If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Some health plans decided to use magnetic stripe cards, some did not. 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). 0000002648 00000 n 0000002482 00000 n 0000005387 00000 n The application and registration procedures are identified in ISO/IEC 7812-2. Hb```?@(AEs,Pp IG1~D&t 0000009281 00000 n International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. 3=Three Occurrences . PDF Rx BIN Number PCN 0000008854 00000 n 0000003516 00000 n We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 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. 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. var gcse = document.createElement('script'); U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. 0000001717 00000 n <]>> Y fz Y!t|n^JFR0=eS(72H;F^2Myb hIaR:6Y\VO%\":l`v-?y-D[WsF'L"6[C(# )j$\R3 !krl[lp3#u40T534k0ElJQzsC0GKi;}c-Bd9(pU!8;wj0~8@^DUt1Th~;rB] qySULJk(!T&*BTEo0k 6Q4c)![8U/^:y} For more information contact the plan. Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. PDF OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID PDF Acute Care Plans - azahcccs.gov Rx Information: MEDCO 1-800-842-2038 . RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. 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. Contact the Medicare plan for more information. The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 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. 0000003383 00000 n Chart of 2021 BIN and PCN values for each Medicare Part D prescription 0000022896 00000 n endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream Your Dental Benefits As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. Group number: Make sure the group number is populated on page 4 in RPMS Patient . The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC. HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC. WELLCARE HEALTH INSURANCE OF TENNESSEE, INC. FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY, BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK, COMPCARE HEALTH SERVICES INSURANCE CORPORATION, BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY, CENTRAL VALLEY MEDICAL SERVICES CORPORATION, CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC, WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA. (function() { 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. 0000006259 00000 n For more information contact the plan. 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). 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. 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. 0000002685 00000 n You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. Some entities may use the Group ID; still others may not need this level of differentiation. 0000004577 00000 n 0000028633 00000 n XLS Home - Centers for Medicare & Medicaid Services | CMS Medicare has neither reviewed nor endorsed the information on our site. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Sunset: 04:14PM. HealthNow Inc. (877) 327-1395 Medco Health Solutions (866) 544-7948 N/A 610014 Group: HNRXS HealthPlus (800) 300-8181 MedImpact Healthcare Systems, Inc. (800) 788-2949 58080 (HNY03-Health Plus NYS Medicaid) 003585 Medicaid Group: HCP9198, Family Health Plus Group: FHP9198 HIP Health Plan of New York (HIP) Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? 0000033238 00000 n 0 0000012588 00000 n area. If you forget if you need a group number or not, use the third party inquiry. Honestly, whenever I see BIN 610014 I know it's PAID. PDF Pharmacy Reference Guide 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 gcse.src = (document.location.protocol == 'https:' ? We are an independent education, research, and technology company. All insurance policies and group benefit plans contain exclusions and limitations. Day length: 8h 24m. We are not compensated for Medicare plan enrollments. 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 HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb We do not sell leads or share your personal information. 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, 0000007450 00000 n 0000014560 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. 0000006921 00000 n Please do not turn the customer away if you receive a rejected claim. 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. hb```>>S~1A\pDKu;sH(1mA~>bN 0000003344 00000 n PDF Group Health Plan Information for IRS/SSA/CMS Data Match 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. Medicare evaluates plans based on a 5-Star rating system. Not a Member? 0000000927 00000 n ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? 2019 Payer Sheet NCPDP Version D - meridianrx.com 0000032580 00000 n 0000032330 00000 n %PDF-1.5 % during the calendar year will owe a portion of the account deposit back to the plan. 0000001448 00000 n 0000016527 00000 n Leading zeroes in the NCPDP Processor BIN are significant. 0000002333 00000 n %%EOF 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 . var gcse = document.createElement('script'); 0000013064 00000 n 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. %%EOF Solar noon: 12:02PM. 106 0 obj <>stream M (BIN 6156 only . Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 0000001867 00000 n startxref The ISO/IEC 7812 IIN is a number used throughout electronic routing. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 0000013525 00000 n (function() { Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. This includes accounts for Grandfathered members. All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 0000001415 00000 n Contact the plan provider for additional information. })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). 