0000014836 00000 n Group ID will be ignored by the processor. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. 0000001415 00000 n The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000003136 00000 n 0000021562 00000 n endstream endobj 75 0 obj <. 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, The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 trailer 0000002851 00000 n %PDF-1.4 % endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream Members may enroll in a Medicare Advantage plan only during specific times of the year. 0000033095 00000 n 0000007450 00000 n 0000002648 00000 n 0000008854 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. 0000019287 00000 n '//cse.google.com/cse.js?cx=' + cx; 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 0000014626 00000 n 0000003344 00000 n Updated Privacy Policy, Documents | Guides and Templates | Informational. 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. (function() { var s = document.getElementsByTagName('script')[0]; Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 0000006077 00000 n ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . 0000005253 00000 n The plan deposits M (BIN 6156 only . To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The term BIN is synonymous with the ISO/IEC 7812 IIN. 0 0000001465 00000 n 0000032580 00000 n 0000002330 00000 n If you forget if you need a group number or not, use the third party inquiry. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 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 have questions or concerns processing claims, you can call 1.800.624.6961, ext. Please do not turn the customer away if you receive a rejected claim. To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. endstream endobj 249 0 obj <>stream %%EOF Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 0000001717 00000 n 0000005854 00000 n 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. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. 'https:' : 'http:') + Your Dental Benefits Please renew your membership to login. 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 3440 0 obj <>/Filter/FlateDecode/ID[<83A1511E809EEA4884A369FF9F7C8102>]/Index[3424 33]/Info 3423 0 R/Length 84/Prev 249481/Root 3425 0 R/Size 3457/Type/XRef/W[1 2 1]>>stream 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. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` UMP Plus networks. Your Premera provider network: What's 'in' it for you? 0000002482 00000 n RX Group: UHEALTH . Solar noon: 12:02PM. endstream endobj startxref Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 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. 0000007096 00000 n gcse.async = true; 0000004060 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. What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? '//cse.google.com/cse.js?cx=' + cx; 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). Rx PCN: N/A })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The plan deposits Medicare has neither reviewed nor endorsed the information on our site. 0 Sunrise, sunset, day length and solar time for Stockholm County. The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. TTY users should call, 1-800-325-0778; or your state Medicaid Office. 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 term BIN is synonymous with the ISO/IEC 7812 IIN. 02. 0000004526 00000 n 0000006259 00000 n Those who disenroll We do not reuse numbers. 0000019138 00000 n Sign-up for our Medicare Part D Newsletter, Have a question? 0000009092 00000 n Refer to above list or what is printed on ID card . 0000013064 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 . BANBUHP Express Scripts. 0000028275 00000 n Our. 2389 38 There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 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. Details. The BIN/IIN field will either be filled with the ISO/IEC 7812 IIN or the NCPDP Processor BIN, depending on which one the health plan has obtained. D_j:i4 [lL@o?e}otGFsLH arXeq What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? In certain situations, you can. Medicare evaluates plans based on a 5-Star rating system. 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. 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. 0000009323 00000 n Star Ratings are calculated each year and may change from one year to the next. xref 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 0000011550 00000 n Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. 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. gcse.type = 'text/javascript'; )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM Please contact the plan for further details. This website is not intended for residents of New Mexico. Members are instructed to show both ID cards before receiving health care services. var s = document.getElementsByTagName('script')[0]; The PCN is defined by the PBM/processor as this identifier is unique to their business needs. 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 The application and registration procedures are identified in ISO/IEC 7812-2. We are an independent education, research, and technology company. 