Some entities may use the Group ID; still others may not need this level of differentiation. 0000034997 00000 n Contact the Medicare plan for more information. 0000003982 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 02. 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. Details. 109-A9 Transaction count 1 to 4 M Up to 4 CO. OF NY, BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA, MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK, 001, 002, 003, 004, 005, 006, 007, 008, 009, 010, 011, 012, 014, 015, 016, 017, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 070, 105, 106, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 801, 802, 808. 0000002142 00000 n If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. You can position the text box anywhere in the document. 0000002851 00000 n All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 03. 0000003344 00000 n 0000006248 00000 n ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) Rx PCN: N/A Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance Providers who do not contract with the plan are not required to see you except in an emergency. We do not sell leads or share your personal information. Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Limitations, copayments, and restrictions may apply. NCPDP has recently updated our Privacy Policy. 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 You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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). A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. endstream endobj startxref The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Those health plans that did not have a business reason for creating pharmacy benefit cards with a magnetic stripe were in need of a number, because they still needed to process electronic pharmacy claims. In certain situations, you can. To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. C. CPhT1969 New Member. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? trailer 2389 0 obj<> endobj The benefit information provided is a brief summary, not a complete description of benefits. gcse.type = 'text/javascript'; 0000004526 00000 n All insurance policies and group benefit plans contain exclusions and limitations. Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 Healthcare coverage wherever you go. 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. 0000012588 00000 n x1 04HKl\GMyC. 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). We do not reuse numbers. 0000028633 00000 n 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 0000006462 00000 n However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000016527 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. 0000001717 00000 n 8289 0 obj <>stream Please contact the plan for further details. 0000001469 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 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. 0000009281 00000 n We are an independent education, research, and technology company. RX Bin: 610014 . 0000006026 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Both in Stockholm and Finland, an e 0000003018 00000 n 0000002830 00000 n All the information you need to properly process prescription claims with Cigna. There is no registry of PCNs. 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 The PCN is alphanumeric as defined by the PBM/processor. When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. during the calendar year will owe a portion of the account deposit back to the plan. endstream endobj 75 0 obj <. startxref 0000001040 00000 n The benefit information provided is a brief summary, not a complete description of benefits. 0000000016 00000 n 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. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. I was doing an amox script for a dude who shows up with nothing but his wife's military ID and know they go through express scripts so I searched for plans by using BIN 610014 and entering the SSN but no matter what I tried it just would not go through. 0000011550 00000 n 0000013064 00000 n r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. 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. 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). For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), that insure or administer group HMO, dental HMO, and other products or services in your state). 0000001745 00000 n Once new versions of the standards are adopted, truncation will no longer be necessary. 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. 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. BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . 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. 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 . Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. Rx BIN#: 400023 Rx PCN#: 0020050403 Issuer#: (80840) CMS#:H3330-037-000 Plan Name Network: VIP Prime Comprehensive Dental X327934200116X 3 2 7 9 3 4 2 0 0 1 1 6 MEMBERS AND PROVIDERS: Network providers must provide or arrange nonemergency care. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Og%$pB1 o:er1?P_ojKuK3L 9H(! 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. BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. BIN# 610014 BCBS 430 Date Printed 12/22/2014. 4=Four Occurrences. 0000002706 00000 n We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! Your membership is expired. trailer 0000032580 00000 n Medicare MSA Plans do not cover prescription drugs. 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. MedImpact (Includes: Excellus/ FLRx) One piece of information is the name of the health plan/PBM. 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 . Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. Medicare has neither reviewed nor endorsed the information on our site. 0000012195 00000 n 0000005958 00000 n Plug . 0000005854 00000 n 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 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. wG4jZG5\s.Wu=]qjLH We are not compensated for Medicare plan enrollments. Limitations, copayments, and restrictions may apply. The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). 'https:' : 'http:') + This includes accounts for Grandfathered members. endstream endobj 249 0 obj <>stream Rx Information: MEDCO 1-800-842-2038 . *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 0000021734 00000 n 0000011626 00000 n 0000002170 00000 n 0000006921 00000 n Not all entities use the PCN to differentiate plans. 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. (function() { RX Group: UHEALTH . Honestly, whenever I see BIN 610014 I know it's PAID. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 3=Three Occurrences . 01. 0000028275 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). What is a Take-Home Drug? Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 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 . Not a Member? xref The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. This website is not intended for residents of New Mexico. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Your membership is expired. Providers who do not contract with the plan are not required to see you except in an emergency. The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000000927 00000 n startxref Day length: 8h 24m. Our Privacy Policy is now easier to read and better organized. 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Medicare MSA Plans do not cover prescription drugs. 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 0000007443 00000 n 0000023131 00000 n 0000029111 00000 n Medicare evaluates plans based on a 5-Star rating system. hb```>>S~1A\pDKu;sH(1mA~>bN 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. 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. s.parentNode.insertBefore(gcse, s); 0000001856 00000 n 0000002069 00000 n JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 0000001465 00000 n AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . 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. International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. 0000003518 00000 n 0000006077 00000 n Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. All calls are toll-free. money from Medicare into the account. 0000004285 00000 n NCPDP provides a service to those health plans that do not use magnetic stripe cards. '//cse.google.com/cse.js?cx=' + cx; Those who disenroll Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. Group number: Make sure the group number is populated on page 4 in RPMS Patient . Because of this, every member must create a new account regardless of whether they are renewing or not. %%EOF Please renew your membership to login. var s = document.getElementsByTagName('script')[0]; 0000003383 00000 n gcse.src = (document.location.protocol == 'https:' ? %PDF-1.3 % 0000033095 00000 n 0000010641 00000 n 0000004799 00000 n TTY users should call, 1-800-325-0778; or your state Medicaid Office. Have them call the phone number on the back of their Cigna ID card. 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.