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. 0000003632 00000 n RX Group: UHEALTH . trailer '//cse.google.com/cse.js?cx=' + cx; 0000003944 00000 n BIN and PCN Codes 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). 0 0000002851 00000 n 0000001448 00000 n You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. However, it is highly encouraged that the Group ID is submitted for all Part D claims. trailer 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. 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. 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. The application and registration procedures are identified in ISO/IEC 7812-2. TTY users should call, 1-800-325-0778; or your state Medicaid Office. TTY users should call, 1-800-325-0778; or your state Medicaid Office. 0000000927 00000 n 8289 0 obj <>stream Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 0000011029 00000 n Leading zeroes in the NCPDP Processor BIN are significant. EmblemHealth (888 . a listing of the legal entities The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! The Privacy Policy has also been updated to better clarify what information we collect and how we use it. Members are instructed to show both ID cards before receiving health care services. 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. 0000006026 00000 n 0000002142 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. Medicare MSA Plans do not cover prescription drugs. 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 0000010641 00000 n 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} NCPDP issues the Processor ID Number (BIN). 106 0 obj <>stream Share your form with others Send it via email, link, or fax. Sunrise: 07:50AM. 0000002685 00000 n 0000004799 00000 n BIN 610239 PCN: FEPRX RxGrp: 65006500 3. gcse.async = true; However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 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. BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. 0000001711 00000 n 0000004910 00000 n Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. The benefit information provided is a brief summary, not a complete description of benefits. Some entities may use the Group ID; still others may not need this level of differentiation. Medicare has neither reviewed nor endorsed the information on our site. 0000001415 00000 n 109-A9 Transaction count 1 to 4 M Up to 4 0000007096 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 BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. M (BIN 6156 only . D_j:i4 [lL@o?e}otGFsLH arXeq Contact the plan provider for additional information. 0000002648 00000 n There is a fee to obtain a number. <<5F4BCB39515F55479546A7F5DAE5B678>]>> Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. Contact the Medicare plan for more information. Our. 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 . HealthNow Inc. (877) 327-1395 Medco Health Solutions (866) 544-7948 N/A 610014 Group: HNRXS HealthPlus (800) 300-8181 MedImpact Healthcare Systems, Inc. (800) 788-2949 58080 (HNY03-Health Plus NYS Medicaid) 003585 Medicaid Group: HCP9198, Family Health Plus Group: FHP9198 HIP Health Plan of New York (HIP) ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` Members may enroll in a Medicare Advantage plan only during specific times of the year. 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. 'https:' : 'http:') + To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Below are some tips to help you get the most out of your benefits and save money. 0000008238 00000 n Sign Up To Receive Emails For Events, News & General NCPDP Information. %%EOF 0000003383 00000 n U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. %PDF-1.5 % 'https:' : 'http:') + Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . BIN number See above M Pages 1 and 2 for BIN/PCN : 102-A2 : Version/Release number D.0 M : 103-A3 : Transaction code B1, B3 M : 104-A4 : Processor control number : M . 0000009092 00000 n HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 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. 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. MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . 0000002069 00000 n Health insurance can seem complicated, especially if you're new to the plan. This document is available with NCPDP membership. 0000033238 00000 n 3=Three Occurrences . Once new versions of the standards are adopted, truncation will no longer be necessary. })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). BANBUHP Express Scripts. 0000008305 00000 n NCPDP has recently updated our Privacy Policy. MCAIDADV RX5443. This website is not intended for residents of New Mexico. HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb 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. 0000002333 00000 n 0000008161 00000 n %PDF-1.6 % 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 . Please renew your membership to login. Contact the plan provider for additional information. Please do not turn the customer away if you receive a rejected claim. Star Ratings are calculated each year and may change from one year to the next. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000002482 00000 n startxref Healthcare coverage wherever you go. We do not reuse numbers. Hb```?@(AEs,Pp IG1~D&t 0000006259 00000 n For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. 0000007668 00000 n Cigna may not control the content or links of non-Cigna websites. Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance 0000000016 00000 n Managed care pharmacy identification. 0000001081 00000 n If you continue to browse or use this website, you agree to this updated Privacy Policy. 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 0000016527 00000 n We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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). 0000005086 00000 n A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. But that's pure memorization. Medicare evaluates plans based on a 5-Star rating system. 0000006921 00000 n 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. 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 0000002330 00000 n The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. What is a Take-Home Drug? 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 610014 003858 MA . BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . 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 . 0000001469 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. 0000032330 00000 n during the calendar year will owe a portion of the account deposit back to the plan. 0000001623 00000 n These numbers commonly begin with "61" as in "610014". 0000007450 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. Because of this, every member must create a new account regardless of whether they are renewing or not. Those who disenroll var s = document.getElementsByTagName('script')[0]; Have them call the phone number on the back of their Cigna ID card. 0000010872 00000 n )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM 0000100252 00000 n PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. %PDF-1.6 % 0000005958 00000 n MedImpact (Includes: Excellus/ FLRx) The current local time in Stockholm County is 2 minutes ahead of apparent solar time. 0000004285 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. 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 2. gcse.src = (document.location.protocol == 'https:' ? area. 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. Your Dental Benefits YOUR PROVIDERS. All insurance policies and group benefit plans contain exclusions and limitations. Your membership is expired. Rx PCN: N/A In certain situations, you can. 0000007555 00000 n 0000002215 00000 n }|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 during the calendar year will owe a portion of the account deposit back to the plan. Some health plans decided to use magnetic stripe cards, some did not. 0000029756 00000 n Use the Drawing Tools tab to change the formatting of the pull quote text box.] 03. Our Privacy Policy is now easier to read and better organized. RX Bin: 610014 . 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. 0000028672 00000 n The Bank Identification Number (BIN) is a term commonly used in the credit card industry. 0000003518 00000 n startxref xref 0000070373 00000 n This includes accounts for Grandfathered members. %%EOF Links will appear for the application process. '//cse.google.com/cse.js?cx=' + cx; %PDF-1.4 % Limitations, copayments, and restrictions may apply. 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. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). <]>> 0000006462 00000 n 0000004060 00000 n It refers to a six-digit number that is assigned to banks for electronic routing of transactions. 0000012588 00000 n Members may enroll in a Medicare Advantage plan only during specific times of the year. 2391 0 obj<>stream endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. CDPHP (800) 388-2994. 3850 0 obj <>stream 0000002203 00000 n Those who disenroll TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 2389 38 Please renew your membership to login. Limitations, copayments, and restrictions may apply. Not a Member? 8254 36 0000033095 00000 n Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . 0000006248 00000 n endstream endobj 75 0 obj <. ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. 0000000016 00000 n You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center.
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