0000008238 00000 n 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. 0000002142 00000 n There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. startxref The plan deposits Medicare has neither reviewed nor endorsed the information on our site. MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . 0000016527 00000 n CO. & UHC INS. 11-A1 BIN Number See BIN/PCN table, above M 12-A2 Version Release Number D=Version D.0 M 13-A3 Transaction Code B1=Billing M 14-A4 Processor Control Number As indicated above M 19-A9 Transaction Count 1=One Occurrence 2=Two Occurrences 3=Three Occurrences 4=Four Occurrences M (BIN 6156 only allows TRANS COUNT = 1). 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). Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . On the ANSI web page, enter "IIN" in the Search box. 109-A9 Transaction count 1 to 4 M Up to 4 0000002069 00000 n var s = document.getElementsByTagName('script')[0]; The Bank Identification Number (BIN) is a term commonly used in the credit card industry. 0000022896 00000 n 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. 0000002851 00000 n Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. %PDF-1.6 % 0000003018 00000 n endstream endobj startxref 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. %%EOF 8289 0 obj <>stream var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 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) 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. 0000011550 00000 n 0000029111 00000 n 0000000016 00000 n gcse.src = (document.location.protocol == 'https:' ? 0000002203 00000 n 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. %PDF-1.4 % 0 It refers to a six-digit number that is assigned to banks for electronic routing of transactions. 0000038251 00000 n 0000003982 00000 n 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. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# Contact the plan provider for additional information. What is a Take-Home Drug? 0000004577 00000 n In certain situations, you can. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. The PCN is alphanumeric as defined by the PBM/processor. BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. 0000030450 00000 n Contact the plan provider for additional information. This electronic processing of pharmacy claims meant the health plan (or their Pharmacy Benefit Manager/processor/payer on their behalf) needed a number for the electronic routing of transactions. 'https:' : 'http:') + 0000028726 00000 n EmblemHealth (888 . | Renew memberhip. However, it is highly encouraged that the Group ID is submitted for all Part D claims. 0000002333 00000 n If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. 74 0 obj <> endobj Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. Please renew your membership to login. 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. 0000011626 00000 n Y fz Y!t|n^JFR0=eS(72H;F^2Myb hIaR:6Y\VO%\":l`v-?y-D[WsF'L"6[C(# )j$\R3 !krl[lp3#u40T534k0ElJQzsC0GKi;}c-Bd9(pU!8;wj0~8@^DUt1Th~;rB] qySULJk(!T&*BTEo0k 6Q4c)![8U/^:y} during the calendar year will owe a portion of the account deposit back to the plan. Our. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. YOUR PROVIDERS. TTY users should call, 1-800-325-0778; or your state Medicaid Office. trailer during the calendar year will owe a portion of the account deposit back to the plan. Healthcare coverage wherever you go. s.parentNode.insertBefore(gcse, s); 0000003547 00000 n 0000007555 00000 n 0000016616 00000 n Some health plans decided to use magnetic stripe cards, some did not. Solar noon: 12:02PM. Providers who do not contract with the plan are not required to see you except in an emergency. 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. Rx PCN: N/A Medicare MSA Plans do not cover prescription drugs. x1 04HKl\GMyC. 0000005026 00000 n If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 0000013525 00000 n 0000001623 00000 n Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. 0000028633 00000 n Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. CDPHP (800) 388-2994. 3440 0 obj <>/Filter/FlateDecode/ID[<83A1511E809EEA4884A369FF9F7C8102>]/Index[3424 33]/Info 3423 0 R/Length 84/Prev 249481/Root 3425 0 R/Size 3457/Type/XRef/W[1 2 1]>>stream Not a Member? The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. This website is not intended for residents of New Mexico. 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. Details. trailer 0000005086 00000 n We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. The term BIN is synonymous with the ISO/IEC 7812 IIN. Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . Because of this, every member must create a new account regardless of whether they are renewing or not. 0000007215 00000 n 610014 800-824-0898 Integrated Prescription Management (IPM) 014658 877-860-8846 LDI Integrated Pharmacy Services 800010 800-652-9550 Magellan Health Services (Includes: Kentucky Passport) 015053, 016523 800-790-1631 McKesson Specialty 610524 800-657-7613 *Independently Contracted. gcse.type = 'text/javascript'; Managed care pharmacy identification. Rx Information: MEDCO 1-800-842-2038 . 0000028672 00000 n HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. 0000006589 00000 n 0000003944 00000 n We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 3=Three Occurrences . 0000009092 00000 n Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 0000011029 00000 n The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 Verify member eligibility and the MCO enrollment . 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. 0000004060 00000 n You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. The application and registration procedures are identified in ISO/IEC 7812-2. 0000011949 00000 n 0000001465 00000 n If you continue to browse or use this website, you agree to this updated Privacy Policy. WQqiT/ Y* T/q)~Z? 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. Please enter the information that appears on the xb```b````c` |, ,,2g]>%Ad`B. 2. BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . 0000007668 00000 n 0000001448 00000 n 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 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 endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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 TTY users should call, 1-800-325-0778; or your state Medicaid Office. 0000001867 00000 n You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. PCN: Varies by plan - refer to ID card. 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. 0000019287 00000 n There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? 0000034997 00000 n There is no registry of PCNs. 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). 0000002034 00000 n 3424 0 obj <> endobj 3850 0 obj <>stream Share your form with others Send it via email, link, or fax. gcse.type = 'text/javascript'; We are not compensated for Medicare plan enrollments. Medicare evaluates plans based on a 5-Star rating system. 0000012195 00000 n To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org.
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