Below are some tips to help you get the most out of your benefits and save money. Please contact the plan for further details. The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). Medicare evaluates plans based on a 5-Star rating system. The PCN is alphanumeric as defined by the PBM/processor. 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. %PDF-1.5
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20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 0000007450 00000 n
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. 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". To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 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. Limitations, copayments, and restrictions may apply. 0000002142 00000 n
Not a Member? Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . These numbers commonly begin with "61" as in "610014". 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. 0000001856 00000 n
7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. var s = document.getElementsByTagName('script')[0]; 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 . MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . Rx Information: MEDCO 1-800-842-2038 . 0000006674 00000 n
enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. 0000032580 00000 n
Links will appear for the application process. Both in Stockholm and Finland, an e 0000003632 00000 n
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Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Joined Feb 3, 2010 Messages 2 . *hE\gUk~4>nmSLz~d}ICbQ>9MGZ,*:1E[&{nM)mB5})vB^1+g<
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Contact the Medicare plan for more information. We are not compensated for Medicare plan enrollments. Once new versions of the standards are adopted, truncation will no longer be necessary. 0000033180 00000 n
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. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. 0000002069 00000 n
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M (BIN 6156 only . 0000002715 00000 n
Share your form with others Send it via email, link, or fax. %PDF-1.6
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We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. 0000001469 00000 n
The term BIN is synonymous with the ISO/IEC 7812 IIN. The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. Some health plans decided to use magnetic stripe cards, some did not. var s = document.getElementsByTagName('script')[0]; 0000012195 00000 n
You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Hb```?@(AEs,Pp
IG1~D&t 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. 0000003944 00000 n
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Sunset: 04:14PM. NCPDP provides a service to those health plans that do not use magnetic stripe cards. 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. 0000005422 00000 n
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Your medical benefits allow you 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 on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. 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 . xref
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Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 0000002330 00000 n
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The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. This includes accounts for Grandfathered members. 0000002830 00000 n
We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 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. 0000007215 00000 n
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Not all entities use the PCN to differentiate plans. hb```>>S~1A\pDKu;sH(1mA~>bN UMP Plus (SEBB) 2021 Quick Start Guide. 0000032773 00000 n
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Refer to above list or what is printed on ID card . 0000009281 00000 n
'https:' : 'http:') + Members may enroll in a Medicare Advantage plan only during specific times of the year. The current local time in Stockholm County is 2 minutes ahead of apparent solar time. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000022896 00000 n
Have them call the phone number on the back of their Cigna ID card. 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 But that's pure memorization. Your membership is expired. 0
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Those who disenroll 0000030450 00000 n
The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). %PDF-1.6
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We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Solar noon: 12:02PM. startxref
Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . gcse.async = true; A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. 0000016616 00000 n
Verify member eligibility and the MCO enrollment . 0000012588 00000 n
However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000000016 00000 n
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If you continue to browse or use this website, you agree to this updated Privacy Policy. 3424 0 obj
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Medicare evaluates plans based on a 5-Star rating system. Details. hbbd``b`AR 6H da@D`m@\Y6
$Ma}d100RN2@ 8
contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . Rx PCN: N/A 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 All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. BIN: PCN: Group Number PBM: Phone Number. 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). 0000033095 00000 n
Leading zeroes in the NCPDP Processor BIN are significant. 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. Because of this, every member must create a new account regardless of whether they are renewing or not. Express Scripts resources for pharmacists. 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. <]>>
Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 0000003144 00000 n
What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . The benefit information provided is a brief summary, not a complete description of benefits. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 0000005958 00000 n
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However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 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). 0000028726 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 })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). There is a fee to obtain a number. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 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. C. CPhT1969 New Member. Og%$pB1 o:er1?P_ojKuK3L 9H(! 0000014626 00000 n
| Renew memberhip. 0000006462 00000 n
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. BIN number See above M Pages 1 and 2 for BIN/PCN : 102-A2 : Version/Release number D.0 M : 103-A3 : Transaction code B1, B3 M : 104-A4 : Processor control number : M . 0000019345 00000 n
800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. Members are instructed to show both ID cards before receiving health care services. 8289 0 obj
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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.
If the health plan uses theNCPDP Pharmacy ID and Combination Card Implementation Guidethat NCPDP members have created, the BIN/IIN is clearly shown on the card. 0000005253 00000 n
To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. 109-A9 Transaction count 1 to 4 M Up to 4 8254 0 obj
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Those that use magnetic stripe cards apply through ANSI for an IIN. 106 0 obj
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})(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). ?rXWK k(`8dB=k&y(~{p{V@ [
Hz)"oz ) 0000005086 00000 n
Medicare has neither reviewed nor endorsed the information on our site. Healthcare coverage wherever you go. 0000032330 00000 n
General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. 0000002463 00000 n
Contact the plan provider for additional information. 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. For more information contact the plan. Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . 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 . There is no registry of PCNs. Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . Contact the Medicare plan for more information. 0000007096 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! '//cse.google.com/cse.js?cx=' + cx; 0000016122 00000 n
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Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 0000003982 00000 n
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Please renew your membership to login. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. The Privacy Policy has also been updated to better clarify what information we collect and how we use it. PCN: Varies by plan - refer to ID card. (function() { 0000006589 00000 n
We do not sell leads or share your personal information. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. BIN and PCN Codes 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). 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. 3=Three Occurrences . 0000006248 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 Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable .