Bin 610014 insurance.
Rx Bin: 610014 Rx PCN: P.
Bin 610014 insurance Disclaimer for Chronic Condition Special Needs Plan Discover Card is a credit card brand that is issued by the American financial services company, Discover Financial (DFS). YOUR I know they go through express scripts so I tried to use BIN 610014 to no avail. Claims Address: Express Scripts Claims: ATTN: Medicare Part D P. Name _____ FirstYou will receive a letter of disapproval if your application MI Last. Find medication costs and in-network continued 202 Exress crits ll its esered ll trademars are te roerty of teir resectie oners Page 3 CRP240711064A 204612 ECL-NPF-24 09/08/2023 2024 National Preferred Formulary Exclusions Rx BIN Rx PCN Rx GRP 610014 MEDDPRIME 2FFA 610014 MAC 2FHU (MA only) MAIL ORDER Express Scripts: Phone: 1-833-750-0201 (TTY: 711) 24 hours a day, 7 days a week SPECIALTY PHARMACY AcariaHealth™ 1-866-458-9246 (TTY: 1-855-516-5636) Monday–Thursday, 8 a. Clinical Copay\Co-Insurance: Author: David Garcia Created Date: Rx Bin: 610014 Rx PCN: P. Suitcase symbol for nationwide coverage The suitcase image, with or without PPO noted, indicates that the customer’s plan includes BlueCard International Student Health Insurance Plan (ISHIP) and Graduate Appointee Insurance Program (GAIP) Reimbursement for Drugs Purchased on or Before June 30, 2024. Box 809453 Chicago, IL 60680-9453. MA. Effective Date . 1 Cameron Hill Circle, Chattanooga, TN 37402-0001 Get information about a list of drugs covered by WellCare. International Health Care Plan Dependent One Dependent Two Dependent Three Dependent Four Dependent Five . Please contact the plan for further details. Do not send cash. Healthcare coverage wherever you go. CLAIM INSTRUCTIONS Claims should be submitted to the company within 90 days after date of treatment. Incorrect or missing date of fill 10/01/2024 Page 2 of 29 Table of Contents – HIGHLIGHTS – Updates, Changes & Reminders PART 1: GENERAL INFORMATION BIN: 610014 PCN: MEDDPRIME See BIN/PCNs for all plans: Plan Type (Reach): National Plan: Number of Members enrolled in this plan in Texas: Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 5703. Id's that start with 948 or 949 are bin 003858 and pcn A4 As of January 1, 2021, all Cigna Healthcare SM Commercial pharmacy plans and Cigna Healthcare Medicare claims are adjudicating on the Express Scripts systems. Administrator: Express Scripts ; Group number: ABSBC01; Group number for Medicare-coordinating plans – ABSBC02; Rx Bin - 610014 The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Issued. BlueCross BlueShield of Tennessee is a Qualified Health Plan issuer in the Health Insurance Marketplace. 11 Amt Paid $0. Text. Please review this document to make sure that it still contains the drugs you take. one thing i like doing is going to the 'Third Party Inquiry' (F10) and then typing in the bin # on the insurance card. The PCN is changing to CTRXMEDD. First Name Last Name QHH000000000. Table of contents Click on any section or page below to go directly to that portion of the document. Website: www. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company RxBIN 610014 RxPCN MEDDPRIME Issuer (80840) 9151014609. RX Group: UHEALTH . com Note: Effective April 1, 2023, Express Scripts will no longer print and ship an ID card to a member’s house. Helpful resources. Do you provide API for developers? Sure, we provide API as service for developers to integrate it with their web apps or any platform they working with. TTY Users: 1. For more details, refer to the official Added BIN/PCN Combination BIN 025771 PCN IRXCOBAP Added BIN/PCN Combination BIN 025771 PCN IRXCOMAP . Rx Coverage Without Insurance 5. 2015 Help All Drug Discnt Card Prgrm: 600428 HELPALL: Commercial National: 1-866-921-7286 Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information BIN: 610014 PCN: MEDDMCDOH Group: 2FJA Medicaid Only Members Express Scripts Phone: 1-866-549-8289 BIN: 003858 PCN: MA Group: 2EYA Chart of 2020 BIN and PCN values for each Medicare Part D prescription drug plan Part 1 of 5 (E0654 through H2334) MODOT/MSHP MEDICAL AND LIFE INSURANCE PLAN: all plans: 015574: ASPROD1: H0022: BUCKEYE COMMUNITY HEALTH PLAN, INC. Edit Rx 6004241 Fill O; BLOOMQLIIST, PHYLLIS; PROLIA 60 MG/ML SOLUTION PREFILLED SYRINGE ligibilty Modify Details 10. Rx Bin 610014 Rx Grp. The BIN/IIN field will either be filled with the ISO/IEC 7812 IIN Only member ID numbers are unique to individuals with Premera plans. if you click details for that 3rd party plan it Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 6 (H7245 through H9649) 610014: MEDDPRIME: H7284: Humana: all plans: 015581: 03200000: H7301: Aetna Medicare: all plans: 610502: MEDDAET: H7322 : all plans: Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help MyCare Ohio - Pharmacy Billing Reference Guide Last Updated: 6/21/2023 This information is only meant to be used as a billing resource for pharmacies and is subject to change. all plans: 004336: MEDDADV: H5124: FRANCISCAN ACO, INC. 477. Amplicare Match (iMedicare): Grow Your Medicare Business. BIN/PCN/Group Numbers for ACOs, MCOs, PCC Plan and SCO MassHealth Only Primary Care ACOs PBM BIN PCN Group Pharmacy Help Desk Community Care Cooperative (C3) Conduent 009555 MASSPROD MassHealth (866) 246-8503 (Conduent/POPS) (800) 745-7318 (DUR) Mass General Brigham ACO Conduent 009555 MASSPROD MassHealth 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y Michigan Medicaid 009737 Current Nebraska Medicaid 013766 12/14/2011 091511D002 *Note: Humana Part D and Humana LI Net was BIN 610649 for 5. We also administer the International Clergy Pension Plan, which provides eligible clergy serving in the non-domestic Bin- 610014 Pcn- meddprime Id- 272706628201 Grp- MRDNUMB . Please remember to include your Mutual of Omaha Rx member ID number. 