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). 0000008854 00000 n Your medical benefits allow you 0 Sunrise: 07:50AM. 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. xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 0000005422 00000 n Rx Information: MEDCO 1-800-842-2038 . Ut JJ`&PXIIaAAq0. Updated Privacy Policy, Documents | Guides and Templates | Informational. 0000014560 00000 n In certain situations, you can. Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. 0000007215 00000 n BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . 0000032330 00000 n 0000001745 00000 n 0000001465 00000 n BANBUHP Express Scripts. 0000003632 00000 n 0000003516 00000 n 0000005958 00000 n Please contact the plan for further details. HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb 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 Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. startxref 0000007450 00000 n 0000005026 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. NCPDP has recently updated our Privacy Policy. 0000003383 00000 n %PDF-1.4 % 02. 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. MCAIDADV RX5443. 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). Verify member eligibility and the MCO enrollment . %PDF-1.6 % However, it is highly encouraged that the Group ID is submitted for all Part D claims. The PCN is alphanumeric as defined by the PBM/processor. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). startxref 0000003018 00000 n 0000001448 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 Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. 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. 0000009323 00000 n EmblemHealth (888 . 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. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 0000019345 00000 n Use the Drawing Tools tab to change the formatting of the pull quote text box.] area. 0000016714 00000 n The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. a listing of the legal entities 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. Sign Up To Receive Emails For Events, News & General NCPDP Information. The Bank Identification Number (BIN) is a term commonly used in the credit card industry. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. If you forget if you need a group number or not, use the third party inquiry. 0000006462 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. 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 0000033238 00000 n 8254 0 obj <> endobj var s = document.getElementsByTagName('script')[0]; Sign-up for our Medicare Part D Newsletter, Have a question? %%EOF 0000001856 00000 n 74 0 obj <> endobj What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? Once new versions of the standards are adopted, truncation will no longer be necessary. Please enter the information that appears on the r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. 0000005854 00000 n var gcse = document.createElement('script'); 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. 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 Medicare MSA Plans do not cover prescription drugs. 0000023131 00000 n There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Please do not turn the customer away if you receive a rejected claim. 0000029111 00000 n CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. 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 . 0000005253 00000 n 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) BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. TTY users should call, 1-800-325-0778; or your state Medicaid Office. (function() { Members are instructed to show both ID cards before receiving health care services. 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. 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 . This includes accounts for Grandfathered members. '//cse.google.com/cse.js?cx=' + cx; We do not sell leads or share your personal information. 0000009281 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. Those who disenroll 0000000975 00000 n 0000002851 00000 n 0000001469 00000 n 0000003944 00000 n *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 CDPHP (800) 388-2994. 0000001868 00000 n The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000100252 00000 n var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; during the calendar year will owe a portion of the account deposit back to the plan. Not a Member? 106 0 obj <>stream If using IE11, please consider using an alternative browser. 01. 0000008238 00000 n The current local time in Stockholm County is 2 minutes ahead of apparent solar time. Contact the Medicare plan for more information. 0000007555 00000 n There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 0000033095 00000 n AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. gcse.async = true; 0000002648 00000 n MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . | Renew memberhip. 0 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.
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