Group number: Make sure the group number is populated on page 4 in RPMS Patient . Limitations, copayments, and restrictions may apply. One piece of information is the name of the health plan/PBM. 0000006248 00000 n Not all entities use the PCN to differentiate plans. 0000001448 00000 n What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? 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. Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 0000001602 00000 n NCPDP issues the Processor ID Number (BIN). Verify member eligibility and the MCO enrollment . xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 0000032330 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. 0000003547 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. 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. 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. 0 0000002830 00000 n Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. What is a Take-Home Drug? TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. a listing of the legal entities 0000013525 00000 n For more information contact the plan. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 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. Rx PCN: N/A Highmark ID Cards | GuideStone PDF IMPORTANT PROVIDER NOTICE Medicare Part D Information - PBA Health 0000002073 00000 n General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. WQqiT/ Y* T/q)~Z? Sunrise: 07:50AM. 109-A9 Transaction count 1 to 4 M Up to 4 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 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 Medco manages the prescription drug benefit for many of your customers Cigna may not control the content or links of non-Cigna websites. There is a fee to obtain a number. %PDF-1.4 % 0000009977 00000 n 3456 0 obj <>stream %PDF-1.5 % 0000012195 00000 n 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. s.parentNode.insertBefore(gcse, s); <<5F4BCB39515F55479546A7F5DAE5B678>]>> The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000001465 00000 n Some entities may use the Group ID; still others may not need this level of differentiation. Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . 0000002069 00000 n Hb```?@(AEs,Pp IG1~D&t gcse.async = true; PDF Group Health Plan Information for IRS/SSA/CMS Data Match NCPDP has recently updated our Privacy Policy. 0000019287 00000 n PDF Michigan NCPDP D.0 Payer Specifications - Magellan Rx Management 0000029756 00000 n (function() { On the ANSI web page, enter "IIN" in the Search box. Please contact the plan for further details. Please enter the information that appears on the 0000014626 00000 n Op!> =bLxT_W\h%H,8)1mhT@(\ PDF Commercial Payer Sheet - BCBSM However, it is highly encouraged that the Group ID is submitted for all Part D claims. 0000004060 00000 n CO. & UHC INS. 0000001745 00000 n 0000008161 00000 n Express Scripts NCPDP Version D.0 Payer Sheet Department of : Fill 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 0000010471 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. Use the Drawing Tools tab to change the formatting of the pull quote text box.] PDF Certified Payors - McKesson Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 0000005253 00000 n 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 . We are not compensated for Medicare plan enrollments. CDPHP (800) 388-2994. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. The ISO/IEC 7812 IIN is a number used throughout electronic routing. RX Group: UHEALTH . xb```b````c` |, ,,2g]>%Ad`B. 0000032580 00000 n 0000003982 00000 n 0000000016 00000 n 0000004526 00000 n 0000001868 00000 n Contact the plan provider for additional information. We do not reuse numbers. <<0F6188EC756C624CBAA438B0D92726A7>]>> PDF NYS Medicaid Managed Care Plan Contact and Billing Information 2015 The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 0000021562 00000 n xref 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. Medicare MSA Plans do not cover prescription drugs. BIN: PCN: Group Number PBM: Phone Number. BANBUHP Express Scripts. %%EOF It refers to a six-digit number that is assigned to banks for electronic routing of transactions. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 2019 Payer Sheet NCPDP Version D - meridianrx.com PDF OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Contact the Medicare plan for more information. Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. 0000007028 00000 n PDF Pharmacy Providers - West Virginia However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Solar noon: 12:02PM. 0000008854 00000 n Medicare has neither reviewed nor endorsed the information on our site. 0000028775 00000 n PDF Commercial Plan List 0000011550 00000 n 0000001867 00000 n 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 0000002648 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Medicare evaluates plans based on a 5-Star rating system. The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 02. NCPDP - NCPDP Processor ID (BIN) If using IE11, please consider using an alternative browser. gcse.type = 'text/javascript'; The current local time in Stockholm County is 2 minutes ahead of apparent solar time. 0000000927 00000 n 2389 0 obj<> endobj The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. Managed care pharmacy identification. 0000033238 00000 n 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). 0000008305 00000 n %%EOF The plan deposits 74 0 obj <> endobj 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 hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 For more information contact the plan. '//cse.google.com/cse.js?cx=' + cx; 0000007555 00000 n Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. 0000005422 00000 n 0000002706 00000 n PDF Pharmacy Reference Guide 0000001020 00000 n 0000004577 00000 n What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 0000005387 00000 n Providers who do not contract with the plan are not required to see you except in an emergency. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? 2391 0 obj<>stream 0 0000004285 00000 n 0000007668 00000 n 0000006589 00000 n gcse.async = true; 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. x1 04HKl\GMyC. At home, across the country, and around the worldthe power of Blue is with you. 0000003018 00000 n 03. 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 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 We are an independent education, research, and technology company. 0000028672 00000 n Our. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. 0000000016 00000 n startxref 0000009092 00000 n 0000007215 00000 n 0000003944 00000 n International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. *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 0000002482 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). 0000003516 00000 n | Renew memberhip. 0000003632 00000 n })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). YOUR PROVIDERS. 0000001081 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?