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Yeah I know about putting the PCN after the BIN but on some insurances multiple options appear for the same BIN and PCN. 101-A1 BIN NUMBER See Values in General Information M 102-A2 VERSION/RELEASE NUMBER D0 M 103-A3 TRANSACTION CODE B1, B3 M 104-A4 PROCESSOR CONTROL NUMBER See PCN under general information M Insurance Segment Questions Check Claim Billing/Claim Rebill This Segment is always sent X This Segment is situational Patient HELP DESK ARGUS HEALTH SYSTEMS: 012353, 015581, 610649, 015764, 610141, 610220, 610245, 610225, 015292, 600428, 016961, 610209, 015814 Varies by Plan 1-800-522-7487 Your prescription may be processed by any pharmacy within our family of Express Scripts mail-order pharmacies. Thanks again in advance for your help. 624. Your 2024 coverage is active through Dec. AZM OptumRx 855-577-6310; AHCCCS FFS – Secondary to Commercial 001553 AZM 610014 003858 MA ; BANBUHP Express Scripts; 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Product. 11 $3,732. BIN: 011222 PCN: GACMS BIN: 011214 PCN: HICMS BIN: 011859 PCN: MACMSA BIN: 011842 PCN: NCCMS BIN: 011230 PCN: NWCMS BIN: 011172 PCN: SCCMS Health Choice Management BIN: 610011 PCN: HEAMEDD Health Choice Management Utah BIN: 610011 PCN: HEAUMEDD Catamaran / Seniorscript Services BIN: 013170 PCN: Not Required Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information BIN: 610014 PCN: MEDDMCDOH Group: 2FJA Medicaid Only Members Express Scripts Phone: 1-866-549-8289 BIN: 003858 PCN: MA Group: 2EYA 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. 800. Title: Premera HMO ID Card Rx group # and BIN# These numbers relate to pharmacy claims. Medco Containment Insurance Company of New York (for employer plans domiciled in New York). All individual ID cards have product names on them. Step 3 Enter Bin # 610014 Step 4 Enter Processor Control MEDDPRIME Step 5 Enter Rx Group # TRSEGRX . If members do not have their MCO card available, ask the member which MCO Rx Coverage Without Insurance 5. RxGRP . 3231. Box 2872 Clinton, IA 52733-2872Mail-order drug claims: Express Scripts Medical Insurance; BIN: PCN: Group Number: PBM Phone Number: AHCCCS FFS; 001553. OptumRx Part-D and MAPD Plans BIN: 610097 PCN: 9999 Part-D WRAP Plans BIN: 610097 PCN: 8888 PCN: 8500 OptumRx (This represents former informedRx) BIN: 010868 . RxGrp ID No. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 AHCCCS FFS – Secondary to Commercial 001553; AZM; 610014 003858 MA . Social Share. to 7 p. BANBUHP Express Scripts. O. Premiums resume April 1, 2024. You must enroll in a new plan for 2025. com; GuideStone Group Number — 3172000; GuideStone HMO Group Number — Chart of 2024 BIN and PCN values for each Medicare Part D prescription drug plan Part 1 of 6 (E3014 through H2001) 610014: MEDDPRIME: H0034: Hamaspik, Inc. NEED ASSISTANCE? Pharmacist, if you have any questions while processing the claim, please call the Express Scripts ® Fox Insurance Procare Rx National 014194 877-447-6335 Fretz Construction WHI/WHP National 603286 01410000, GP 512235 800/207-2568 GHI (Gp Health Incorporated-City of NY) Region BIN PCN/ Group Help Desk. 2FJA It’s vital that you know the right BIN number to use when you fill prescriptions for several different insurance companies. 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Chart of 2024 BIN and PCN values for each Medicare Part D prescription drug plan Part 1 of 6 (E3014 through H2001) 610014: MEDDPRIME: H0034: Hamaspik, Inc. Transaction Header Segment Questions Check Claim Billing<br /> If Situational, Payer Situation<br /> This Segment is always sent<br /> X<br /> Source of certification IDs required in Software<br /> Insurance Program, and the P4HB program is Georgia’s Section 1115 Family Planning Waiver program. Id's that start with 948 or 949 are bin 003858 and pcn A4, express scripts/priority health. com; Note: Effective April 1, 2023, Express Scripts will no The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Tips & Disclaimers. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help PBM/Payor Plan Name/Contract Name BIN : PCN GROUP : Type Network: Location Help Desk Number: ARGUS 1. ; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to Insurance Company (HMEP UHC) 36-236-2739571 450 Columbus Blvd. Insurance Segment Segment Identification (111-AM) = “Ø4” Claim Billing/Claim Rebill Field # NCPDP Field Name Value Payer Usage Payer Situation 3Ø2-C2 CARDHOLDER ID M 312-CC CARDHOLDER FIRST NAME M 313-CD CARDHOLDER LAST NAME M 314-CE HOME PLAN O 524-FO PLAN ID O 3Ø1-C1 GROUP ID M Always required. If you encounter any problems logging in or establishing a new account, please contact Premera Customer Service at 1-800-364-2982 for assistance. X Insurance Segment Segment Identification (111-AM) = “04” Claim Billing/Claim Re-Bill Field # NCPDP Field Name Value Payer Usage Payer Situation 302-C2 Cardholder ID M Submit Cardholder Identification Number (CIN), BIN: 610014: Drugs not purchased with the prescription drug card: Express Scripts P. It’s an informational number that allows insurers to identify specific plans and determine how to process a reimbursement claim. Title: Premera HMO ID Card Guide Quick Reference Created Date: BIN PCN CVSH Pharmacy Help Desk; Commercial : 004336: 77993333 (888) 970-0932: Medicare: 004336: 77993322 (888) 970-0933: Get pharmacy information for Blue Shield of California Promise Health Plan. Calling