(function() { However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. xref Our Privacy Policy is now easier to read and better organized. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? ngRH);HRsZ.>@qTi-(0Q\{*`*5&he%fJ`B49Pe(h\#70 #8:(7Q)7mW:R,ATp$&Oz5$;X\MV&N2Z%s6GzMC"C&tcz=8j 11'H[/).R(k9FMfFU%g^|Vk&q/=~CC#Pe[?0gYvnF&9,g8iVIF;>v.fcIt(W=7YKF%ej>-T7WvR"B>]D.by%z"lhhnP7 jP6@{6Ap+t fzWGD\N|@wLL5 0000001465 00000 n However, it is highly encouraged that the Group ID is submitted for all Part D claims. We are an independent education, research, and technology company. gcse.type = 'text/javascript'; 0000002069 00000 n 0000004526 00000 n Cigna may not control the content or links of non-Cigna websites. When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . 0000002289 00000 n We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. We are not compensated for Medicare plan enrollments. endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream 0000000016 00000 n Star Ratings are calculated each year and may change from one year to the next. 0000002142 00000 n RX Bin: 610014 . 74 33 0000006921 00000 n The application and registration procedures are identified in ISO/IEC 7812-2. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 0000001647 00000 n 0000007450 00000 n 0000001856 00000 n 3=Three Occurrences . endstream endobj 249 0 obj <>stream The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 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 . BANBUHP Express Scripts. during the calendar year will owe a portion of the account deposit back to the plan. Solar noon: 12:02PM. 0000100252 00000 n We do not reuse numbers. Health insurance can seem complicated, especially if you're new to the plan. 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. Your Dental Benefits 0000007668 00000 n Sunrise, sunset, day length and solar time for Stockholm County. 0000005422 00000 n The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 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 0000002203 00000 n The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Medicare MSA Plans do not cover prescription drugs. Please do not turn the customer away if you receive a rejected claim. In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. 0000009092 00000 n 2389 0 obj<> endobj var s = document.getElementsByTagName('script')[0]; AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . 'https:' : 'http:') + 0000000016 00000 n var gcse = document.createElement('script'); 0000002330 00000 n MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 [email protected] . contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . 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 0000003944 00000 n If you continue to browse or use this website, you agree to this updated Privacy Policy. x1 04HKl\GMyC. One piece of information is the name of the health plan/PBM. The term BIN is synonymous with the ISO/IEC 7812 IIN. BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. s.parentNode.insertBefore(gcse, s); 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. 0000028672 00000 n You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The plan deposits 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. What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? 0000032330 00000 n All insurance policies and group benefit plans contain exclusions and limitations. Express Scripts resources for pharmacists. 0000003632 00000 n 0000011626 00000 n Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . Managed care pharmacy identification. 11-a1 bin number (see above) m 12-a2 version/releasenumber d m 13-a3 transaction code b1, b3 m 14-a4 processor control number m . JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. Please renew your membership to login. HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb Those who disenroll RX Bin for GuideStone Health Plans Except for Secure Health (No PCN Number required) 610014; Rx Bin for Secure Health TM Plans 003858 ; PCN Number for Secure Health TM Plans A4; You can also visit GuideStoneHealth.org and create an account to print a temporary ID card on or after your health plan effective date. cyU>]s#~e{0Bb'Su[4E(/0PS_5]bmE k!Nb%Lx@b,/c7RL Xg29jA8Ruk1  fRBYoD0F9%e=E>e?-"{wQD ?c['l|S_R "qQKMF4B6B] o)/+jtqGOfPN-H ni;9uE%[7 aX4wve.\FPDvY '}Aj(bsgZJLi|]&:{|r2+>p#+Y31D|nGPrtqp\R]oMDl${mI15R/,;$5#]_zK>%,u$xwO@B,UlCt MOkd?X?. RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. 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. 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). Please renew your membership to login. %%EOF 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. 0000010641 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 members of the enhanced Without these codes, You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. that insure or administer group HMO, dental HMO, and other products or services in your state). 0000002034 00000 n The Bank Identification Number (BIN) is a term commonly used in the credit card industry. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 0000008854 00000 n ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) BIN: PCN: Group Number PBM: Phone Number. 0000003982 00000 n 0000005387 00000 n NCPDP has recently updated our Privacy Policy. DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". 