0000005026 00000 n 0000010641 00000 n 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. JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 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 0000003516 00000 n <<0F6188EC756C624CBAA438B0D92726A7>]>> Click here to let us know, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA, Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York, BlueCross BlueShield: Empire, Excellus, WNY & NENY, Health Alliance Medicare Prescription Plan, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of IL, NM, OK, TX, Blue Cross and Blue Shield of Kansas or Blue KC, Regence BlueShield of Idaho and Regence BC BS Utah, Horizon Blue Cross Blue Shield of New Jersey, 001-012, 014-034, 070, 105, 106, 121-137, 801, 802, 808. Group number: Make sure the group number is populated on page 4 in RPMS Patient . EmblemHealth (888 . Sunrise: 07:50AM. 3424 0 obj <> endobj PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. Not all entities use the PCN to differentiate plans. 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). General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. %PDF-1.3 % To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). BIN: PCN: Group Number PBM: Phone Number. 0000000016 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. that insure or administer group HMO, dental HMO, and other products or services in your state). These numbers commonly begin with "61" as in "610014". 0000034997 00000 n 0000004285 00000 n during the calendar year will owe a portion of the account deposit back to the plan. P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. RX Bin for GuideStone Health Plans Except for Secure Health (No PCN Number required) 610014; Rx Bin for Secure Health TM Plans 003858 ; PCN Number for Secure Health TM Plans A4; You can also visit GuideStoneHealth.org and create an account to print a temporary ID card on or after your health plan effective date. 'https:' : 'http:') + For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), CDPHP (800) 388-2994. Og%$pB1 o:er1?P_ojKuK3L 9H(! YOUR PROVIDERS. 106 0 obj <>stream 0000002830 00000 n Express Scripts resources for pharmacists. 0000007555 00000 n UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. All insurance policies and group benefit plans contain exclusions and limitations. 0000002034 00000 n 0000001623 00000 n Our Privacy Policy is now easier to read and better organized. a listing of the legal entities 109-A9 Transaction count 1 to 4 M Up to 4 0000029756 00000 n Sunset: 04:14PM. Op!> =bLxT_W\h%H,8)1mhT@(\ BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. 0000007679 00000 n You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Limitations, copayments, and restrictions may apply. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. Honestly, whenever I see BIN 610014 I know it's PAID. 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. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. RX Bin: 610014 . %%EOF 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. x1 04HKl\GMyC. 0000001469 00000 n Both in Stockholm and Finland, an e 0000032330 00000 n 2391 0 obj<>stream Health insurance can seem complicated, especially if you're new to the plan. RX Group: UHEALTH . Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The current local time in Stockholm County is 2 minutes ahead of apparent solar time. }|a3M3J=/`zy[X >]!/c 5'{ Xri endstream endobj 73 0 obj 336 endobj 47 0 obj << /Type /Page /Parent 42 0 R /Resources 48 0 R /Contents 56 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 >> endobj 48 0 obj << /ProcSet [ /PDF /Text /ImageC ] /Font << /TT2 53 0 R /TT4 52 0 R /TT6 51 0 R /TT8 57 0 R /TT10 60 0 R /TT12 61 0 R >> /XObject << /Im1 63 0 R >> /ExtGState << /GS1 66 0 R >> /ColorSpace << /Cs6 55 0 R >> >> endobj 49 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 0 /Descent -216 /Flags 34 /FontBBox [ -568 -307 2000 1007 ] /FontName /FHGHLD+TimesNewRoman /ItalicAngle 0 /StemV 0 /FontFile2 67 0 R >> endobj 50 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 0 /Descent -216 /Flags 34 /FontBBox [ -558 -307 2000 1026 ] /FontName /FHGHND+TimesNewRoman,Bold /ItalicAngle 0 /StemV 133 /FontFile2 68 0 R >> endobj 51 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 32 /Widths [ 250 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHND+TimesNewRoman,Bold /FontDescriptor 50 0 R >> endobj 52 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 49 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHLD+TimesNewRoman /FontDescriptor 49 0 R >> endobj 53 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 119 /Widths [ 352 0 0 0 0 0 0 0 0 0 0 0 364 0 364 454 636 636 0 0 636 0 0 636 0 0 0 0 0 0 0 0 0 0 0 0 771 0 575 0 751 421 455 0 557 843 748 0 603 0 0 684 0 0 0 0 0 0 0 0 0 0 0 0 0 601 0 521 623 596 0 0 633 274 0 592 274 973 633 607 623 0 427 521 394 633 592 818 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHKH+Verdana /FontDescriptor 54 0 R >> endobj 54 0 obj << /Type /FontDescriptor /Ascent 1005 /CapHeight 0 /Descent -209 /Flags 32 /FontBBox [ -50 -207 1447 1000 ] /FontName /FHGHKH+Verdana /ItalicAngle 0 /StemV 96 /FontFile2 65 0 R >> endobj 55 0 obj [ /ICCBased 64 0 R ] endobj 56 0 obj << /Length 1929 /Filter /FlateDecode >> stream Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 money from Medicare into the account. