0000011626 00000 n HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb 0000014560 00000 n UMP Plus networks. 0000010872 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. 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 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? 0000002685 00000 n Group number: Make sure the group number is populated on page 4 in RPMS Patient . BIN: PCN: Group Number PBM: Phone 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 0000014626 00000 n Sign-up for our Medicare Part D Newsletter, Have a question? 0000005253 00000 n 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 . The PCN, like the BIN/IIN appears on the pharmacy ID card, in accordance with the rules defined in theNCPDP Pharmacy ID and Combination Card Implementation Guide. %PDF-1.6 % MCAIDADV RX5443. 0000006248 00000 n money from Medicare into the account. 109-A9 Transaction count 1 to 4 M Up to 4 Star Ratings are calculated each year and may change from one year to the next. XLS Home - Centers for Medicare & Medicaid Services | CMS Cigna may not control the content or links of non-Cigna websites. 0000100252 00000 n that insure or administer group HMO, dental HMO, and other products or services in your state). Providers who do not contract with the plan are not required to see you except in an emergency. 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 Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 Contact the plan provider for additional information. trailer PDF Group Health Plan Information for IRS/SSA/CMS Data Match Have them call the phone number on the back of their Cigna ID card. Sunrise: 07:50AM. var gcse = document.createElement('script'); There is a fee to obtain a number. 0000004799 00000 n The plan deposits 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. 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 0000003632 00000 n 0000002215 00000 n But that's pure memorization. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 0000014836 00000 n CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. Share your form with others Send it via email, link, or fax. 3424 0 obj <> endobj The ISO/IEC 7812 IIN is a number used throughout electronic routing. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 0000007028 00000 n Your membership is expired. PDF SAS Benefit Vendor Contact Information 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. '//cse.google.com/cse.js?cx=' + cx; 0000012588 00000 n All calls are toll-free. One piece of information is the name of the health plan/PBM. 0000028726 00000 n gcse.type = 'text/javascript'; PDF UMP Plus (SEBB) 2021 Quick Start Guide - hca.wa.gov 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. 0000030450 00000 n You can position the text box anywhere in the document. Have them call the phone number on the back of their Cigna ID card. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. Your medical benefits allow you 0000002706 00000 n 0000003944 00000 n Chart of 2022 BIN and PCN values for each Medicare Part D prescription Hb```?@(AEs,Pp IG1~D&t %%EOF The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. PDF NYS Medicaid Managed Care Plan Contact and Billing Information 2015 To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000003516 00000 n The application and registration procedures are identified in ISO/IEC 7812-2. gcse.src = (document.location.protocol == 'https:' ? 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). For more information contact the plan. 0000016714 00000 n %PDF-1.4 % 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 gcse.src = (document.location.protocol == 'https:' ? 0000000016 00000 n Limitations, copayments, and restrictions may apply. Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 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. Update on Premera Individual Medical and LifeWise Individual Medical 0000000927 00000 n PDF Medco Version D.0 Medicare Part D Payer Sheet - BCBSM PDF Payer Sheet - WellDyne The current local time in Stockholm County is 2 minutes ahead of apparent solar time. 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. 0000011029 00000 n YOUR PROVIDERS. As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. At home, across the country, and around the worldthe power of Blue is with you. Rx Information: MEDCO 1-800-842-2038 . trailer << /Size 74 /Info 43 0 R /Root 46 0 R /Prev 171485 /ID[<37aecaa143068a95479ba03747276abf><049f79498583002e530f12be65619304>] >> startxref 0 %%EOF 46 0 obj << /Type /Catalog /Pages 42 0 R /Metadata 44 0 R /PageLabels 41 0 R >> endobj 72 0 obj << /S 297 /L 404 /Filter /FlateDecode /Length 73 0 R >> stream 0000001081 00000 n RX Group: UHEALTH . Our. hb```>>S~1A\pDKu;sH(1mA~>bN We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 0 The term BIN is synonymous with the ISO/IEC 7812 IIN. a listing of the legal entities 0000003144 00000 n PDF Ohio Medicaid - Pharmacy Billing Reference Guide 0000001717 00000 n TTY users should call, 1-800-325-0778; or your state Medicaid Office. 0000003547 00000 n 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 ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. Click here to let us know, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA, Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York, BlueCross BlueShield: Empire, Excellus, WNY & NENY, Health Alliance Medicare Prescription Plan, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of IL, NM, OK, TX, Blue Cross and Blue Shield of Kansas or Blue KC, Regence BlueShield of Idaho and Regence BC BS Utah, Horizon Blue Cross Blue Shield of New Jersey, 001-012, 014-034, 070, 105, 106, 121-137, 801, 802, 808. 0000038251 00000 n BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . NCPDP - NCPDP Processor ID (BIN) International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. Express Scripts NCPDP Version D.0 Payer Sheet Department of : Fill CO. & UHC INS. EmblemHealth (888 . 0000001602 00000 n Some health plans decided to use magnetic stripe cards, some did not. 0000016616 00000 n Plug . 0000001647 00000 n In certain situations, you can. Those that use magnetic stripe cards apply through ANSI for an IIN. We are not compensated for Medicare plan enrollments. It refers to a six-digit number that is assigned to banks for electronic routing of transactions. Please contact the plan for further details. Managed care pharmacy identification. 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. 0000002463 00000 n RX Group: UHEALTH . 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. Not all entities use the PCN to differentiate plans. %PDF-1.5 % 8254 36 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. Contact the Medicare plan for more information. <<0F6188EC756C624CBAA438B0D92726A7>]>> Please enter the information that appears on the 0000021734 00000 n Contact the plan provider for additional information. 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. xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 0000002203 00000 n Please do not turn the customer away if you receive a rejected claim. M (BIN 6156 only . %%EOF Medicare evaluates plans based on a 5-Star rating system. 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. The benefit information provided is a brief summary, not a complete description of benefits. Once new versions of the standards are adopted, truncation will no longer be necessary. 0000008238 00000 n Sunrise, sunset, day length and solar time for Stockholm County. 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. 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. 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. Our. 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. You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. BANBUHP Express Scripts. What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? PDF Commercial Payer Sheet - BCBSM 4=Four Occurrences. 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?. 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 BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . This document is available with NCPDP membership. RX Bin: 610014 . All insurance policies and group benefit plans contain exclusions and limitations. Author: Kelly Wilson Created Date: 0000009092 00000 n PDF Certified Payors - McKesson PDF Commercial Plan List 0000002715 00000 n When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000003982 00000 n 610014 003858 MA . 0000001469 00000 n Members may enroll in a Medicare Advantage plan only during specific times of the year. 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y 0000003018 00000 n Those who disenroll 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 ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` 0000005854 00000 n PDF 2020 Medicare Advantage Guide - EmblemHealth Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs. 8289 0 obj <>stream PDF Pharmacy Reference Guide UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 0000001623 00000 n Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. '//cse.google.com/cse.js?cx=' + cx; We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. Managed care pharmacy identification - Minnesota Department of Human In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000006921 00000 n These numbers commonly begin with "61" as in "610014". var s = document.getElementsByTagName('script')[0]; 0000002142 00000 n during the calendar year will owe a portion of the account deposit back to the plan. Updated Privacy Policy, Documents | Guides and Templates | Informational.