all Pittsburgh natives, how do you input UPMC insurance cards? The UPMC health plan one that I see most commonly is definitely for prescriptions but has no BIN number. a This guide is for people who have a commercial insurance plan through their employer. BIN: Please search. Groups scheduled to renew between May 2019 and October 1, 2019 will get a new ID card off renewal in the months of February and If you have questions, you can contact the CalOptima Health Pharmacy Management department Monday through Friday from 8 a. . (800) 788-2949 58080 (HNY03-Health Plus NYS Medicaid) 003585 Medicaid Group: HCP9198, Family Health Plus Group: FHP9198 HIP ***WRAP COB Claims Processing for BIN 610127*** Payer Name: OptumRx Date: 8/01/2012 Plan Name/Group Name: Raytheon COB BIN: 610127 PCN 04000001, 04000002, 04000004 Insurance Segment Claim Billing/Claim Rebill Segment Identification (111-AM) = “Ø4” Field # NCPDP Field Name Value Payer Usage M Payer Situation 3Ø2-C2 Depends on insurance, if you find one with a bin 610014, and no pcn, majority of the time it is PAID and person code is what is found i. Thanks for the feedback! So usually anything that has the bin 610014 is bcbs. Definitions included on If you do not have your Drug Card, provide your Social Security number and the Welfare Fund’s Group Number, SSEU 371, and the name of the drug plan’s prescription benefit manager, BIN: 610014 PCN: MEDDPRIME See BIN/PCNs for all plans: Number of Members enrolled in this plan in Fresno, California: Premiums, co-pays, co-insurance, and deductibles may vary 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y Michigan Formulary ID 24047 Version 12 S8841_24_MC-DS11_C_CL2 Medicare Part D Prescription Drug Plan (PDP) Your 2024 Comprehensive Formulary (list of covered drugs) BIN# 610014 BCBS 430 Retail Rx $10 / $30 / $60 Mail Order Rx $10 - $20 / $60 / $120 Primary Care Office Visit $20 Copay (Health Connect Network) Specialist Office Visit $40 Copay Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Box 14718 Lexington, KY 40512-4718. all This Payer Sheet applies to BIN 610279 Only Payer Name: OptumRx Date: 01/01/2022 United Healthcare Employer and Individual BIN: 610279 PCN: 9999 United Healthcare Employer and Individual – Contraceptive Services Only BIN: 610279 PCN: CONTRAC UHC Exchange BIN: 610279 PCN: 7777 Response Insurance Segment Advance PCS (BIN 610415, 610239) Caremark (BIN 610029) – we accept most Caremark plans, but not all; please contact Caremark or our pharmacy to confirm ; Express Scripts / Medco (BIN 003858, 610014) FLRx (BIN 003585) Medimpact; Optum (BIN 610279, 610127) If you have one of the insurance plans we accept (listed above) — we can bill your plan ©1998-BlueCross BlueShield of Tennessee, Inc. Please note, the data The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. e. Commercial Plan List Network Plan Network National Health Health Services. Brand: Type: Prepaid? Country: Flag: BIN, PCN, and GRP numbers are important identification numbers concerning your health insurance. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance 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; Network: Cigna; Customer Service: 1-800-CIGNA24 (1-800-244-6224) MyCigna. Day supply is invalid or quantity is rejected. Group is usually BCBSMAN or BCBSMRX1. user Defined Il. Your clients can use the following ID card Your Rx BIN number is a 6-digit code that identifies the insurance company who provides your Medicare drug plan. This site will live on for now, but it is unlikely to work. At home, across the country, and around the world—the power of Blue is with you. 3. 011: 004336: Important Pharmacy Benefit Manager Change, Effective January 1, 2024. 7914 (after-hours: 1. The Program Member ID Required BIN PCN Group Processor/Helpdesk # Amerigroup Member or Medicaid ID 003858 MA WKJA Express Scripts/ 1-844-367-6112 BIN# 610014 RX E4 SHERWOOD HMO Medical Network OFFICE COPAY SPECIALIST URGENT CARE COPAY $25 ROOM $300 In Network Only . You’ll no longer use Express Scripts ®2 to fill your prescriptions for home delivery after this date. 6961, ext. 610014. ; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to Rx Bin #: 610014; Rx Group #: BCWAPDP; Temporary ID cards. Box 981543, El Paso, TX 79998-1543COPAY Rx Group: MMDRUG Print Date: XX/XX/XX For Members PRIMARY NETWORK: SuperMed PPO OUTSIDE SUPERMED SERVICE AREA: Aetna Open Choice PPO/NAP VISION: EyeMed 1-877-226-1115 DENTAL: SuperDental 1-800-822-1182 24/7 NURSE LINE: 1-888-912-0636 For Providers Insurance Company or Medco Containment Insurance Company of New York (for employer plans domiciled in New York). Please note, the data For example, BIN 610014 PCN MEDDPRIME will be ONLY Medicare D plans, regardless of the group identifier. WI_HOMELP01_2212 JO26332 Reimbursement for Drugs Purchased on or Before June 30, 2024. Also 610014 I think comes up with a million, just pick Express Scripts. 