TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 0000004060 00000 n 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 3850 0 obj <>stream 0000011029 00000 n Ut JJ`&PXIIaAAq0. 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. 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 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. TTY users should call, 1-800-325-0778; or your state Medicaid Office. 0000001469 00000 n JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 BIN: PCN: Group Number PBM: Phone Number. Please contact the plan for further details. Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . PDF ATTACHMENT 2 PLAN CONTACT AND BILLING INFORMATION - New York State 0000003383 00000 n x1 04HKl\GMyC. Please renew your membership to login. SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC. HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC. WELLCARE HEALTH INSURANCE OF TENNESSEE, INC. FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY, BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK, COMPCARE HEALTH SERVICES INSURANCE CORPORATION, BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY, CENTRAL VALLEY MEDICAL SERVICES CORPORATION, CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC, WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA. 0000032580 00000 n Rx BIN#: 400023 Rx PCN#: 0020050403 Issuer#: (80840) CMS#:H3330-037-000 Plan Name Network: VIP Prime Comprehensive Dental X327934200116X 3 2 7 9 3 4 2 0 0 1 1 6 MEMBERS AND PROVIDERS: Network providers must provide or arrange nonemergency care. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# Author: Kelly Wilson Created Date: 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. 8289 0 obj <>stream Providers who do not contract with the plan are not required to see you except in an emergency. UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. 0000033238 00000 n It is important to understand the difference between the ISO/IEC 7812 IIN and NCPDP Processor ID Number (BIN) before applying for a Processor ID Number (BIN). 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 0000007679 00000 n We do not reuse numbers. PDF Commercial Payer Sheet - BCBSM You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Our. 8254 36 0 %PDF-1.3 % The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. PDF UMP Plus (SEBB) 2021 Quick Start Guide - hca.wa.gov The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010". PDF OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID If using IE11, please consider using an alternative browser. %PDF-1.4 % 109-A9 Transaction count 1 to 4 M Up to 4 0000019138 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). 0000002685 00000 n Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . The PCN, like the BIN/IIN appears on the pharmacy ID card, in accordance with the rules defined in theNCPDP Pharmacy ID and Combination Card Implementation Guide. %%EOF What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? CDPHP (800) 388-2994. But that's pure memorization. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Your Dental Benefits 0000030450 00000 n PDF Commercial Plan List 0000006324 00000 n 0000033095 00000 n For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. area. CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. PDF Payer Sheet - WellDyne Have them call the phone number on the back of their Cigna ID card. NCPDP - NCPDP Processor ID (BIN) 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 U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. WQqiT/ Y* T/q)~Z? gcse.src = (document.location.protocol == 'https:' ? 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 . 2019 Payer Sheet NCPDP Version D - meridianrx.com Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . However, it is highly encouraged that the Group ID is submitted for all Part D claims. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. All the information you need to properly process prescription claims with Cigna. 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 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 Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. There is a fee to obtain a number. Please renew your membership to login. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 0000005958 00000 n Use the Drawing Tools tab to change the formatting of the pull quote text box.] 0000001623 00000 n Please do not turn the customer away if you receive a rejected claim. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 0000000016 00000 n Some health plans decided to use magnetic stripe cards, some did not. 0000016714 00000 n What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? 0000000927 00000 n PDF NYS Medicaid Managed Care Plan Contact and Billing Information 2015 MCAIDADV RX5443. %PDF-1.6 % The term BIN is synonymous with the ISO/IEC 7812 IIN. trailer 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. As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. 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 ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 0000001465 00000 n Box 7012 Downey, CA . UMP Plus (SEBB) 2021 Quick Start Guide. 0000002215 00000 n '//cse.google.com/cse.js?cx=' + cx; 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} M (BIN 6156 only . %%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, Sign-up for our Medicare Part D Newsletter, Have a question? 0000004799 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 evaluates plans based on a 5-Star rating system. RX Bin: 610014 . 0000001717 00000 n startxref during the calendar year will owe a portion of the account deposit back to the plan. If you continue to browse or use this website, you agree to this updated Privacy Policy. 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?. Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 0000028775 00000 n 0 0000005387 00000 n Please do not turn the customer away if you receive a rejected claim. There is no registry of PCNs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. Providers who do not contract with the plan are not required to see you except in an emergency. 0000003982 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. The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. startxref

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