0000001465 00000 n MedImpact (Includes: Excellus/ FLRx) MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . PDF Medco manages the prescription drug benefit for many of your customers BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . 0000008305 00000 n <<0F6188EC756C624CBAA438B0D92726A7>]>> If you continue to browse or use this website, you agree to this updated Privacy Policy. 0000001868 00000 n 0000003144 00000 n Members are instructed to show both ID cards before receiving health care services. BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan - Massachusetts %PDF-1.4 % 0000001081 00000 n Below are some tips to help you get the most out of your benefits and save money. If they have bookmarked their old account, this will NOT show 2020 plan information. 0000016616 00000 n 01. 0000001020 00000 n JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 11-A1 BIN Number See BIN/PCN table, above M 12-A2 Version Release Number D=Version D.0 M 13-A3 Transaction Code B1=Billing M 14-A4 Processor Control Number As indicated above M 19-A9 Transaction Count 1=One Occurrence 2=Two Occurrences 3=Three Occurrences 4=Four Occurrences M (BIN 6156 only allows TRANS COUNT = 1). 0000003518 00000 n 4=Four Occurrences. Time in Stockholm County, Sweden now The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying members of the enhanced The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). Those who disenroll '//cse.google.com/cse.js?cx=' + cx; Please do not turn the customer away if you receive a rejected claim. 0000001602 00000 n If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. The PCN is defined by the PBM/processor as this identifier is unique to their business needs. The benefit information provided is a brief summary, not a complete description of benefits. The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe. 0000029834 00000 n 'https:' : 'http:') + 2. ngRH);HRsZ.>@qTi-(0Q\{*`*5&he%fJ`B49Pe(h\#70 #8:(7Q)7mW:R,ATp$&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 MCAIDADV RX5443. 0000008161 00000 n 0000011949 00000 n Have them call the phone number on the back of their Cigna ID card. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. We do not reuse numbers. 0000001856 00000 n BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. Share your form with others Send it via email, link, or fax. YOUR PROVIDERS. 0000023131 00000 n 0000004526 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. On the ANSI web page, enter "IIN" in the Search box. ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) 0000008238 00000 n 0000028275 00000 n 0000001711 00000 n Walgreens' Insurance Codes!!! | Student Doctor Network Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . 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). Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance The PCN is alphanumeric as defined by the PBM/processor. CO. & UHC INS. Emblem Health (800) 447-8255. 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 Please contact the plan for further details. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. 0000004910 00000 n 0000000016 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. 0000019345 00000 n PDF New ID cards are being distributed for 2022 See below for important There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 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. If using IE11, please consider using an alternative browser. UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. x1 04HKl\GMyC. Update on Premera Individual Medical and LifeWise Individual Medical To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. PCN: Varies by plan - refer to ID card. Limitations, copayments, and restrictions may apply. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. | Renew memberhip. 0000007679 00000 n 0000033180 00000 n 0000002034 00000 n PDF Payer Sheet - WellDyne Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Medicare has neither reviewed nor endorsed the information on our site. We do not sell leads or share your personal information. What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? 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. 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 2389 38 Limitations, copayments, and restrictions may apply. startxref 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 . 0000002215 00000 n gcse.async = true; RX Bin: 610014 . Your medical benefits allow you 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. But that's pure memorization. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 0000003136 00000 n hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 The application and registration procedures are identified in ISO/IEC 7812-2. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 0000005422 00000 n UMP Plus networks. 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. 0000011029 00000 n Mid-season real-time estimates of seasonal influenza vaccine Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 0000002142 00000 n PDF ATTACHMENT 2 PLAN CONTACT AND BILLING INFORMATION - New York State At home, across the country, and around the worldthe power of Blue is with you. Please enter the information that appears on the All calls are toll-free. BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. Managed care pharmacy identification - Minnesota Department of Human When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 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. TTY users should call, 1-800-325-0778; or your state Medicaid Office. 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. 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. 0000019287 00000 n 0000005854 00000 n 0000006077 00000 n 0000001647 00000 n 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.