304. all plans: 004336: ALLIANCE HEALTH AND LIFE INSURANCE COMPANY: all plans: 610014: Rx Bin: 610014 Rx PCN: P. If you need to refill a prescription without an ID card, you can share this information with your Group Name and Rx Bin: WUSTLRX #610014; Customer Service: 1-877-880-1877; Forms; Website: Express-scripts. EmblemHealth (888 Plan Name/Group Name: MEDICARE PART D AS PAYER BIN: 610014 PCN: MEDDPRIME<br /> Plan Name/Group Name: SECONDARY to MEDICARE BIN: 610031<br /> PCN: MEDDCOBSEG<br /> Anthem is updating pharmacy information on their ID cards to give members a better experience at the drugstore. This is a temporary card. 00 So 00 So 00 Rx group # and BIN# These numbers relate to pharmacy claims. Rx Bin: Rx Grp: Underwritten by UnitedHealthcare 610014 UHEALTH Choice plus Insurance Company aetna GRPj ID 841234 56789 RX BIN* 610502 Cho to c a are t referral or For call not coverage 1-888- 632- 792- 3862 3862 PROVIDERS RX Quick BIN Lookup. Please note, the data 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; Network: Cigna; Customer Service: 1-800-CIGNA24 (1-800-244-6224) MyCigna. Group is under the blue globe on the left, usually PMDC or PMDA. Box 2872 Clinton, IA 52733-2872Mail-order drug claims: Express Scripts Medical Insurance; Student Health Insurance; Prescription Drugs; Dental Insurance; Vision Insurance; Retiree Benefits; Life Insurance and AD&D; Long Term Disability; BIN# 610014 BCBS 430 Retail Rx $10 / $30 / $60 Mail Order Rx $10 - $20 / $60 / $120 Primary Care Office Visit $20 Copay (Health Connect Network) Specialist Office Visit $40 Copay (Health Connect Network) Emergency Room $250 Copay Individual $0 Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 1 of 6 (E0654 through H2134) 610014: MEDDPRIME: H0390: PACE of Southwest Michigan: all plans: 022188: PSTMEDD: H0422: UCare: research, and technology company. Complete • Enter all demographic felds marked Required and click Send to Plan. BIN: 610014 PCN: MEDDPRIME. ID Card Information. New, returning, and grandfathered members will all need to create a new a lot of those insurance codes take just some getting used to. pick that. Your permanent ID card will be Bin Number Additional Information Required for Pharmacy Claim Processing For eligibility information, plan policy MVP Option Family (800) 684-9286 Medco Health Solutions (800) 922-1557 Not Required 610014 Group: MVPCOMM Neighborhood Health Providers (877) 782-8655 or (800) 826-6240 Express Scripts (800) 824-0898 A4 003858 Group: KJBA New BIN #610014 Bank Identification Number: The BIN# assists pharmacies with submitting prescription medication claims through the Medco on-line system. 716. RX Bin: 610014 . Please note, the data Find your plan's BINs, PCNs, and RxGroups! Skip to main content. Quickly connect your patients with BIN: PCN: Group Number PBM: Phone Number. Added BIN/PCN Combination BIN 020107 PCN IRXKS (Effective 1/1/2025) Added BIN/PCN Combination BIN 020107 PCN NY (Effective 1/1/2025) 11/01/2024 Page 4 of 22 Insurance Segment: Mandatory Field # NCPDP Field Name Value Req Comment 111-AM Segment Identification Ø4 M Insurance Segment 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. You can also So usually anything that has the bin 610014 is bcbs. Not including leading zeros in BIN, NCPDP, RX#, PCN, or NDC (example NCPDP 412345 instead of 0412345). As a Premera-contracted provider, you can render services to patients who are national account members of other Blue Cross and/or Blue Shield plans, and who travel or live in your state. Optum Home Delivery 1 will be your new mail order pharmacy, starting Jan. YOUR PROVIDERS. United Behavioral Health (HMEP UBH) 94-2649097 Rx BIN number: 610014 Rx PCN number: MEDDPRIME (Medicare Companion Plan participants only) Rx Group number: GBOPRX1 . 866. Chart of 2024 BIN and PCN values for each Medicare Part D prescription drug plan Part 2 of 6 (H2029 through H3499) 610014: MAC: H2117: Wellcare: 001, 002: 610014: MEDDPRIME: H2128: Wellcare: 001, 003: 004336: MEDDADV: H2128: Wellcare: 002, 004, 005: Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Chart of 2024 BIN and PCN values for each Medicare Part D prescription drug plan Part 4 of 6 (H5163 through H6832) 610014: MEDDPRIME: H5199: Wellcare: 015: 004336: MEDDADV: H5199: Wellcare: 008, 010, 012, 014, 016: 610014: MEDDPRIME: Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive FOR BIN 610279 – PLEASE REFER TO UHC PAYER SHEET Payer Name: OptumRx Date: 05/18/2015 Commercial and Medicaid BIN: 610494 PCN: 9999 COMMUNITY HEALTH BIN 610613 PCN: 2417 Maryland Medicaid BIN: 610084 PCN RXSOLPRD ProAct BIN 017366 PCN: 9999 FlexScripts/ProAct BIN 018141 PCN: 9999 MedalistRx BIN 016580 PCN: <N/A> Insurance Company . Join Our Network. Corporate Headquarters: Monday - Friday 8:30am - 5:00pm EST USA; Pharmacy Help Desk: Tips & Disclaimers. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan Anthem partners with health care professionals to close gaps in care and improve members overall heath. Product name 2020 OptumRx BIN 610279 Payer Sheet. 2FDA. 01/2018. Health Care Customer Service: 1-800-555-1212 Navigating Your Prescription Drug Insurance ABOUT PRESCRIPTION DRUG INSURANCE BIN #610014 Bank Identification Number: The BIN# assists pharmacies with submitting prescription medication claims through the Medco on-line system. Corporate Headquarters: Monday - Friday 8:30am - 5:00pm EST USA; Pharmacy Help Desk: Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 3 of 5 (H3962 through H5928) 610014: MEDDPRIME: H5117: LOUISIANA HEALTHCARE CONNECTIONS, INC. SAMPLE HEALTH INSURANCE ID CARD Health Plan 1911-877260-04 Rx Bin 610014 drug insurance Rx Grp. Member Customer Service: 1. Emblem Health (800) 447-8255. Disclaimer for Chronic BIN: 610014: Drugs not purchased with the prescription drug card: Express Scripts P. Customer Service: 888-290-5416. Your clients will receive a new ID card at renewal, starting in October 2018 and continuing through April 1, 2019. