8289 0 obj <>stream x1 04HKl\GMyC. 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. Your medical benefits allow you Our. Sunrise, sunset, day length and solar time for Stockholm County. RX Bin: 610014 . Members are instructed to show both ID cards before receiving health care services. 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. ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. The ISO/IEC 7812 IIN is a number used throughout electronic routing. 0000005026 00000 n Both in Stockholm and Finland, an e 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Those who disenroll 0000002142 00000 n Medicare MSA Plans do not cover prescription drugs. <]>> 0000009281 00000 n 0000004910 00000 n 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Your membership is expired. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . 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. Some entities may use the Group ID; still others may not need this level of differentiation. Have them call the phone number on the back of their Cigna ID card. These numbers commonly begin with "61" as in "610014". But that's pure memorization. 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. that insure or administer group HMO, dental HMO, and other products or services in your state). Share your form with others Send it via email, link, or fax. Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. Refer to above list or what is printed on ID card . 0000013525 00000 n hb```>>S~1A\pDKu;sH(1mA~>bN For more information contact the plan. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# Details. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; All insurance policies and group benefit plans contain exclusions and limitations. Rx BIN: 019059 Rx PCN: 07570000 Rx Group: HTH ID number - the pharmacy will need to submit the CURRENT ID number used for 2021 in January 2022 Customer Service/Pharmacy Help Desk: 844-373-0970 Self-Funded Group - Renown Health - HometownRx powered by Maxor Rx BIN: 019059 Rx PCN: 07570000 Rx Group: HTH 0000008161 00000 n 0000005387 00000 n var gcse = document.createElement('script'); In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. 0000003144 00000 n 0000005422 00000 n Your Dental Benefits Limitations, copayments, and restrictions may apply. 3424 0 obj <> endobj trailer NCPDP has recently updated our Privacy Policy. 0 %PDF-1.6 % P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name BIN: PCN: Plan Name/Group Name: BIN: PCN: Plan Name/Group Name: BIN: PCN: Processor: TelePAID System Effective as of: 12/08/2011 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 07/01/2007 NCPDP External Code List Version Date: 10/01/2009 Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. 0000005958 00000 n TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. endstream endobj 249 0 obj <>stream 0000002289 00000 n BIN# 610014 BCBS 430 Date Printed 12/22/2014. CDPHP (800) 388-2994. 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 . 109-A9 Transaction count 1 to 4 M Up to 4 0000019138 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 . The benefit information provided is a brief summary, not a complete description of benefits. %%EOF This electronic processing of pharmacy claims meant the health plan (or their Pharmacy Benefit Manager/processor/payer on their behalf) needed a number for the electronic routing of transactions. NCPDP provides a service to those health plans that do not use magnetic stripe cards. 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. Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. 0000001415 00000 n Healthcare coverage wherever you go. We do not sell leads or share your personal information. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . There is a fee to obtain a number. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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 All the information you need to properly process prescription claims with Cigna. 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 . 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. 0000009374 00000 n 0000016616 00000 n <<5F4BCB39515F55479546A7F5DAE5B678>]>> 0000006324 00000 n 0000033180 00000 n 0000001856 00000 n 0000007668 00000 n 0000001448 00000 n BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . }|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 0000070373 00000 n gcse.async = true; 0000001647 00000 n RX Bin: 610014 . money from Medicare into the account. 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. 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 Op!> =bLxT_W\h%H,8)1mhT@(\ We are not compensated for Medicare plan enrollments. area. Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs, Sign-up for our Medicare Part D Newsletter, Have a question? 0000001745 00000 n These standards are developed by theInternational Organization for Standardization / International Electrotechnical Commission (https://www.iso.org/home.html) (ISO/IEC) Joint Technical Committee (JTC) 1,Information Technology, Subcommittee (SC) 17,Cards and personal identification, Working Group (WG) 5. Medicare evaluates plans based on a 5-Star rating system. UMP Plus networks. enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. 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 When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 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 . })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. 0000001711 00000 n 0000002034 00000 n Links will appear for the application process. Rx Information: MEDCO 1-800-842-2038 . The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 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. 0000003982 00000 n 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. Day length: 8h 24m. UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. 0000002215 00000 n startxref Sunset: 04:14PM. On the ANSI web page, enter "IIN" in the Search box. 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. RX BIN: 610114, PCN: PV 8009333734 Pharmacy Help 8669509949 www.pharmavail.com PharmAvail 3380 Trickum Road Building 400, Unit 100 Woodstock, GA 30188 HCC Pharmacy Onsite Pharmacy and 90day/Mail Order Prescriptions 8668278975 9196788261 Fax: 9196788159 If you continue to browse or use this website, you agree to this updated Privacy Policy. 0000006248 00000 n Members may enroll in a Medicare Advantage plan only during specific times of the year. Your Premera provider network: What's 'in' it for you? endstream endobj 75 0 obj <. This document is available with NCPDP membership. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). cyU>]s#~e{0Bb'Su[4E(/0PS_5]bmE k!Nb%Lx@b,/c7RL Xg29jA8Ruk1  fRBYoD0F9%e=E>e?-"{wQD ?c['l|S_R "qQKMF4B6B] o)/+jtqGOfPN-H ni;9uE%[7 aX4wve.\FPDvY '}Aj(bsgZJLi|]&:{|r2+>p#+Y31D|nGPrtqp\R]oMDl${mI15R/,;$5#]_zK>%,u$xwO@B,UlCt MOkd?X?. TTY users should call, 1-800-325-0778; or your state Medicaid Office. 0 0000028633 00000 n 0000003344 00000 n 3=Three Occurrences . Hb```?@(AEs,Pp IG1~D&t The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. Honestly, whenever I see BIN 610014 I know it's PAID. 0000003547 00000 n We do not sell leads or share your personal information. RX Group: UHEALTH . RX Group: UHEALTH . endstream endobj startxref BIN: PCN: Group Number PBM: Phone Number. Our Privacy Policy is now easier to read and better organized. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information.
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