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Day length: 8h 24m. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. 0000007679 00000 n 0000016527 00000 n during the calendar year will owe a portion of the account deposit back to the plan. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000003982 00000 n 0000000975 00000 n hb```>>S~1A\pDKu;sH(1mA~>bN 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. 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. 0000070373 00000 n Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. The BIN/IIN and PCNs are listed on the PBM/processor/plans Payer Sheets for trading partners to know the proper identifiers for routing transactions. 0000028275 00000 n 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. trailer << /Size 74 /Info 43 0 R /Root 46 0 R /Prev 171485 /ID[<37aecaa143068a95479ba03747276abf><049f79498583002e530f12be65619304>] >> startxref 0 %%EOF 46 0 obj << /Type /Catalog /Pages 42 0 R /Metadata 44 0 R /PageLabels 41 0 R >> endobj 72 0 obj << /S 297 /L 404 /Filter /FlateDecode /Length 73 0 R >> stream 0000028672 00000 n 0000002648 00000 n 0000003632 00000 n 0000001647 00000 n The application and registration procedures are identified in ISO/IEC 7812-2. 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. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` 0000009281 00000 n 0000003547 00000 n 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y Details. 0000028775 00000 n As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. 0000003018 00000 n Not all entities use the PCN to differentiate plans. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). We are an independent education, research, and technology company. Members are instructed to show both ID cards before receiving health care services. 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. In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. Updated Privacy Policy, Documents | Guides and Templates | Informational. 0000009977 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. gcse.src = (document.location.protocol == 'https:' ? Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. 0000028633 00000 n RX Group: UHEALTH . 0000004060 00000 n 0000011029 00000 n 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 Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. All calls are toll-free. As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. 0000006259 00000 n The term BIN is synonymous with the ISO/IEC 7812 IIN. WQqiT/ Y* T/q)~Z? 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. Contact the plan provider for additional information. 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?. 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 startxref 0000005387 00000 n What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? 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. Those who disenroll xref Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 0000002170 00000 n 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 2. 3456 0 obj <>stream 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. 0000001868 00000 n PCN: Varies by plan - refer to ID card. In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. NCPDP issues the Processor ID Number (BIN). 0000002333 00000 n We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 0000021734 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 %PDF-1.4 % Y fz Y!t|n^JFR0=eS(72H;F^2Myb hIaR:6Y\VO%\":l`v-?y-D[WsF'L"6[C(# )j$\R3 !krl[lp3#u40T534k0ElJQzsC0GKi;}c-Bd9(pU!8;wj0~8@^DUt1Th~;rB] qySULJk(!T&*BTEo0k 6Q4c)![8U/^:y} Medicare evaluates plans based on a 5-Star rating system. 0000004799 00000 n 0000029834 00000 n 0000001711 00000 n Both in Stockholm and Finland, an e Some health plans decided to use magnetic stripe cards, some did not. 0000001081 00000 n 0000001623 00000 n JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 If you forget if you need a group number or not, use the third party inquiry. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 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. 0000001415 00000 n Rx PCN: N/A 0000002203 00000 n 0000011626 00000 n 0000001020 00000 n UMP Plus (SEBB) 2021 Quick Start Guide. 0000002069 00000 n These numbers commonly begin with "61" as in "610014". 0000000016 00000 n Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . The PCN is defined by the PBM/processor as this identifier is unique to their business needs. 3=Three Occurrences . Emblem Health (800) 447-8255. 0000011550 00000 n 01. The current local time in Stockholm County is 2 minutes ahead of apparent solar time. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Star Ratings are calculated each year and may change from one year to the next. 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. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 0000032580 00000 n 0000002142 00000 n Solar noon: 12:02PM. Providers who do not contract with the plan are not required to see you except in an emergency. 8254 0 obj <> endobj 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). 0000012588 00000 n HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. 2391 0 obj<>stream HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb 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, For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 0 Please renew your membership to login. Sunset: 04:14PM. 0000009374 00000 n s.parentNode.insertBefore(gcse, s); %PDF-1.4 % Medicare has neither reviewed nor endorsed the information on our site. UMP Plus networks. 0000011949 00000 n ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! 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. ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? gcse.type = 'text/javascript'; Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 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. endstream endobj 249 0 obj <>stream 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 benefit information provided is a brief summary, not a complete description of benefits. 'https:' : 'http:') + RX Bin: 610014 .
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