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). 0000001415 00000 n Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. 0000002482 00000 n 0000001717 00000 n 0000029756 00000 n Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 0000001711 00000 n Have them call the phone number on the back of their Cigna ID card. Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. Sunrise: 07:50AM. 0000009092 00000 n Some health plans decided to use magnetic stripe cards, some did not. EmblemHealth (888 . When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 0000008161 00000 n TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Your Premera provider network: What's 'in' it for you? Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. a listing of the legal entities r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 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 . 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 Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. M (BIN 6156 only . gcse.type = 'text/javascript'; 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. 0000000016 00000 n The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 2389 0 obj<> endobj D_j:i4 [lL@o?e}otGFsLH arXeq 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. U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. On the ANSI web page, enter "IIN" in the Search box. Share your form with others Send it via email, link, or fax. %%EOF 0000004526 00000 n 0000003944 00000 n Medicare MSA Plans do not cover prescription drugs. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? RX Group: UHEALTH . Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. If you continue to browse or use this website, you agree to this updated Privacy Policy. 0000021734 00000 n C. CPhT1969 New Member. Some entities may use the Group ID; still others may not need this level of differentiation. 0000008854 00000 n For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 0000005422 00000 n s.parentNode.insertBefore(gcse, s); One piece of information is the name of the health plan/PBM. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. trailer area. Medicare has neither reviewed nor endorsed the information on our site. 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. Limitations, copayments, and restrictions may apply. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Please contact the plan for further details. This website is not intended for residents of New Mexico. JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 %%EOF A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. Your membership is expired. Box 7012 Downey, CA . DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". %PDF-1.6 % 0 2391 0 obj<>stream 0000007668 00000 n 0000100252 00000 n Those that use magnetic stripe cards apply through ANSI for an IIN. 0000028633 00000 n The plan deposits 0000002170 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000009323 00000 n CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. 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. This includes accounts for Grandfathered members. The PCN is alphanumeric as defined by the PBM/processor. As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. 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 Below are some tips to help you get the most out of your benefits and save money. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 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. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 109-A9 Transaction count 1 to 4 M Up to 4 gcse.async = true; Plan Name/Group Name: MI01/MIMEDICAID BIN:009737 PCN: P008009737 Processor: Processor/Fiscal Intermediary Effective as of: 01/01/2012 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 10/2017 NCPDP External Code List Version Date: 10/2017 74 33 Links will appear for the application process. 'https:' : 'http:') + All the information you need to properly process prescription claims with Cigna. The benefit information provided is a brief summary, not a complete description of benefits. var gcse = document.createElement('script'); ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. This electronic processing of pharmacy claims meant the health plan (or their Pharmacy Benefit Manager/processor/payer on their behalf) needed a number for the electronic routing of transactions. The application and registration procedures are identified in ISO/IEC 7812-2. 0000002215 00000 n BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. %PDF-1.4 % 0000004799 00000 n 01. 0000004910 00000 n What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? 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 gcse.type = 'text/javascript'; UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? We do not sell leads or share your personal information. 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. 0000001867 00000 n CDPHP (800) 388-2994. 0000014836 00000 n Limitations, copayments, and restrictions may apply. Updated Privacy Policy, Documents | Guides and Templates | Informational. Group ID will be ignored by the processor. 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. 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 0000032580 00000 n 0000001856 00000 n WQqiT/ Y* T/q)~Z? 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 . Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. 0000004060 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. 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. Hb```?@(AEs,Pp IG1~D&t %PDF-1.6 % 0000023131 00000 n })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). wG4jZG5\s.Wu=]qjLH It refers to a six-digit number that is assigned to banks for electronic routing of transactions. 0000002715 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. 0000009977 00000 n 0000028775 00000 n xref 0000000927 00000 n %PDF-1.3 % 0000007096 00000 n %PDF-1.5 % 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 0 Both in Stockholm and Finland, an e 'https:' : 'http:') + In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. Health insurance can seem complicated, especially if you're new to the plan. Plug . 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). Healthcare coverage wherever you go. Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. hb```>>S~1A\pDKu;sH(1mA~>bN 0000001081 00000 n 0000003144 00000 n Because of this, every member must create a new account regardless of whether they are renewing or not. 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. 0000002706 00000 n We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. NCPDP has recently updated our Privacy Policy. 0000011550 00000 n 0000007679 00000 n 0000001602 00000 n Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . Members are instructed to show both ID cards before receiving health care services. 0000007450 00000 n Our. 0000000016 00000 n We do not reuse numbers. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 0000002685 00000 n 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). 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. 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 0000002330 00000 n UMP Plus networks. 0000003547 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. Day length: 8h 24m. 0000005086 00000 n Not all entities use the PCN to differentiate plans. RX Bin for GuideStone Health Plans Except for Secure Health (No PCN Number required) 610014; Rx Bin for Secure Health TM Plans 003858 ; PCN Number for Secure Health TM Plans A4; You can also visit GuideStoneHealth.org and create an account to print a temporary ID card on or after your health plan effective date. UMP Plus (SEBB) 2021 Quick Start Guide. %%EOF 0000005854 00000 n BIN 610239 PCN: FEPRX RxGrp: 65006500 3. 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 0000001469 00000 n endstream endobj startxref 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. xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 0000002034 00000 n 0000006589 00000 n 0000001647 00000 n 0000001868 00000 n Please contact the plan for further details. BIN: 610014 PCN: COPAY Reimbursement is Based on the Other Payer Patient Paid (COPAY ONLY) Plan Name/Group Name: MEDICARE PART D AS PAYER BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name: SECONDARY to MEDICARE BIN: 610031 PCN: MEDDCOBSEG PART D COBSEG OTHER PAYER PRIMARY Plan Name/Group Name: SECONDARY to MEDICARE BIN: 610031 PCN: MEDDCOPAY The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying members of the enhanced Without these codes, Since 8 digit IINs are now being assigned, use the first 6 digits of the IIN as the BIN even if the first digit(s) is a zero. If the health plan uses theNCPDP Pharmacy ID and Combination Card Implementation Guidethat NCPDP members have created, the BIN/IIN is clearly shown on the card. 0000002333 00000 n ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) ngRH);HRsZ.>@qTi-(0Q\{*`*5&he%fJ`B49Pe(h\#70 #8:(7Q)7mW:R,ATp$&Oz5$;X\MV&N2Z%s6GzMC"C&tcz=8j 11'H[/).R(k9FMfFU%g^|Vk&q/=~CC#Pe[?0gYvnF&9,g8iVIF;>v.fcIt(W=7YKF%ej>-T7WvR"B>]D.by%z"lhhnP7 jP6@{6Ap+t fzWGD\N|@wLL5 Please renew your membership to login. Cigna may not control the content or links of non-Cigna websites. Op!> =bLxT_W\h%H,8)1mhT@(\ Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 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? Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. Medicare evaluates plans based on a 5-Star rating system. 0000006077 00000 n We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Your medical benefits allow you 0000003344 00000 n 3850 0 obj <>stream 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. 0000010872 00000 n )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM RX Group: UHEALTH . Group number: Make sure the group number is populated on page 4 in RPMS Patient . You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. }|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

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