TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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. If you continue to browse or use this website, you agree to this updated Privacy Policy. 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. 0000002715 00000 n Hb```?@(AEs,Pp IG1~D&t 0000038251 00000 n 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. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` 0000002851 00000 n Those who disenroll Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. s.parentNode.insertBefore(gcse, s); Joined Feb 3, 2010 Messages 2 . D_j:i4 [lL@o?e}otGFsLH arXeq 0000001647 00000 n 0000028275 00000 n HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb UMP Plus (SEBB) 2021 Quick Start Guide. This document is available with NCPDP membership. 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 Not a Member? Your Dental Benefits This includes accounts for Grandfathered members. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000005026 00000 n Providers who do not contract with the plan are not required to see you except in an emergency. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. xref }|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 Your Premera provider network: What's 'in' it for you? Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. 0000000975 00000 n The PCN is defined by the PBM/processor as this identifier is unique to their business needs. var s = document.getElementsByTagName('script')[0]; <<0F6188EC756C624CBAA438B0D92726A7>]>> 0000008238 00000 n The benefit information provided is a brief summary, not a complete description of benefits. 0 0000002648 00000 n The PCN is alphanumeric as defined by the PBM/processor. 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. 0000032773 00000 n 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. 0000002069 00000 n RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. M (BIN 6156 only . For more information contact the plan. gcse.async = true; 0000001856 00000 n 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. RX Bin: 610014 . 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). 0000002830 00000 n 0000003944 00000 n 0000001711 00000 n However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. We are not compensated for Medicare plan enrollments. The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! 45 0 obj << /Linearized 1 /O 47 /H [ 1020 449 ] /L 172513 /E 107663 /N 8 /T 171495 >> endobj xref 45 29 0000000016 00000 n The plan deposits I was doing an amox script for a dude who shows up with nothing but his wife's military ID and know they go through express scripts so I searched for plans by using BIN 610014 and entering the SSN but no matter what I tried it just would not go through. EmblemHealth (888 . YOUR PROVIDERS. 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. 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. The ISO/IEC 7812 IIN is a number used throughout electronic routing. '//cse.google.com/cse.js?cx=' + cx; 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 . Members may enroll in a Medicare Advantage plan only during specific times of the year. 0000006589 00000 n 0000007028 00000 n 0000046944 00000 n 0000001867 00000 n Author: Kelly Wilson Created Date: The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. Group number: Make sure the group number is populated on page 4 in RPMS Patient . The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000006921 00000 n RX Bin: 610014 . Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. All insurance policies and group benefit plans contain exclusions and limitations. PCN: Varies by plan - refer to ID card. 0000034997 00000 n xref 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. 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) 0000004526 00000 n })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). %PDF-1.6 % What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 Use the Drawing Tools tab to change the formatting of the pull quote text box.] 0000008161 00000 n 0000002073 00000 n Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. These numbers commonly begin with "61" as in "610014". 0000003982 00000 n 0000007096 00000 n In certain situations, you can. area. Medicare evaluates plans based on a 5-Star rating system. 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. C. CPhT1969 New Member. Rx PCN: N/A trailer 0000100252 00000 n 0 Emblem Health (800) 447-8255. 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. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. There is no registry of PCNs. International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 0000003518 00000 n 0000008854 00000 n 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 . NCPDP issues the Processor ID Number (BIN). 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. Updated Privacy Policy, Documents | Guides and Templates | Informational. Providers who do not contract with the plan are not required to see you except in an emergency. 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. %PDF-1.4 % wG4jZG5\s.Wu=]qjLH Contact the Medicare plan for more information. %%EOF DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". startxref Share your form with others Send it via email, link, or fax. Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . 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 Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . 3850 0 obj <>stream This website is not intended for residents of New Mexico. 0000019287 00000 n endstream endobj 75 0 obj <. Medicare evaluates plans based on a 5-Star rating system. Managed care pharmacy identification. As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 0000003344 00000 n TTY users should call, 1-800-325-0778; or your state Medicaid Office. xref ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. 0000011095 00000 n during the calendar year will owe a portion of the account deposit back to the plan. a listing of the legal entities %PDF-1.5 % 0000010872 00000 n 0000007443 00000 n 0000006077 00000 n s.parentNode.insertBefore(gcse, s); Some entities may use the Group ID; still others may not need this level of differentiation. gcse.async = true; 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 0000001448 00000 n 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 BIN/IIN and PCNs are listed on the PBM/processor/plans Payer Sheets for trading partners to know the proper identifiers for routing transactions. We are not compensated for Medicare plan enrollments. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Verify member eligibility and the MCO enrollment . Please contact the plan for further details. 0000028775 00000 n 0000002203 00000 n 0 Contact the plan provider for additional information. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. Members may enroll in a Medicare Advantage plan only during specific times of the year. MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . 0000022896 00000 n If they have bookmarked their old account, this will NOT show 2020 plan information. 0000019138 00000 n AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . TTY users should call, 1-800-325-0778; or your state Medicaid Office. ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? We do not sell leads or share your personal information. 0000004285 00000 n 0000016122 00000 n The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 0000002215 00000 n You can position the text box anywhere in the document. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Those that use magnetic stripe cards apply through ANSI for an IIN. Both in Stockholm and Finland, an e 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 var gcse = document.createElement('script'); Please enter the information that appears on the *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 Our Privacy Policy is now easier to read and better organized. gcse.src = (document.location.protocol == 'https:' ? Sunset: 04:14PM. Contact the plan provider for additional information. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Please do not turn the customer away if you receive a rejected claim. 0000005086 00000 n 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. Limitations, copayments, and restrictions may apply. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 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 . 0000033180 00000 n 0000004060 00000 n 0000021562 00000 n Details. 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. 0000006324 00000 n 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. )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM 0000000016 00000 n Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. %%EOF 0000001469 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} ${ *#. 0000033095 00000 n var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 0000011949 00000 n 0000005253 00000 n Contact the Medicare plan for more information. 0000001081 00000 n '//cse.google.com/cse.js?cx=' + cx; But that's pure memorization. 'https:' : 'http:') + MCAIDADV RX5443. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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. Links will appear for the application process. Your membership is expired. 74 33 Our. contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. 0000005854 00000 n What is a Take-Home Drug? Rx Information: MEDCO 1-800-842-2038 . 0000009977 00000 n BIN# 610014 BCBS 430 Date Printed 12/22/2014. 0000005387 00000 n 0000007555 00000 n 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. 'https:' : 'http:') + We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. 0000002330 00000 n 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 0000003136 00000 n 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. Ut JJ`&PXIIaAAq0. 2. 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 .
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