PDF Medco Version D.0 Medicare Part D Payer Sheet - BCBSM Our. 74 0 obj <> endobj 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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 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 %PDF-1.6 % xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 Emblem Health (800) 447-8255. 0000019345 00000 n 0000021562 00000 n 0000007555 00000 n 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). 0000004910 00000 n 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 0000003944 00000 n 02. Some entities may use the Group ID; still others may not need this level of differentiation. PCN: Varies by plan - refer to ID card. The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 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 0000007679 00000 n 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 . There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 0000002215 00000 n gcse.src = (document.location.protocol == 'https:' ? 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. PDF Acute Care Plans - azahcccs.gov Medicare has neither reviewed nor endorsed the information on our site. BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . Refer to above list or what is printed on ID card . 0000002289 00000 n PDF Navitus Health Solutions LLC Pharmacy Network Development Leading zeroes in the NCPDP Processor BIN are significant. 0000002333 00000 n Both in Stockholm and Finland, an e We do not sell leads or share your personal information. 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. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. gcse.type = 'text/javascript'; 0000033180 00000 n PDF IMPORTANT PROVIDER NOTICE Medicare Part D Information - PBA Health M (BIN 6156 only . Op!> =bLxT_W\h%H,8)1mhT@(\ 0000010872 00000 n 0000002482 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 . 'https:' : 'http:') + %%EOF 0000005854 00000 n NCPDP issues the Processor ID Number (BIN). area. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 0000001081 00000 n 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?. Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . RX Bin: 610014 . 0000022896 00000 n 0000033095 00000 n 0000028775 00000 n 2391 0 obj<>stream %PDF-1.4 % 8254 0 obj <> endobj endstream endobj 249 0 obj <>stream var s = document.getElementsByTagName('script')[0]; 0000029834 00000 n 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. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` 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. Managed care pharmacy identification. gcse.type = 'text/javascript'; Day length: 8h 24m. })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 0000009092 00000 n Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! area. 0000006248 00000 n These numbers commonly begin with "61" as in "610014". The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000003547 00000 n Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 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. 0000002142 00000 n We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 0000007215 00000 n Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? 0000002830 00000 n Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . C. CPhT1969 New Member. xref 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. 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 0000046944 00000 n Members may enroll in a Medicare Advantage plan only during specific times of the year. It is important to understand the difference between the ISO/IEC 7812 IIN and NCPDP Processor ID Number (BIN) before applying for a Processor ID Number (BIN). PDF NYS Medicaid Managed Care Plan Contact and Billing Information 2015 0000001448 00000 n If they have bookmarked their old account, this will NOT show 2020 plan information. 0000004799 00000 n 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. Because of this, every member must create a new account regardless of whether they are renewing or not. 0000001856 00000 n 0000004060 00000 n Once new versions of the standards are adopted, truncation will no longer be necessary. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. 0000100252 00000 n The ISO/IEC 7812 IIN is a number used throughout electronic routing. PDF Commercial Payer Sheet - BCBSM MCAIDADV RX5443. 0000029111 00000 n UMP Plus (SEBB) 2021 Quick Start Guide. As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. 0000002034 00000 n Have them call the phone number on the back of their Cigna ID card. 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 BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. 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. Box 7012 Downey, CA . 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. The plan deposits 0 TTY users should call, 1-800-325-0778; or your state Medicaid Office. *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 0000005086 00000 n Medicare evaluates plans based on a 5-Star rating system. 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. 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . 0000007028 00000 n What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? This website is not intended for residents of New Mexico. endstream endobj 75 0 obj <. var gcse = document.createElement('script'); There is a fee to obtain a number. 0000003518 00000 n All insurance policies and group benefit plans contain exclusions and limitations. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 0000002073 00000 n 0000006674 00000 n a listing of the legal entities 0000001469 00000 n 0000002463 00000 n 0000000016 00000 n 0000005958 00000 n bin 610014 pcn peu - Julio Carmona We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . Chart of 2022 BIN and PCN values for each Medicare Part D prescription The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 106 0 obj <>stream

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