The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010". 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 The benefit information provided is a brief summary, not a complete description of benefits. Emblem Health (800) 447-8255. Star Ratings are calculated each year and may change from one year to the next. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. Ut JJ`&PXIIaAAq0. 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. There is a fee to obtain a number. 0000032773 00000 n
A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. 4=Four Occurrences. Rx PCN: N/A 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. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Joined Feb 3, 2010 Messages 2 . 0000006674 00000 n
Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . RX Group: UHEALTH . gcse.src = (document.location.protocol == 'https:' ? 0000006248 00000 n
Pharmacy :: The Health Plan 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. startxref
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If you continue to browse or use this website, you agree to this updated Privacy Policy. 0000016527 00000 n
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Instructions for setting up RPMS POS for Blue Cross/Blue Shield Federal Providers who do not contract with the plan are not required to see you except in an emergency. 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 . The ISO/IEC 7812 IIN is a number used throughout electronic routing. The plan deposits
PDF 2020 Medicare Advantage Guide - EmblemHealth {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi}
*"d\Q*\ZMW% Ffa3Y!G'[71c4)0 However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist.
PDF EFFECTIVE 07.27.2015 Subject to Change BIN Type Network - RxHope 0000007555 00000 n
Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 3456 0 obj
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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. 0000014560 00000 n
Once new versions of the standards are adopted, truncation will no longer be necessary. 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. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 0000019287 00000 n
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). The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 0000002073 00000 n
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PDF Acute Care Plans - azahcccs.gov All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. var gcse = document.createElement('script'); 02. Medicare has neither reviewed nor endorsed the information on our site. Sign-up for our Medicare Part D Newsletter, Have a question? UMP Plus networks. 0000006921 00000 n
When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 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. %%EOF
All calls are toll-free. C. CPhT1969 New Member. Please contact the plan for further details. RX Bin: 610014 . Limitations, copayments, and restrictions may apply. 0000007028 00000 n
YOUR PROVIDERS. 0000004799 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 . Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 'https:' : 'http:') + 0000011626 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! Sunset: 04:14PM.
NCPDP - NCPDP Processor ID (BIN) If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 0000008854 00000 n
Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . Refer to above list or what is printed on ID card .
Chart of 2021 BIN and PCN values for each Medicare Part D prescription 0000004910 00000 n
The plan deposits For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Please contact the plan for further details. 0000002715 00000 n
PDF Pharmacy Providers - West Virginia 0000002069 00000 n
To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. 0000005422 00000 n
BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. Star Ratings are calculated each year and may change from one year to the next. 0000001623 00000 n
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Anthem Blue Cross Rx BIN: 020099 PCN: IS Blue Shield of California Rx BIN: 004336 PCN: 77993333 Chinese Community Health Plan RX BIN: 003585 RX PCN: ASPROD1 Cigna + Oscar RX BIN: 003858 PCN: A4 Health Net* Rx BIN: 004336 PCN: HNET Kaiser Permanente-Northern CA Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address: P.O. %PDF-1.3
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Health insurance can seem complicated, especially if you're new to the plan. var gcse = document.createElement('script'); As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. 0000029756 00000 n
The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe. Managed care pharmacy identification. But that's pure memorization. Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 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.
PDF PBM BINs Help Desk - PBA Health Leading zeroes in the NCPDP Processor BIN are significant. 0000010872 00000 n
We are an independent education, research, and technology company. Rx Information: MEDCO 1-800-842-2038 . Those who disenroll 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. 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. BANBUHP Express Scripts. 0000001711 00000 n
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PDF Navitus Health Solutions LLC Pharmacy Network Development 0000010471 00000 n
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Express Scripts NCPDP Version D.0 Payer Sheet Department of : Fill 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336.
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109-A9 Transaction count 1 to 4 M Up to 4 0000003518 00000 n
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One piece of information is the name of the health plan/PBM. 0000008161 00000 n
The application and registration procedures are identified in ISO/IEC 7812-2. 8289 0 obj
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If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. NCPDP has recently updated our Privacy Policy. 0000003516 00000 n
This website is not intended for residents of New Mexico. 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). BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . 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 ;;_XKkMUsZWPTdyRWp :{j
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Group number: Make sure the group number is populated on page 4 in RPMS Patient . 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. Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York.
PDF New ID cards are being distributed for 2022 See below for important The term BIN is synonymous with the ISO/IEC 7812 IIN. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# 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. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 610014 003858 MA . BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j
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z7F@s"WoM 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). Contact the plan provider for additional information. You can position the text box anywhere in the document. x1 04HKl\GMyC. Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . 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. International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. 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. RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Members may enroll in a Medicare Advantage plan only during specific times of the year. Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . M (BIN 6156 only . 0000033238 00000 n
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Providers who do not contract with the plan are not required to see you except in an emergency. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . 0000070373 00000 n
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NCPDP provides a service to those health plans that do not use magnetic stripe cards.
PDF Medco Medicare Prescription Plan, and in support of a number of other 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). %PDF-1.5
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PDF Commercial Payer Sheet - BCBSM 0000002648 00000 n
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s.parentNode.insertBefore(gcse, s); 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. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 0000008305 00000 n
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Updated Privacy Policy, Documents | Guides and Templates | Informational. 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. BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. startxref
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The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. RX Bin: 610014 . If using IE11, please consider using an alternative browser. <<0F6188EC756C624CBAA438B0D92726A7>]>>
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. 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.
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