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. MedImpact (Includes: Excellus/ FLRx) CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 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. We do not sell leads or share your personal information. TTY users should call, 1-800-325-0778; or your state Medicaid Office. The Bank Identification Number (BIN) is a term commonly used in the credit card industry. 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 Contact the plan provider for additional information. 8289 0 obj <>stream On the ANSI web page, enter "IIN" in the Search box. As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. Medicare has neither reviewed nor endorsed the information on our site. 0000000927 00000 n However, it is highly encouraged that the Group ID is submitted for all Part D claims. Links will appear for the application process. gcse.async = true; 0000001711 00000 n gcse.src = (document.location.protocol == 'https:' ? Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. trailer We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. during the calendar year will owe a portion of the account deposit back to the plan. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 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). (function() { Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . 0 To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Some entities may use the Group ID; still others may not need this level of differentiation. gcse.type = 'text/javascript'; 3850 0 obj <>stream We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 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 . NCPDP issues the Processor ID Number (BIN). 8254 0 obj <> endobj %PDF-1.4 % 0000002170 00000 n 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 money from Medicare into the account. All calls are toll-free. area. 01. If using IE11, please consider using an alternative browser. s.parentNode.insertBefore(gcse, s); Your medical benefits allow you 0000008305 00000 n You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. var gcse = document.createElement('script'); UMP Plus (SEBB) 2021 Quick Start Guide. 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . 0000001448 00000 n 0000011949 00000 n 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 HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . *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 If they have bookmarked their old account, this will NOT show 2020 plan information. ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? | Renew memberhip. %PDF-1.6 % BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# Healthcare coverage wherever you go. 0000012588 00000 n 610014 800-824-0898 Integrated Prescription Management (IPM) 014658 877-860-8846 LDI Integrated Pharmacy Services 800010 800-652-9550 Magellan Health Services (Includes: Kentucky Passport) 015053, 016523 800-790-1631 McKesson Specialty 610524 800-657-7613 *Independently Contracted. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 0000002685 00000 n Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 74 33 0000003383 00000 n All the information you need to properly process prescription claims with Cigna. You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. 0000005086 00000 n r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. Share your form with others Send it via email, link, or fax. 0000016616 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). In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 0000000975 00000 n PCN List for BIN 610241 MeridianRx PCN Group ID Line of Business MHPILMCD N/A Medicaid Pharmacy Help Desk Information Inquiries to MeridianRx may be directed to our 24 hour Pharmacy Assistance Center. NCPDP has recently updated our Privacy Policy. 0000000016 00000 n 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. Managed care pharmacy identification. What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? 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. Members may enroll in a Medicare Advantage plan only during specific times of the year. 0000008161 00000 n var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 3=Three Occurrences . Contact the Medicare plan for more information. 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. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000010872 00000 n 0000013525 00000 n At home, across the country, and around the worldthe power of Blue is with you. 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 . 0000009977 00000 n Below are some tips to help you get the most out of your benefits and save money. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. 0000002333 00000 n We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 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 Y fz Y!t|n^JFR0=eS(72H;F^2Myb hIaR:6Y\VO%\":l`v-?y-D[WsF'L"6[C(# )j$\R3 !krl[lp3#u40T534k0ElJQzsC0GKi;}c-Bd9(pU!8;wj0~8@^DUt1Th~;rB] qySULJk(!T&*BTEo0k 6Q4c)![8U/^:y} 0000016122 00000 n 0000003944 00000 n 0000023131 00000 n 0000009281 00000 n But that's pure memorization. The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). Those that use magnetic stripe cards apply through ANSI for an IIN. Please renew your membership to login. BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . 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
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