0000012195 00000 n %PDF-1.6 % Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . Medicare evaluates plans based on a 5-Star rating system. As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. 0000007028 00000 n At home, across the country, and around the worldthe power of Blue is with you. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. PDF Medco Medicare Prescription Plan, and in support of a number of other 0000005086 00000 n })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. 0000013064 00000 n 2. Rx Information: MEDCO 1-800-842-2038 . Links will appear for the application process. var s = document.getElementsByTagName('script')[0]; 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 forget if you need a group number or not, use the third party inquiry. 0000046944 00000 n %PDF-1.4 % Not a Member? Hb```?@(AEs,Pp IG1~D&t Chart of 2022 BIN and PCN values for each Medicare Part D prescription RX Bin: 610014 . 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. ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) The PCN is alphanumeric as defined by the PBM/processor. 106 0 obj <>stream 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 *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 0000007450 00000 n var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 0000002142 00000 n For more information contact the plan. 0000002851 00000 n The current local time in Stockholm County is 2 minutes ahead of apparent solar time. PDF EFFECTIVE 07.27.2015 Subject to Change BIN Type Network - RxHope 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. Group number: Make sure the group number is populated on page 4 in RPMS Patient . PDF Medco Version D.0 Medicare Part D Payer Sheet - BCBSM Those that use magnetic stripe cards apply through ANSI for an IIN. 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. 0000033095 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} ${ *#. 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. 0 0000100252 00000 n 0000014626 00000 n Limitations, copayments, and restrictions may apply. '//cse.google.com/cse.js?cx=' + cx; 0000005387 00000 n On the ANSI web page, enter "IIN" in the Search box. 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. 0000009281 00000 n PDF SAS Benefit Vendor Contact Information 0000019138 00000 n trailer PDF OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID M (BIN 6156 only . Emblem Health (800) 447-8255. 0000003018 00000 n Ut JJ`&PXIIaAAq0. money from Medicare into the account. 0000001868 00000 n 2389 38 xref Medicare evaluates plans based on a 5-Star rating system. 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). 0000001745 00000 n There is a fee to obtain a number. PDF Commercial Payer Sheet - BCBSM This website is not intended for residents of New Mexico. 0000003944 00000 n 0000007443 00000 n 0000001623 00000 n x1 04HKl\GMyC. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 0000003136 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. BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan - Massachusetts 01. 0000000975 00000 n You can position the text box anywhere in the document. UMP Plus networks. 0000028633 00000 n 'https:' : 'http:') + Please enter the information that appears on the Those who disenroll Pharmacy Management and Credentialing | Cigna (function() { PDF NYS Medicaid Managed Care Plan Contact and Billing Information 2015 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. Express Scripts resources for pharmacists. Please do not turn the customer away if you receive a rejected claim. Box 7012 Downey, CA . For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. 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 0000032330 00000 n 'https:' : 'http:') + 0000070373 00000 n Joined Feb 3, 2010 Messages 2 . xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 0000002073 00000 n 0000001856 00000 n 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 BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. The application and registration procedures are identified in ISO/IEC 7812-2. PDF Certified Payors - McKesson Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . Contact the Medicare plan for more information. MCAIDADV RX5443. 0000006026 00000 n 8289 0 obj <>stream 0000003547 00000 n There is no registry of PCNs. 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. 0000013525 00000 n 0000001469 00000 n <<0F6188EC756C624CBAA438B0D92726A7>]>>