'//cse.google.com/cse.js?cx=' + cx; Limitations, copayments, and restrictions may apply. We are not compensated for Medicare plan enrollments. Our. Managed care pharmacy identification. money from Medicare into the account. At home, across the country, and around the worldthe power of Blue is with you. We are an independent education, research, and technology company. 0000013064 00000 n 0000003018 00000 n 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. Plug . 0000030450 00000 n }|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 CDPHP (800) 388-2994. 0000001856 00000 n 0000011550 00000 n 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. 0000003344 00000 n Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 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} A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. YOUR PROVIDERS. 0000011949 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. For more information contact the plan. 8289 0 obj <>stream var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; The term BIN is synonymous with the ISO/IEC 7812 IIN. 8254 36 Contact the plan provider for additional information. Rx PCN: N/A BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name BIN: PCN: Plan Name/Group Name: BIN: PCN: Plan Name/Group Name: BIN: PCN: Processor: TelePAID System Effective as of: 12/08/2011 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 07/01/2007 NCPDP External Code List Version Date: 10/01/2009 Sunrise, sunset, day length and solar time for Stockholm County. endstream endobj startxref 0000006674 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). gcse.src = (document.location.protocol == 'https:' ? 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). Members are instructed to show both ID cards before receiving health care services. enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. 0000006026 00000 n 0000003982 00000 n that insure or administer group HMO, dental HMO, and other products or services in your state). contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . 0000019287 00000 n Group number: Make sure the group number is populated on page 4 in RPMS Patient . Medicare MSA Plans do not cover prescription drugs. RX Bin: 610014 . Details. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000004799 00000 n One piece of information is the name of the health plan/PBM. 0000023131 00000 n 0000005958 00000 n If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. TTY users should call, 1-800-325-0778; or your state Medicaid Office. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Those who disenroll 0000016616 00000 n 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. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? 0000007215 00000 n What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). 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. 0000046944 00000 n The plan deposits Have them call the phone number on the back of their Cigna ID card. 106 0 obj <>stream gcse.async = true; Because of this, every member must create a new account regardless of whether they are renewing or not. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 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. 3424 0 obj <> endobj RX Bin: 610014 . 2389 38 xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 0000002203 00000 n Updated Privacy Policy, Documents | Guides and Templates | Informational. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Medicare evaluates plans based on a 5-Star rating system. What is a Take-Home Drug? var s = document.getElementsByTagName('script')[0]; )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM Anthem Blue Cross Rx BIN: 020099 PCN: IS Blue Shield of California Rx BIN: 004336 PCN: 77993333 Chinese Community Health Plan RX BIN: 003585 RX PCN: ASPROD1 Cigna + Oscar RX BIN: 003858 PCN: A4 Health Net* Rx BIN: 004336 PCN: HNET Kaiser Permanente-Northern CA Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address: P.O. 0000006589 00000 n startxref Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 0000012588 00000 n Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) If you continue to browse or use this website, you agree to this updated Privacy Policy. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. 0000003518 00000 n ngRH);HRsZ.>@qTi-(0Q\{*`*5&he%fJ`B49Pe(h\#70 #8:(7Q)7mW:R,ATp$&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 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 . Contact the Medicare plan for more information. 0000006248 00000 n PCN: Varies by plan - refer to ID card. In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. 0000005026 00000 n NCPDP provides a service to those health plans that do not use magnetic stripe cards. CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. <<0F6188EC756C624CBAA438B0D92726A7>]>> Ut JJ`&PXIIaAAq0. 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. When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. %PDF-1.4 % The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 The benefit information provided is a brief summary, not a complete description of benefits. BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . 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. Those that use magnetic stripe cards apply through ANSI for an IIN. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000032580 00000 n 0000001469 00000 n 0 JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 You can position the text box anywhere in the document. var gcse = document.createElement('script'); var s = document.getElementsByTagName('script')[0]; 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
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