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2024 Medicare Part D plan sponsor. Rx Bin – 610014 ID Card, Group Number and Mobile Access Information. A Binlist open-source database of 343,063 BIN List and numbers and 13,348 banks to find detailed information about the issuing bank, including the scheme/network, level of the card, the card type, the bank name, and the country the card was issued in. myuhc. Health plans are offered by Blue Shield of BIN 610591 20107 610649 4336 4336 610494 11529 PCN ADV KY 3191501 MCAIDADV MCAIDADV 4040 P022011529 GROUP RX8831 WKVA RX5035 RX8893 ACUKY KY Medicaid PBM CVS Caremark IngenioRx Humana Pharmacy Solutions CVS Caremark CVS Caremark Optum Rx Magellan Kentucky Medicaid Bin/PCN/Group Numbers Effective 1/1/2021. Rx Group. WI_HOMELP01_2212 JO26332 Provides information including BIN, PCN, group number, cardholder ID, person code and processor helpdesk number; Options to send inquiries only to our Commercial Eligibility Partner or combined with our Medicare Part D Eligibility Partner; Coverage options. BIN# 610014 Group# KLAISCO Pharmacy help desk (800) 922-1557 Pharmacy Network Pharmacy Customer Care (800) 711-0917 Insurance ID Card Insured Person Policy Number Group Number This card does not guarantee benefits or coverage. Pharmacy providers should ask members for an MCO identification card to verify MCO enrollment in addition to the Medicaid card. Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information BIN: 610014 PCN: MEDDMCDOH Group: 2FJA Medicaid Only Members Express Scripts Phone: 1-866-549-8289 BIN: 003858 PCN: MA Group: 2EYA Request for Redetermination of Medicare Prescription Drug Denial (Appeal) Complete this printable form to ask for an appeal after being denied a request for coverage or payment for a prescription drug. Bin 610014 Medco express scripts (on the second page when you search) if it’s not 003858 one. Health plans are offered by Blue Shield of Provides information including BIN, PCN, group number, cardholder ID, person code and processor helpdesk number; Options to send inquiries only to our Commercial Eligibility Partner or combined with our Medicare Part D Eligibility Partner; Coverage options. 639. all plans: 013519: N/A: H5989: CENTERLIGHT HEALTHCARE, INC. Disclaimer for Chronic Condition Special Needs Plan Bin Number Additional Information Required for Pharmacy Claim Processing For eligibility information, plan policy (866) 544-7948 N/A 610014 Group: HNRXS HealthPlus (800) 300-8181 MedImpact Healthcare Systems, Inc. For verification of insurance coverage, call HealthSmart at (800) 203-4720. BIN: 610014 PCN: MEDDPRIME See BIN/PCNs for all plans: Plan Type (Reach): National Plan: Number of Members enrolled in this plan in Texas: Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Currently, there are more than +365,460 unique BIN in our database. Have questions about which medications are covered by your plan? Access your formularies here or search a drug via the search tool. 001 002 003 etc. org. Express-Scripts uses data from Medi-Span to determine the average wholesale price of prescription drugs not included on the maximum allowable cost list. com. Notices were mailed to families on March 1, 2024. MMP. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2024 Medicare Part D plan sponsor. 2) Update: The 2022 BIN/PCN list has been released. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan Rx Bin 610014 Rx Group BCWAPDP If you have already created your account, simply log in. And for 610014 and PCN “PEU BIN: PCN: Group Number PBM: Phone Number. Except for emergency care, you may be liable BIN. Express Scripts Medicare. CONTACT US. This information does not apply if you have another type of insurance plan (for example, Medicaid, Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 3 of 5 (H3962 through H5928) 610014: MEDDPRIME: H5117: LOUISIANA HEALTHCARE 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 When health insurance consumers enroll in coverage for the first time, change health plans (at any time), or change insurance carriers, they can sometimes experience a • Submit claims online to HDS (Bin#610500). m. In the pharmacy industry, the BIN number may represent the address of a large computer and the express scripts payer sheet 2021 express scripts payer sheet 2022 express scripts rx bin number express scripts bin numbers 2022 610014 bin/pcn peu express scripts denial codes bin 610014 pharmacy help desk bin 024368 pcn 3207 BIN: 610014 PCN: MEDDPRIME See BIN/PCNs for all plans: Plan Type (Reach): National Plan: Number of Members enrolled in this plan in Tennessee: co-insurance, and deductibles may vary based on the level of Extra Help you receive. 1) Contact Independence Administrators at 800-242-3330 and request a new card directly from them. 1, 2023, for Medicare individual and group members. Make a payment online by using the "Online Premium Payment" link below on the right, or pay by check or money order to the address on the invoice. Box 981543, El Paso, TX 79998-1543COPAY Rx Group: MMDRUG Print Date: XX/XX/XX For Members PRIMARY NETWORK: SuperMed PPO OUTSIDE SUPERMED SERVICE AREA: Aetna Open Choice PPO/NAP VISION: EyeMed 1-877-226-1115 DENTAL: SuperDental 1-800-822-1182 24/7 NURSE LINE: 1-888-912-0636 For Providers RX Vendor Group #: USTR6107 RX Bin #: 610014 UnitedHealthcare Choice Plus Network 10-ID1 Underwritten by UnitedHealthcare Insurance Company of New York THIS IS YOUR TEMPORARY ID CARD. or. Edit Fill WILLIAMS, MARCOS; DUPIXENT SUBCUTANEOUS SOLUTION PREFILLED SYRINGE MG/2ML; 614113 - 1234 Eligibility Modify Insurance: Not Pad Last Claim: Bill Rejected Priority Flags Phone Facility: Age: 34 Re quested $3,732. