The benefit information provided is a brief summary, not a complete description of benefits. 0000003344 00000 n Details. In certain situations, you can. 0000007443 00000 n This includes accounts for Grandfathered members. General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. 0000005854 00000 n 0000033238 00000 n Verify member eligibility and the MCO enrollment . 2. 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 . 0000006248 00000 n Medicare MSA Plans do not cover prescription drugs. trailer ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? 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. Your membership is expired. 0000003944 00000 n 0000028775 00000 n Leading zeroes in the NCPDP Processor BIN are significant. There is a fee to obtain a number. When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000014626 00000 n 106 0 obj <>stream 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 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. Our. 0000004577 00000 n If using IE11, please consider using an alternative browser. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. The PCN is alphanumeric as defined by the PBM/processor. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. The plan deposits Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . 0000008161 00000 n {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 02. 0000005958 00000 n Those that use magnetic stripe cards apply through ANSI for an IIN. 0000013064 00000 n 0000016616 00000 n s.parentNode.insertBefore(gcse, s); Sunrise: 07:50AM. The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000009374 00000 n %%EOF Sign Up To Receive Emails For Events, News & General NCPDP Information. HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). RX Group: UHEALTH . Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. startxref 2391 0 obj<>stream A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. For more information contact the plan. 0000000927 00000 n If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. hb```>>S~1A\pDKu;sH(1mA~>bN Have them call the phone number on the back of their Cigna ID card. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 0000010641 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. Have them call the phone number on the back of their Cigna ID card. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# %PDF-1.5 % 0000001711 00000 n Contact the Medicare plan for more information. UMP Plus (SEBB) 2021 Quick Start Guide. MedImpact (Includes: Excellus/ FLRx) The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 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 0000023131 00000 n Emblem Health (800) 447-8255. during the calendar year will owe a portion of the account deposit back to the plan. 0000004060 00000 n Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. xb```b````c` |, ,,2g]>%Ad`B. 0000014836 00000 n 0000001717 00000 n startxref 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. Sunset: 04:14PM. For more information contact the plan. 0000006259 00000 n Your Dental Benefits All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. What is a Take-Home Drug? We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 0000002069 00000 n Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . 0000010471 00000 n On the ANSI web page, enter "IIN" in the Search box. %%EOF AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . 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). gcse.async = true; 3424 0 obj <> endobj money from Medicare into the account. We do not reuse numbers. Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 0000006589 00000 n 'https:' : 'http:') + 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). Author: Kelly Wilson Created Date: 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 Members may enroll in a Medicare Advantage plan only during specific times of the year. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. 0000002289 00000 n 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. 0000019345 00000 n wG4jZG5\s.Wu=]qjLH PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. Members are instructed to show both ID cards before receiving health care services. '//cse.google.com/cse.js?cx=' + cx; 01. 'https:' : 'http:') + 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. 0000011550 00000 n CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. 0000006026 00000 n 0000000016 00000 n 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. Sign-up for our Medicare Part D Newsletter, Have a question? 8289 0 obj <>stream 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. 0000009281 00000 n This website is not intended for residents of New Mexico. 0000034997 00000 n 0000008854 00000 n We are an independent education, research, and technology company. Please do not turn the customer away if you receive a rejected claim. M (BIN 6156 only . Rx PCN: N/A gcse.type = 'text/javascript'; Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 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). 0000005422 00000 n You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 0000028726 00000 n 0000028672 00000 n xref gcse.async = true; 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). A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 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 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 If they have bookmarked their old account, this will NOT show 2020 plan information. We are an independent education, research, and technology company. 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 . Providers who do not contract with the plan are not required to see you except in an emergency. Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . Please enter the information that appears on the Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. <<5F4BCB39515F55479546A7F5DAE5B678>]>> 0000001868 00000 n It refers to a six-digit number that is assigned to banks for electronic routing of transactions. This document is available with NCPDP membership. 0000016714 00000 n Those who disenroll }|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 Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. Refer to above list or what is printed on ID card . 0000070373 00000 n var gcse = document.createElement('script'); RX Bin: 610014 . The ISO/IEC 7812 IIN is a number used throughout electronic routing. 0000032330 00000 n xref 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. 0000000016 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! 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. 03. 0000001867 00000 n 0000019287 00000 n 0000033095 00000 n Day length: 8h 24m. The PCN is defined by the PBM/processor as this identifier is unique to their business needs. 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. area. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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 0000011095 00000 n r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 0000002034 00000 n TTY users should call, 1-800-325-0778; or your state Medicaid Office. 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. The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010". 0000006324 00000 n 0000002851 00000 n Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y 0000011949 00000 n <<0F6188EC756C624CBAA438B0D92726A7>]>> Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. We are not compensated for Medicare plan enrollments. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? (function() { xref startxref 0 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-1.6 % 4=Four Occurrences. 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. ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. 0000009977 00000 n Contact the Medicare plan for more information. 0000002330 00000 n 0000012588 00000 n NCPDP issues the Processor ID Number (BIN). The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . Please contact the plan for further details. 0000007555 00000 n If you continue to browse or use this website, you agree to this updated Privacy Policy. 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 . BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. Please do not turn the customer away if you receive a rejected claim. The application and registration procedures are identified in ISO/IEC 7812-2. 74 33 Box 7012 Downey, CA . 0000003018 00000 n Solar noon: 12:02PM. 0000004910 00000 n We are not compensated for Medicare plan enrollments. What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. 0000001415 00000 n These numbers commonly begin with "61" as in "610014". endstream endobj startxref All the information you need to properly process prescription claims with Cigna. Your membership is expired. In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. 0000011626 00000 n 0000001623 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 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 MCAIDADV RX5443. 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. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. 0000001081 00000 n 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 Below are some tips to help you get the most out of your benefits and save money. UMP Plus networks. 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. 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.
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