%PDF-1.4 % 0000011029 00000 n hb```>>S~1A\pDKu;sH(1mA~>bN 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 Og%$pB1 o:er1?P_ojKuK3L 9H(! You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Please renew your membership to login. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. var s = document.getElementsByTagName('script')[0]; 0000001020 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. Updated Privacy Policy, Documents | Guides and Templates | Informational. *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 area. 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. The benefit information provided is a brief summary, not a complete description of benefits. 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 %%EOF 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. RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. 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 General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. 0000011550 00000 n We are an independent education, research, and technology company. %PDF-1.4 % 0000006674 00000 n 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. MCAIDADV RX5443. We are an independent education, research, and technology company. 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. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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?. 0000070373 00000 n For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. For more information contact the plan. 0000002034 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} 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. endstream endobj 75 0 obj <. To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Please renew your membership to login. 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. Joined Feb 3, 2010 Messages 2 . 0000001867 00000 n 0000003982 00000 n The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 0000019138 00000 n 0000016616 00000 n var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Those who disenroll Our. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. 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. 3850 0 obj <>stream 0000003144 00000 n Sign-up for our Medicare Part D Newsletter, Have a question? 0000001868 00000 n 0000033238 00000 n Medicare has neither reviewed nor endorsed the information on our site. gcse.async = true; 02. 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. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll 0000038251 00000 n gcse.type = 'text/javascript'; 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. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The benefit information provided is a brief summary, not a complete description of benefits. 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? CO. & UHC INS. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 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 Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . Members may enroll in a Medicare Advantage plan only during specific times of the year. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Members are instructed to show both ID cards before receiving health care services. Our Privacy Policy is now easier to read and better organized. Contact the Medicare plan for more information. 0000014560 00000 n If you continue to browse or use this website, you agree to this updated Privacy Policy. Please enter the information that appears on the wG4jZG5\s.Wu=]qjLH Share your form with others Send it via email, link, or fax. Sign Up To Receive Emails For Events, News & General NCPDP Information. 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. 0000007555 00000 n %%EOF 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. 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). It refers to a six-digit number that is assigned to banks for electronic routing of transactions. xref Anthem Blue Cross Rx BIN: 020099 PCN: IS Blue Shield of California Rx BIN: 004336 PCN: 77993333 Chinese Community Health Plan RX BIN: 003585 RX PCN: ASPROD1 Cigna + Oscar RX BIN: 003858 PCN: A4 Health Net* Rx BIN: 004336 PCN: HNET Kaiser Permanente-Northern CA Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address: P.O. 0000019287 00000 n BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . Those that use magnetic stripe cards apply through ANSI for an IIN. 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. ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) 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. s.parentNode.insertBefore(gcse, s); 0000001469 00000 n Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. 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. during the calendar year will owe a portion of the account deposit back to the plan. 0 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. 0000006077 00000 n 0000000016 00000 n The term BIN is synonymous with the ISO/IEC 7812 IIN. This website is not intended for residents of New Mexico. Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . 0000003632 00000 n 0000010471 00000 n If using IE11, please consider using an alternative browser. 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 . TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. 0000007028 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. Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. Medicare evaluates plans based on a 5-Star rating system. The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010". 2389 38 hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 during the calendar year will owe a portion of the account deposit back to the plan. 0000003018 00000 n Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . startxref ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. Box 7012 Downey, CA . 3456 0 obj <>stream Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? Please contact the plan for further details. 0000002851 00000 n Please do not turn the customer away if you receive a rejected claim. BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . Express Scripts resources for pharmacists. 0 startxref Below are some tips to help you get the most out of your benefits and save money. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. Your membership is expired. that insure or administer group HMO, dental HMO, and other products or services in your state). Op!> =bLxT_W\h%H,8)1mhT@(\ Not all entities use the PCN to differentiate plans. What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. We are not compensated for Medicare plan enrollments. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Once new versions of the standards are adopted, truncation will no longer be necessary. Medicare evaluates plans based on a 5-Star rating system. )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM Details. Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . Emblem Health (800) 447-8255. 01. 0 0000003136 00000 n M (BIN 6156 only . 0000009281 00000 n 0000021734 00000 n The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 0000006589 00000 n In certain situations, you can. Plug . Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Members may enroll in a Medicare Advantage plan only during specific times of the year. trailer 109-A9 Transaction count 1 to 4 M Up to 4 Ut JJ`&PXIIaAAq0. 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 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 . 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. 0000002215 00000 n In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 0000000927 00000 n On the ANSI web page, enter "IIN" in the Search box. 0000006921 00000 n YOUR PROVIDERS. 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. 0000016527 00000 n 0000016714 00000 n Author: Kelly Wilson Created Date: Solar noon: 12:02PM. 0000007215 00000 n Healthcare coverage wherever you go. MedImpact (Includes: Excellus/ FLRx) 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. Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. 0000012195 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. 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 . The Bank Identification Number (BIN) is a term commonly used in the credit card industry. CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. 0000003344 00000 n 0000002142 00000 n Your Premera provider network: What's 'in' it for you? money from Medicare into the account. gcse.src = (document.location.protocol == 'https:' ? Your Dental Benefits 0000003518 00000 n 0000002715 00000 n 0000009092 00000 n P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. Day length: 8h 24m. 0000002170 00000 n The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. BIN# 610014 BCBS 430 Date Printed 12/22/2014. 0000013525 00000 n var gcse = document.createElement('script'); 0000030450 00000 n 0000002073 00000 n BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. 0000001465 00000 n (function() { 0000007450 00000 n 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y 0000011949 00000 n 0000002330 00000 n 0000002830 00000 n 2391 0 obj<>stream r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. Refer to above list or what is printed on ID card . 0 Medicare has neither reviewed nor endorsed the information on our site. 8289 0 obj <>stream The application and registration procedures are identified in ISO/IEC 7812-2. 0000003944 00000 n If they have bookmarked their old account, this will NOT show 2020 plan information. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. RX Group: UHEALTH . Leading zeroes in the NCPDP Processor BIN are significant. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. If the health plan uses theNCPDP Pharmacy ID and Combination Card Implementation Guidethat NCPDP members have created, the BIN/IIN is clearly shown on the card. WQqiT/ Y* T/q)~Z? HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb 0000011626 00000 n You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 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. 0000014626 00000 n The plan deposits 0000034997 00000 n 0000032580 00000 n 0000002706 00000 n %%EOF 0000019345 00000 n 0000046944 00000 n 0000001647 00000 n PCN: Varies by plan - refer to ID card. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Medicare MSA Plans do not cover prescription drugs. For more information contact the plan. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 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). Links will appear for the application process. PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. 3424 0 obj <> endobj 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 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. 0000004799 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. BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. The term BIN is synonymous with the ISO/IEC 7812 IIN. Rx Information: MEDCO 1-800-842-2038 . 0000005387 00000 n 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. 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. 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). 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 A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. NCPDP issues the Processor ID Number (BIN). 0000001081 00000 n 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). MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . Not a Member? All insurance policies and group benefit plans contain exclusions and limitations. 8254 0 obj <> endobj 0000000975 00000 n Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . 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. Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. 0000007443 00000 n 106 0 obj <>stream 0000002289 00000 n 0000006259 00000 n 0000004910 00000 n 0000100252 00000 n Contact the Medicare plan for more information. enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. gcse.async = true; Please contact the plan for further details. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 0000009323 00000 n <<0F6188EC756C624CBAA438B0D92726A7>]>> Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . 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 RX Bin: 610014 . 0000002333 00000 n 0000003547 00000 n 0000001415 00000 n 0000033180 00000 n BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. 0000006324 00000 n 01 M/I BIN 101-A1 04 M/I PCN 104 -A4 06 M/I GROUP NUMBER 301 -C1 07 M/I CARDHOLDER ID 301 -C2 Additional messaging will provide the correct BIN and PCN to use. CDPHP (800) 388-2994. 0000002069 00000 n 0000016122 00000 n Group number: Make sure the group number is populated on page 4 in RPMS Patient . Your medical benefits allow you 0000033095 00000 n In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. Contact the plan provider for additional information. 2389 0 obj<> endobj 0000021562 00000 n RX Group: UHEALTH . %PDF-1.5 % One piece of information is the name of the health plan/PBM. 0000028775 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. 0000001711 00000 n money from Medicare into the account. 4=Four Occurrences. At home, across the country, and around the worldthe power of Blue is with you.