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Rx BIN. Rx Bin: 610014 Rx PCN: P. Health Care Customer Service: 1-800-555-1212 Member ID Plan Name/Group Name: BIN: PCN: VARIOUS 006012 PDMI PXXPDMI MEDDPDM 610020 PDMI PXXPDMI CARERX PYS 142DC3B CRGD 017274 PDMI EXPO DISCOUNT CARD 006012 EXPODC SIPN LOYALTY 019629 LDC Transaction INSURANCE Segment Check Claim Billing/Claim Rebill If Situational, Payer Situation We sponsor and administer The Church Pension Fund Clergy Pension Plan and The Episcopal Church Lay Employees’ Retirement Plan, two distinct defined benefit plans that provide a monthly income, and other related benefits, to eligible clergy and lay employees. All Collections. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company BIN: PCN: Group Number: PBM Phone Number: AHCCCS FFS; 001553. I don’t know how to choose the correct one. The Rx BIN number on member ID cards is changing to 610011. at 1-714-246-8471. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or Tips & Disclaimers. O. • Select the appropriate form and click Start Request. 31, 2024. PBM. Payer Sheets. Date: 11/10/23 We are pleased to announce that, effective January 1, 2024, Express Scripts ® will begin processing pharmacy claims for our plan members for KanCare (Medicaid), Wellcare (Medicare) and Ambetter (Marketplace). 2015 HealthCare Corp of America /Prescription ARGUS 1. So I just turned 20 AND IDK ANYTHING ABOUT INSURANCE 😭 Just the basics, but I want to become an expert! When inputting a new insurance and putting in the BIN and PCN, sometimes a big list of names come out to choose from. All other ID card numbers are the same for all members. Determine additional coverage options. I BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. Find BINs Fast. 223008686 Express Scripts • Search the insurance plan by the BIN (610014 for all Blue Cross and BCN Medicare plans) and RxGroup (Blue Cross Medicare: BCBSMAN; BCN Medicare: BCNRXPD) found on the patient’s drug insurance card. , BIN: 610014 PCN: MEDDPRIME See BIN/PCNs for all plans: Number of Members enrolled in this plan in Los Angeles, California: Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Neither Wisconsin Physicians Service Insurance Corporation, nor its agents, nor products are connected with the federal Medicare program. For purchases on or after July 1, 2024, use the related CVS Caremark form above. See Our Medicare Solutions. BIN Checker tool is designed to check the existence of a Bank Identification Number (BIN) base on updated database. The RxPCN, or processor control number, is analogous to the plus 4 part of a zip code, which gives a more precise destination. Express Scripts is a pharmacy benefit management (PBM) Current Provider: Express Scripts Group Name and Rx Bin: WUSTLRX #610014 Customer Service: 1-877-880-1877 Forms; Website: Express-scripts. Your Premera provider network: What’s ‘in’ Plan Name BIN PCN Rx Group Medicare Advantage Prescription Drug Plan (MAPD) 610014 MEDDPRIME 2FFA Prescription Drug Plan (PDP) 610014 MEDDPRIME 2FGA Employer Group Waiver Plan (EGWP) 610014 MEDDPRIME 2FKA Medicare Advantage (MA) Only 610014 MAC 2FHU Medicare Advantage Prescription Drug Plan ID Card Example 11. If you need to refill a prescription without an ID card, you can share this information with your pharmacy. BIN: 610014 PCN: MEDDPRIME See BIN/PCNs for all plans: Number of Members enrolled in this plan in Nassau, New York: Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. binlist now severely limits their API usage, and their paid options are hilariously expensive for my needs. 2023 Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 4 of 6 (H5372 through H7220) 610014: MEDDPRIME: H5377: Humana: all plans: 015581: 03200000: H5386: Sharp Health Plan: all plans research, and technology company. Patient Authorization. , an Independent Licensee of the Blue Cross Blue Shield Association. Rx BIN, or prescription bank identification number, has nothing to do with banks. you'll notice that there are a group of common ones you'll see all the time. • Verify that the day supply, BIN# 610014 RX E4 SHERWOOD HMO Medical Network OFFICE COPAY SPECIALIST URGENT CARE COPAY $25 ROOM $300 In Network Only . com to learn more about how we coordinate our medical and pharmacy benefits, review our drug lists, submit prior authorization requests, and more. This information does not apply if you have another type of insurance plan (for example, Medicaid, Medicare, or other insurance provided by the state or federal government). AZM OptumRx 855-577-6310; AHCCCS FFS – Secondary to Commercial 001553 AZM 610014 003858 MA ; Rx Information: MEDCO 1-800-842-2038 . BCBSMRX1. 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 Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 4 of 5 (H5928 through H8634) 610014: MEDDPRIME: H5970: HUMANA INSURANCE COMPANY OF NEW YORK: all plans: 015581: 03200000: H5978: SENIOR LIFE LEHIGH VALLEY, INC. 2015 Health Republic Insurance: 600428 06690000: Commercial NY: 1-866-511-6017 ARGUS 1. Refer to Member ID Card. Please ask members to provide their new member ID cards and update 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 The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2023 Medicare Part D plan sponsor. XXXXXXXXX. When it refers to “plan” or “our plan,” it means . Express Scripts. Examples are shown below. More Resources. Step 6 Enter the Member ID obtained from the E1 transaction submission Step 7 Enter the member’s date of birth . Note: As of 2020, we have a new secure website for individual clients. This is a good way to tell your new card apart from your old card. Insurance Segment: Mandatory Field # NCPDP Field Name Value Req Comment 111-AM Segment Identification Ø4 M Insurance Segment 3Ø2-C2 Cardholder ID M 3Ø1-C1 Group ID R As printed on the ID card or as communicated 3Ø3-C3 Person Code R As printed on the ID card or as communicated 3Ø6-C6 Patient Relationship Code R Express