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. C. CPhT1969 New Member. We are an independent education, research, and technology company. 0000011095 00000 n 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 . 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 0000003144 00000 n 0000100252 00000 n })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Your Dental Benefits If you forget if you need a group number or not, use the third party inquiry. The current local time in Stockholm County is 2 minutes ahead of apparent solar time. 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. wG4jZG5\s.Wu=]qjLH Ut JJ`&PXIIaAAq0. 0000005854 00000 n 0000028275 00000 n The plan deposits Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . 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). Those who disenroll Op!> =bLxT_W\h%H,8)1mhT@(\ BANBUHP Express Scripts. during the calendar year will owe a portion of the account deposit back to the plan. Your membership is expired. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), There is no registry of PCNs. 0000009092 00000 n 0000009323 00000 n 0000008854 00000 n 0000038251 00000 n Y fz Y!t|n^JFR0=eS(72H;F^2Myb hIaR:6Y\VO%\":l`v-?y-D[WsF'L"6[C(# )j$\R3 !krl[lp3#u40T534k0ElJQzsC0GKi;}c-Bd9(pU!8;wj0~8@^DUt1Th~;rB] qySULJk(!T&*BTEo0k 6Q4c)![8U/^:y} The BIN/IIN field will either be filled with the ISO/IEC 7812 IIN or the NCPDP Processor BIN, depending on which one the health plan has obtained. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000028726 00000 n 106 0 obj <>stream If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` that insure or administer group HMO, dental HMO, and other products or services in your state). You can position the text box anywhere in the document. )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM PCN: Varies by plan - refer to ID card. 0000002203 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. At home, across the country, and around the worldthe power of Blue is with you. Your Premera provider network: What's 'in' it for you? RX Group: UHEALTH . Contact the Medicare plan for more information. endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream 0000000927 00000 n It refers to a six-digit number that is assigned to banks for electronic routing of transactions. 0000003547 00000 n xref 610014 003858 MA . %%EOF RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. For more information contact the plan. Healthcare coverage wherever you go. The PCN is alphanumeric as defined by the PBM/processor. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . Group number: Make sure the group number is populated on page 4 in RPMS Patient . 0000016122 00000 n (function() { Contact the plan provider for additional information. %%EOF 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). 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 Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance 0000029834 00000 n Sunset: 04:14PM. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 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). 0000007679 00000 n Links will appear for the application process. 0000003516 00000 n 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 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, WQqiT/ Y* T/q)~Z? 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. 0000002851 00000 n We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. gcse.type = 'text/javascript'; You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. 0000002463 00000 n ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. 8289 0 obj <>stream 3850 0 obj <>stream 0000001415 00000 n 0000023131 00000 n As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. 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 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 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. 0000010872 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000007028 00000 n 8254 36 Some entities may use the Group ID; still others may not need this level of differentiation. Group ID will be ignored by the processor. What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? M (BIN 6156 only . The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. The term BIN is synonymous with the ISO/IEC 7812 IIN. Sign Up To Receive Emails For Events, News & General NCPDP Information. 0000001868 00000 n We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. For more information contact the plan. 'https:' : 'http:') + a listing of the legal entities money from Medicare into the account. P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. 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. 0000029756 00000 n In certain situations, you can. 0000007443 00000 n 'https:' : 'http:') + On the ANSI web page, enter "IIN" in the Search box. 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. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. In certain situations, you can. 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. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. Details. 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". 3=Three Occurrences . BIN: PCN: Group Number PBM: Phone Number. Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . Not all entities use the PCN to differentiate plans. Members may enroll in a Medicare Advantage plan only during specific times of the year. Refer to above list or what is printed on ID card . 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. 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. money from Medicare into the account. Members are instructed to show both ID cards before receiving health care services. Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . *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 0000007215 00000 n 0000003344 00000 n var gcse = document.createElement('script'); 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. JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 Medicare evaluates plans based on a 5-Star rating system. This includes accounts for Grandfathered members. 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 NCPDP provides a service to those health plans that do not use magnetic stripe cards. BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 .