0000033238 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. Express Scripts resources for pharmacists. <<0F6188EC756C624CBAA438B0D92726A7>]>> 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 . When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. (function() { To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Sunset: 04:14PM. 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. NCPDP provides a service to those health plans that do not use magnetic stripe cards. 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. Below are some tips to help you get the most out of your benefits and save money. Medicare evaluates plans based on a 5-Star rating system. If using IE11, please consider using an alternative browser. gcse.async = true; 0000002482 00000 n 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. <<5F4BCB39515F55479546A7F5DAE5B678>]>> trailer PDF 2020 Medicare Advantage Guide - EmblemHealth 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 . 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. PDF Medco Medicare Prescription Plan, and in support of a number of other UMP Plus networks. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 0000002142 00000 n DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 0000006674 00000 n ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? Medicare MSA Plans do not cover prescription drugs. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. CO. & UHC INS. %%EOF xref To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! YOUR PROVIDERS. Some health plans decided to use magnetic stripe cards, some did not. 0000000927 00000 n Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 0000012588 00000 n 0000011949 00000 n 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 Sunrise: 07:50AM. 74 0 obj <> endobj 0000006589 00000 n *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 0000006921 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 Not all entities use the PCN to differentiate plans. Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan - Massachusetts ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) a listing of the legal entities 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. '//cse.google.com/cse.js?cx=' + cx; 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. Members are instructed to show both ID cards before receiving health care services. PDF Medco manages the prescription drug benefit for many of your customers 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} 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 (function() { Health insurance can seem complicated, especially if you're new to the plan. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; We do not reuse numbers. NCPDP issues the Processor ID Number (BIN). '//cse.google.com/cse.js?cx=' + cx; However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 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. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 'https:' : 'http:') + s.parentNode.insertBefore(gcse, s); PDF SAS Benefit Vendor Contact Information M (BIN 6156 only . PDF PBM BINs Help Desk - PBA Health 0000028775 00000 n 0 MedImpact (Includes: Excellus/ FLRx) 4=Four Occurrences. Rx PCN: N/A In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. Medicare has neither reviewed nor endorsed the information on our site. area. 0000016122 00000 n We are an independent education, research, and technology company. Contact the plan provider for additional information. 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. 0000028726 00000 n 0000010471 00000 n 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 | Renew memberhip. Healthcare coverage wherever you go. The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. EmblemHealth (888 . To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000016714 00000 n 2389 0 obj<> endobj Please do not turn the customer away if you receive a rejected claim. 2. })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). Rx Information: MEDCO 1-800-842-2038 . PDF Commercial Payer Sheet - BCBSM startxref What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? %PDF-1.5 % This electronic processing of pharmacy claims meant the health plan (or their Pharmacy Benefit Manager/processor/payer on their behalf) needed a number for the electronic routing of transactions. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 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. JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 RX Bin: 610014 . 2019 Payer Sheet NCPDP Version D - meridianrx.com All the information you need to properly process prescription claims with Cigna. If you continue to browse or use this website, you agree to this updated Privacy Policy. Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . Sunrise, sunset, day length and solar time for Stockholm County. 0000007555 00000 n 0000006324 00000 n PDF OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. during the calendar year will owe a portion of the account deposit back to the plan. 106 0 obj <>stream 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 Ut JJ`&PXIIaAAq0. Limitations, copayments, and restrictions may apply. 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. Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . 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. 0000004060 00000 n We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. C. CPhT1969 New Member. Emblem Health (800) 447-8255. P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. 0000002034 00000 n 0000005422 00000 n 0000000016 00000 n 0000006248 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 We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 0000010872 00000 n As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . 0000009323 00000 n 03. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# Time in Stockholm County, Sweden now 0000008238 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. BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. 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. Providers who do not contract with the plan are not required to see you except in an emergency. All calls are toll-free. 0000011029 00000 n Our. 0000001623 00000 n xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 %PDF-1.4 % 0000032330 00000 n 2389 38 The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe. The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying members of the enhanced Without these codes, <]>> RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. D_j:i4 [lL@o?e}otGFsLH arXeq cyU>]s#~e{0Bb'Su[4E(/0PS_5]bmE k!Nb%Lx@b,/c7RL Xg29jA8Ruk1  fRBYoD0F9%e=E>e?-"{wQD ?c['l|S_R "qQKMF4B6B] o)/+jtqGOfPN-H ni;9uE%[7 aX4wve.\FPDvY '}Aj(bsgZJLi|]&:{|r2+>p#+Y31D|nGPrtqp\R]oMDl${mI15R/,;$5#]_zK>%,u$xwO@B,UlCt MOkd?X?. The benefit information provided is a brief summary, not a complete description of benefits. Providers who do not contract with the plan are not required to see you except in an emergency. 0000019345 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. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . Leading zeroes in the NCPDP Processor BIN are significant. PDF Pharmacy Providers - West Virginia These standards are developed by theInternational Organization for Standardization / International Electrotechnical Commission(ISO/IEC) Joint Technical Committee (JTC) 1,Information Technology, Subcommittee (SC) 17,Cards and personal identification, Working Group (WG) 5. General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. Details. 3456 0 obj <>stream 0000001868 00000 n Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 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. The Bank Identification Number (BIN) is a term commonly used in the credit card industry. 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). 0000001081 00000 n Your medical benefits allow you 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. Plug . %%EOF Joined Feb 3, 2010 Messages 2 . 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. 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. 0000004285 00000 n 0000021734 00000 n If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan.

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