Scripts program coordinates with following medical plans: Blue Shield Tandem PPO; Blue Shield Choice PPO; Blue Shield Care PPO; Blue Shield EPO Your prescription may be processed by any pharmacy within our family of Express Scripts mail-order pharmacies. When this drug list Drug Bin Number: 610014 Drug PCN: COPAY Express Scripts: 1-800-417-1961 If you or your provider have any questions regarding your benefits or coverage, please call Medical Mutual There are a few ways you can get a new copy of your insurance card. com; GuideStone Group Number — 3172000; GuideStone HMO Group Number — We're still committed to helping you with your other insurance needs. Visit Anthem. Rx PCN. government or the federal Medicare program. Apologies, and thank you for your support over the years. CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. Plan Name/Group Name BIN PCN Legacy ESI Commercial ØØ3858 A4 (or as assigned by ESI) SC (When secondary to Medicare Part D only) Legacy Medco Commercial Effective January 1, 2024, Centene Medicare will transition to Express Scripts as their pharmacy benefits manager. The RxBIN, or BIN number, is analogous to the 5-digit zip code and determines the routing destination. Group: WM2A is Note to existing members: This formulary has changed since last year. This document includes the list of the covered drugs (formulary) for our plan, which is current as of August 24, 2023. 1 claims. BIN and PCN Codes. Superior Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS) and CHIP. You're eligible for a special enrollment period and have until Feb. 6. When it refers to “plan” or “our plan,” it means Express Scripts Medicare. Chart of 2020 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H9438 through S9701) BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY: all plans: 610014: MEDDPRIME: H9576: NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND: all plans: 004336: MEDDADV: H9585: BOSTON MEDICAL CENTER HEALTH PLAN, INC. The Prescription Discount Program is a cost-effective option for anyone paying out of pocket. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group. 750. 001 012353 03200000 002 003 004 Humana Medicare Employer (HMO) CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus BIN: 610014 PCN: MEDDPRIME See BIN/PCNs for all plans: Number of Members enrolled in this plan in Los Angeles, California: Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan OptumRx Provider Manual: 2016 4th edition 5 The information contained in this document is proprietary and confidential to OptumRx. 610593 I'm working on a research project where are we trying to train an algorithm to identify insurance plans that are funded by the government (medicare, medicaid, tricare, etc). NOTE: While mail service is no longer mandatory for medications taken over 30 days, there are cost-savings benefits to using the service, including free shipping to your home or office and lower co-pays. English. These numbers are required for pharmacy claims processing. If you find plans with person code and the person code is also on the id found, ignore the person code listed amd use only the id or vice versa. 00123456789 Name JOHN Q. Type of GHP: Note: Products with prefix XYW are purchased from the Health Insurance Marketplace. Invoices will be mailed in April 2024. This document includes the list of the covered drugs (formulary) for our plan, which is current as of August 28, 2024. Web: Express-Scripts. Suitcase symbol for nationwide coverage The suitcase image, with or without PPO noted, indicates that the customer’s plan includes BlueCard International Student Health Insurance Plan (ISHIP) and Graduate Appointee Insurance Program (GAIP) BIN-005285-EHIM_ProCarePayerSheet_d0_02232023 (3) BIN-005491-Rex_Club_ProCarePayerSheet_d0_02232023; BIN-009265-610198-012965_Agelity_ProCarePayerSheet_d0upd04012023 (1) Neither Wisconsin Physicians Service Insurance Corporation, nor its agents, nor products are connected with the federal Medicare program. Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . 8591) or email us at pharmacyservices@healthplan. 5-2022, effective June 1, 2022, requiring PBMs allow providers to transmit their invoice cost information with their appeal submission. Insurance ID Effective Date The attached payer sheet applies to ALL Express Scripts commercial plans, including the following BIN numbers: BIN Description BIN Description ØØ3858 Express Scripts Ø1Ø991 Emblem – Teamsters Local 237 61Ø575 WellPoint Commercial Ø13865 Emblem – GHI Commercial Ø1355Ø WellPoint Commercial 4ØØØ23 Emblem – HIP Commercial 10/01/2024 Page 2 of 29 Table of Contents – HIGHLIGHTS – Updates, Changes & Reminders PART 1: GENERAL INFORMATION BIN PCN CVSH Pharmacy Help Desk; Commercial : 004336: 77993333 (888) 970-0932: Medicare: 004336: 77993322 (888) 970-0933: Get pharmacy information for Blue Shield of California Promise Health Plan. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. Click here for the first page (E0654 - H1997), second page (H2001 - H3563), third page (H3572 - H5325), fourth page Transaction Header Segment Questions Check Claim Billing<br /> If Situational, Payer Situation<br /> This Segment is always sent<br /> X<br /> Source of certification IDs Rx BIN Rx PCN Rx GRP 610014 MEDDPRIME 2FFA 610014 MAC 2FHU (MA only) MAIL ORDER Express Scripts: Phone: 1-833-750-0201 (TTY: 711) 24 hours a day, 7 days a week BIN# 610014 BCBS 430 Date Printed 12/22/2014. 1. 