Please contact the plan for further details. xb```b````c` |, ,,2g]>%Ad`B. Og%$pB1 o:er1?P_ojKuK3L 9H(! area. 0000028775 00000 n 8254 0 obj <> endobj Update on Premera Individual Medical and LifeWise Individual Medical Managed care pharmacy identification. Not all entities use the PCN to differentiate plans. Please do not turn the customer away if you receive a rejected claim. 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 . 0000033095 00000 n gcse.src = (document.location.protocol == 'https:' ? 0000021562 00000 n Both in Stockholm and Finland, an e Emblem Health (800) 447-8255. Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. 'https:' : 'http:') + PDF OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID PDF Pharmacy Reference Guide 0000013525 00000 n 0000006462 00000 n 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 0000006921 00000 n The application and registration procedures are identified in ISO/IEC 7812-2. '//cse.google.com/cse.js?cx=' + cx; }|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 BIN 610239 PCN: FEPRX RxGrp: 65006500 3. 0000001717 00000 n CO. & UHC INS. Chart of 2022 BIN and PCN values for each Medicare Part D prescription RX Group: UHEALTH . 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 0000001448 00000 n 0000014560 00000 n 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 0000033180 00000 n xref What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? 0000016616 00000 n General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. Express Scripts resources for pharmacists. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. UMP Plus (SEBB) 2021 Quick Start Guide. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 0000001040 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. Please renew your membership to login. 0000003344 00000 n The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 2391 0 obj<>stream PDF EFFECTIVE 07.27.2015 Subject to Change BIN Type Network - RxHope Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 0000005387 00000 n XLS Home - Centers for Medicare & Medicaid Services | CMS To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Members are instructed to show both ID cards before receiving health care services. 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. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` Star Ratings are calculated each year and may change from one year to the next. Ut JJ`&PXIIaAAq0. 0000028726 00000 n 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, 0000029756 00000 n startxref 0000028633 00000 n You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 0000002830 00000 n Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Your medical benefits allow you %PDF-1.6 % Our. 0 The ISO/IEC 7812 IIN is a number used throughout electronic routing. Health insurance can seem complicated, especially if you're new to the plan. 3850 0 obj <>stream 0000001856 00000 n %PDF-1.3 % PDF Certified Payors - McKesson 0000007443 00000 n The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! 0000011949 00000 n In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. 0000100252 00000 n WQqiT/ Y* T/q)~Z? UMP Plus networks. 0000006026 00000 n Medco Version D.0 Claim Reversal and Response Payer Sheet - YUMPU To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. The plan deposits This includes accounts for Grandfathered members. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service NCPDP provides a service to those health plans that do not use magnetic stripe cards. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. 8289 0 obj <>stream a listing of the legal entities 0000002034 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 3440 0 obj <>/Filter/FlateDecode/ID[<83A1511E809EEA4884A369FF9F7C8102>]/Index[3424 33]/Info 3423 0 R/Length 84/Prev 249481/Root 3425 0 R/Size 3457/Type/XRef/W[1 2 1]>>stream s.parentNode.insertBefore(gcse, s); 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 0000032773 00000 n 0000002706 00000 n We are an independent education, research, and technology company. contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . If you continue to browse or use this website, you agree to this updated Privacy Policy. 0000019287 00000 n The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010". 0000016122 00000 n As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. %%EOF 3424 0 obj <> endobj 0000010471 00000 n PDF UMP Plus (SEBB) 2021 Quick Start Guide - hca.wa.gov 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. All insurance policies and group benefit plans contain exclusions and limitations. 610014 003858 MA . 0000029111 00000 n PDF Michigan NCPDP D.0 Payer Specifications - Magellan Rx Management P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs.
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