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. 0000046944 00000 n <<5F4BCB39515F55479546A7F5DAE5B678>]>> 0000001415 00000 n The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 0000006077 00000 n trailer The plan deposits Hb```?@(AEs,Pp IG1~D&t Leading zeroes in the NCPDP Processor BIN are significant. 0000002715 00000 n wG4jZG5\s.Wu=]qjLH 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. All the information you need to properly process prescription claims with Cigna. Rx Information: MEDCO 1-800-842-2038 . 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 Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? %PDF-1.5 % 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. 0000000927 00000 n Medicare has neither reviewed nor endorsed the information on our site. })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). 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. Members are instructed to show both ID cards before receiving health care services. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. 0000000016 00000 n 0000003344 00000 n 0000005958 00000 n 3850 0 obj <>stream 0000011550 00000 n var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; There is a fee to obtain a number. 0000008238 00000 n 0000004060 00000 n In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. endstream endobj 75 0 obj <. 0000006462 00000 n To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. Sunrise: 07:50AM. 610014 003858 MA . For more information contact the plan. 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. money from Medicare into the account. 0000012195 00000 n Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. YOUR PROVIDERS. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. gcse.src = (document.location.protocol == 'https:' ? Contact the plan provider for additional information. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. startxref For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 0 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. 0000011095 00000 n 0000001868 00000 n 3456 0 obj <>stream Use the Drawing Tools tab to change the formatting of the pull quote text box.] 0000033095 00000 n gcse.async = true; 0000002706 00000 n 0000038251 00000 n 0000012588 00000 n 0000006026 00000 n 0000001602 00000 n The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). We are an independent education, research, and technology company. <]>> 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 %PDF-1.4 % TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. UMP Plus (SEBB) 2021 Quick Start Guide. Contact the plan provider for additional information. 0 2. Contact the Medicare plan for more information. 0000001867 00000 n <<0F6188EC756C624CBAA438B0D92726A7>]>> hb```>>S~1A\pDKu;sH(1mA~>bN Members may enroll in a Medicare Advantage plan only during specific times of the year. Group number: Make sure the group number is populated on page 4 in RPMS Patient . 0000009281 00000 n Group ID will be ignored by the processor. 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. 0000021562 00000 n In certain situations, you can. Medicare evaluates plans based on a 5-Star rating system. Healthcare coverage wherever you go. 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. 0000002648 00000 n The term BIN is synonymous with the ISO/IEC 7812 IIN. If they have bookmarked their old account, this will NOT show 2020 plan information. Star Ratings are calculated each year and may change from one year to the next. ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. Providers who do not contract with the plan are not required to see you except in an emergency. 0000032580 00000 n 0000003383 00000 n We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 0000001745 00000 n Medicare evaluates plans based on a 5-Star rating system. 0000014836 00000 n Not a Member? 0000019287 00000 n 0000005854 00000 n 2389 38 Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 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. Please do not turn the customer away if you receive a rejected claim. 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. 01. 0000014560 00000 n NCPDP provides a service to those health plans that do not use magnetic stripe cards. 0000004910 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, Sign-up for our Medicare Part D Newsletter, Have a question? MCAIDADV RX5443. 02. This website is not intended for residents of New Mexico. 0000000975 00000 n We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 0000001469 00000 n On the ANSI web page, enter "IIN" in the Search box. 0000016122 00000 n 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. Our. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Have them call the phone number on the back of their Cigna ID card. Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. trailer To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. 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). 0000003136 00000 n area. 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 7914 (after-hours: 1.304.639.8591) or email us at [email protected]. EmblemHealth (888 . As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . We are not compensated for Medicare plan enrollments. 109-A9 Transaction count 1 to 4 M Up to 4 0000019345 00000 n 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. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0