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. The BIN/IIN field will either be filled with the ANSI IIN or the The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. BIN: 011222 PCN: GACMS BIN: 011214 PCN: HICMS BIN: 011859 PCN: MACMS MACMSA BIN: 011842 PCN: NCCMS BIN: 011230 PCN: NWCMS BIN: 011172 PCN: SCCMS Health Choice Management BIN: 610011 PCN: HEAMEDD Health Choice Management Utah BIN: 610011 PCN: HEAUMEDD Catamaran / Seniorscript Services BIN: 013170 PCN: Not Required Rx Bin: 610014. all plans: 08080000: 018927: H0035: InnovAge: research, and technology company. in 1985, Discover cards first distinguished themselves for their reduced fee structure and pioneering cash-back rewards program. Group Number. Your clients can also print off their own temporary ID cards by creating a new online account and signing in to the secure member website. PERX doesnt require person codes. 9835. Box 981543, El Paso, TX 79998-1543COPAY Rx Group: MMDRUG Print Date: XX/XX/XX For Members PRIMARY NETWORK: SuperMed PPO OUTSIDE SUPERMED SERVICE AREA: Aetna Open Choice PPO/NAP VISION: EyeMed 1-877-226-1115 DENTAL: SuperDental 1-800-822-1182 24/7 NURSE LINE: 1-888-912-0636 For Providers BIN- 610014 PCN- PEU GRP- XXS000016867847 . BIN# 610014 BCBS 430 Date Printed 12/22/2014. Plan Name/Group Name: BIN: PCN: VARIOUS 006012 PDMI PXXPDMI MEDDPDM 610020 PDMI PXXPDMI CARERX PYS 142DC3B CRGD 017274 PDMI EXPO DISCOUNT CARD 006012 EXPODC SIPN LOYALTY 019629 LDC Transaction INSURANCE Segment Check Claim Billing/Claim Rebill If Situational, Payer Situation OptumRx Provider Manual: 2016 4th edition 5 The information contained in this document is proprietary and confidential to OptumRx. Reply reply When adding a new insurance card, we typically enter in Neither Mutual of Omaha nor its Medicare supplement insurance policies are connected or endorsed by the U. 610014 BIN/PCN Table . 15. Members using Walgreens Specialty Pharmacy for Mail Order medications will still be able to use as their mail order provider. Pharmacy must submit claims to Medco through the TelePAID ® System using: • The Rx BIN # 610014 • The PCN is MEDDPRIME • The Rx Group number as listed below • The members 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 BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 Group Number CVTYWVM THPWVMC WFWA . Learn more about what your Rx BIN and other numbers mean on your If you have questions or concerns processing claims, you can call 1. Please note, the data The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2023 Medicare Part D plan sponsor. Omaha Health Insurance Company P. ; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to Rx Bin: 610014. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. 2024 members. Hartford, CT 06115 Medical and Hospital. Please note, the data The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2024 Medicare Part D plan sponsor. 610014 MEDDPRIME BUCKEYE COMMUNITY HEALTH PLAN, INC. This document Managed care pharmacy identification In addition to their Minnesota Health Care Programs (MHCP) ID cards, members enrolled in a managed care organization (MCO) also receive ID Chart of 2024 BIN and PCN values for each Medicare Part D prescription drug plan Part 3 of 6 (H3517 through H5141) 610014: MEDDPRIME: H3533: Humana: all plans: a This guide is for people who have a commercial insurance plan through their employer. Start here to become a provider in the Longevity Health network. • For assistance with inquiries, contact HDS at 800. 28, 2025, to enroll in a new plan. CDPHP (800) 388-2994. The BIN number identifies your insurance provider; the PCN number is a secondary number for routing claims; and the GRP number identifies the employer through which you have the insurance. to 4 p. Provide patients with affordable medications even without insurance. Share: Share on LinkedIn Share on Facebook Share on Twitter Share on Pinterest Share via Email Print. HealthTrans National Health Plan Health (W/comp) National. Use the Express Scripts Direct Claim Reimbursement Form for drugs purchased on or before June 30, 2024. Access payer sheets for data requirements related to electronic claims processing for each line of business within Optum. Please note, the data Rx Bin – 610014 ID Card, Group Number and Mobile Access Information. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is Insurance Segment Questions Check Claim Billing/Claim Re-Bill If Situational, Payer Situation This Segment is always sent. 10/01/2024 Page 4 of 26 PART 1: GENERAL INFORMATION Insurance Segment: Mandatory Field # NCPDP Field Name Value Req Comment 111-AM Segment Identification Ø4 M Insurance Segment This is in accordance with Arkansas Insurance Department Bulletin NO. 0 M 1Ø3-A3 Transaction Code B1=Billing M 1Ø4-A4 Processor Control Number As indicated above M 1Ø9-A9 Transaction Count 1=One Occurrence M 2Ø2-B2 Service Provider ID Qualifier Ø1=NPI M 2Ø1-B1 Service Provider ID Pharmacy NPI M RxBin 610014 Rx Group UMBGRP2 Issuer Prescription Plan ID No. S. Health care providers and pharmacies use these numbers to 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. 610020. It’s OptumRx Part-D and MAPD Plans BIN: 610097 PCN: 9999 Part-D WRAP Plans BIN: 610097 PCN: 8888 PCN: 8500 OptumRx (This represents former informedRx) BIN: Ø1Ø868 61Ø593 PCN: CTRXMEDD PHPMEDD SXCFLH MPD OptumRx (This represents former informedRx) BIN: 61ØØ11 PCN: Insurance Segment Segment Identification (111-AM) 1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D. Originally issued by the retailer Sears Roebuck, & Co. for instance, i see PAID, ILBC, AARPMPD, HUMNAMPD, etc. 003858. Group #: URX22 BIN #: 610020 PCN #: URX001. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims 610014. 01-Jan-2018. ljetkif dys ahiuc alvody wgumd ivwhh uzfkg drbzw wqveah ziiwb