TTY users should call, 1-800-325-0778; or your state Medicaid Office. You can position the text box anywhere in the document. gcse.async = true; To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The PCN is defined by the PBM/processor as this identifier is unique to their business needs. Below are some tips to help you get the most out of your benefits and save money. RX Bin: 610014 . D_j:i4 [lL@o?e}otGFsLH arXeq On the ANSI web page, enter "IIN" in the Search box. Verify member eligibility and the MCO enrollment . Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 'https:' : 'http:') + Please do not turn the customer away if you receive a rejected claim. 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 HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb 0000001647 00000 n %PDF-1.6 % However, it is highly encouraged that the Group ID is submitted for all Part D claims. Your medical benefits allow you 0000001602 00000 n The ISO/IEC 7812 IIN is a number used throughout electronic routing. 0000002648 00000 n 0000005422 00000 n Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 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 do not sell leads or share your personal information. 0000006674 00000 n hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 For more information contact the plan. 0000033095 00000 n Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. If they have bookmarked their old account, this will NOT show 2020 plan information. We do not reuse numbers. %%EOF A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. 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. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. At home, across the country, and around the worldthe power of Blue is with you. The benefit information provided is a brief summary, not a complete description of benefits. 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. 0000003982 00000 n 2391 0 obj<>stream 0000032773 00000 n 0 Health insurance can seem complicated, especially if you're new to the plan. 2389 38 PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. 0000010641 00000 n TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 0000019138 00000 n We are an independent education, research, and technology company. WQqiT/ Y* T/q)~Z? 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. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Solar noon: 12:02PM. In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Star Ratings are calculated each year and may change from one year to the next. | Renew memberhip. YOUR PROVIDERS. Have them call the phone number on the back of their Cigna ID card. Medicare has neither reviewed nor endorsed the information on our site. 0000003383 00000 n Because of this, every member must create a new account regardless of whether they are renewing or not. What is a Take-Home Drug? 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 0000046944 00000 n The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). 0000003144 00000 n 0000021734 00000 n 0000016527 00000 n CO. & UHC INS. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 0000004799 00000 n What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? 0000008161 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). 0000016714 00000 n 0000029834 00000 n Providers who do not contract with the plan are not required to see you except in an emergency. 3850 0 obj <>stream Day length: 8h 24m. 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). 0000032580 00000 n Links will appear for the application process. during the calendar year will owe a portion of the account deposit back to the plan. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 0000000975 00000 n 0000006077 00000 n 3456 0 obj <>stream r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. Please renew your membership to login. Star Ratings are calculated each year and may change from one year to the next. RX Group: UHEALTH . 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. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". 0000002482 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. 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). RX Group: UHEALTH . %PDF-1.4 % 0000016616 00000 n One piece of information is the name of the health plan/PBM. endstream endobj startxref 0000005086 00000 n xref Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 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} Sunrise: 07:50AM. 0000003547 00000 n 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 . The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000033180 00000 n 0000004285 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. 0000005387 00000 n The plan deposits 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. 0000001623 00000 n 0 0000009374 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. Author: Kelly Wilson Created Date: 0000001868 00000 n However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Contact the plan provider for additional information. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 0000032330 00000 n 0000007668 00000 n Plug . startxref 02. BIN and PCN Codes 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). 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. The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. 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. 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. If using IE11, please consider using an alternative browser. 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) 0000007555 00000 n The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. 0000002685 00000 n Those who disenroll Our Privacy Policy is now easier to read and better organized. enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. 0000019345 00000 n Share your form with others Send it via email, link, or fax. 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. 0000002706 00000 n BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. We are not compensated for Medicare plan enrollments. 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 . Please renew your membership to login. 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. Cigna may not control the content or links of non-Cigna websites. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 0000002289 00000 n endstream endobj 75 0 obj <. 01. trailer 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 . Og%$pB1 o:er1?P_ojKuK3L 9H(! The PCN is alphanumeric as defined by the PBM/processor. Have them call the phone number on the back of their Cigna ID card. 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. 0000011550 00000 n MCAIDADV RX5443. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 74 33 }|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 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 0000001856 00000 n 0000014836 00000 n Your Premera provider network: What's 'in' it for you? We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? Express Scripts resources for pharmacists. Contact the Medicare plan for more information. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 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 For more information contact the plan. The plan deposits 0000008305 00000 n UMP Plus (SEBB) 2021 Quick Start Guide. EmblemHealth (888 . For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. 0000007096 00000 n Contact the plan provider for additional information. 0000003944 00000 n Some entities may use the Group ID; still others may not need this level of differentiation. UMP Plus networks. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. The application and registration procedures are identified in ISO/IEC 7812-2. 0000019287 00000 n CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. Both in Stockholm and Finland, an e 0000021562 00000 n 0000033238 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 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 . 0000014560 00000 n If you continue to browse or use this website, you agree to this updated Privacy Policy. U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. startxref It refers to a six-digit number that is assigned to banks for electronic routing of transactions. 8254 0 obj <> endobj Your membership is expired. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000001448 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Not all entities use the PCN to differentiate plans. Joined Feb 3, 2010 Messages 2 . 0000006259 00000 n area. 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 . 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. *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 Please contact the plan for further details. 'https:' : 'http:') + You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. endstream endobj 249 0 obj <>stream s.parentNode.insertBefore(gcse, s); 0000004910 00000 n Leading zeroes in the NCPDP Processor BIN are significant. (function() { gcse.src = (document.location.protocol == 'https:' ? 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.