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0000002830 00000 n 0000007215 00000 n CO. & UHC INS. 0000029756 00000 n A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 0000006462 00000 n gcse.src = (document.location.protocol == 'https:' ? Please renew your membership to login. 0000008238 00000 n We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. gcse.async = true; 0000014626 00000 n %PDF-1.4 % Some health plans decided to use magnetic stripe cards, some did not. Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. Star Ratings are calculated each year and may change from one year to the next. 01. Your medical benefits allow you RX Group: UHEALTH . 11-a1 bin number (see above) m 12-a2 version/releasenumber d m 13-a3 transaction code b1, b3 m 14-a4 processor control number m . In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. For more information contact the plan. 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 Your Premera provider network: What's 'in' it for you? The benefit information provided is a brief summary, not a complete description of benefits. <<0F6188EC756C624CBAA438B0D92726A7>]>> 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). 0000006248 00000 n In certain situations, you can. Medicare evaluates plans based on a 5-Star rating system. TTY users should call, 1-800-325-0778; or your state Medicaid Office. 0000005253 00000 n The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. Healthcare coverage wherever you go. 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. In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. %PDF-1.6 % 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. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 0000010471 00000 n 0000033095 00000 n Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. 2. BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . Those who disenroll Cigna may not control the content or links of non-Cigna websites. ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. 0000003516 00000 n 'https:' : 'http:') + 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 0000002333 00000 n 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 . 0000030450 00000 n })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). gcse.src = (document.location.protocol == 'https:' ? General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . Contact the plan provider for additional information. 0000033180 00000 n The term BIN is synonymous with the ISO/IEC 7812 IIN. Below are some tips to help you get the most out of your benefits and save money. 0000001469 00000 n ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. Op!> =bLxT_W\h%H,8)1mhT@(\ A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Refer to above list or what is printed on ID card . RX Bin: 610014 . 02. ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. 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 . during the calendar year will owe a portion of the account deposit back to the plan. 0000011029 00000 n <<5F4BCB39515F55479546A7F5DAE5B678>]>> C. CPhT1969 New Member. Please enter the information that appears on the You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 0000014836 00000 n 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 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. 03. All insurance policies and group benefit plans contain exclusions and limitations. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . 0000001868 00000 n 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. Managed care pharmacy identification. One piece of information is the name of the health plan/PBM. 0000006026 00000 n Contact the plan provider for additional information. 0000016714 00000 n Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. hb```>>S~1A\pDKu;sH(1mA~>bN 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). Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . var s = document.getElementsByTagName('script')[0]; 2391 0 obj<>stream 0000028726 00000 n In certain situations, you can. 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 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 0000007096 00000 n The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. 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. 0000032773 00000 n 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 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 3850 0 obj <>stream Not all entities use the PCN to differentiate plans. '//cse.google.com/cse.js?cx=' + cx; 0000003632 00000 n DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". 0000032580 00000 n Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 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 Your membership is expired. 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. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 0000014560 00000 n Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . Sunrise, sunset, day length and solar time for Stockholm County. Members are instructed to show both ID cards before receiving health care services. 0000011550 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. Updated Privacy Policy, Documents | Guides and Templates | Informational. YOUR PROVIDERS. 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, 0000004285 00000 n wG4jZG5\s.Wu=]qjLH (function() { 3=Three Occurrences . Verify member eligibility and the MCO enrollment . We do not sell leads or share your personal information. U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying Anthem Blue Cross Rx BIN: 020099 PCN: IS Blue Shield of California Rx BIN: 004336 PCN: 77993333 Chinese Community Health Plan RX BIN: 003585 RX PCN: ASPROD1 Cigna + Oscar RX BIN: 003858 PCN: A4 Health Net* Rx BIN: 004336 PCN: HNET Kaiser Permanente-Northern CA Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address: P.O. 0000005026 00000 n There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. UMP Plus networks. 0000029834 00000 n s.parentNode.insertBefore(gcse, s); But that's pure memorization. 0000000016 00000 n Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. 0000011095 00000 n 74 33 The application and registration procedures are identified in ISO/IEC 7812-2. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` MARTIN'S POINT GENERATIONS ADVANTAGE, INC. BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK, CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY, ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT, HAWAII MEDICAL SERVICE ASSOCIATION (HMSA), BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, 314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 332, 333, 334, 335, 336, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 347, 003, 008, 013, 018, 053, 068, 088, 103, 108, 113, 118, 123, 128, 133, 138, 143, 148, 153, 158, 163, 214, 215, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 246, 247, 248, 249, 250, 251, 252, 253, 254, 255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 287, 288, 289, 290, 291, 292, 293, 294, 295, 296, 297, 298, 299, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 801, 802, 805, 806, MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY, WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY, WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION, REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH, UNITEDHEALTHCARE INS. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 0000013525 00000 n The current local time in Stockholm County is 2 minutes ahead of apparent solar time. Group ID will be ignored by the processor. 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). Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 0000007028 00000 n 0000004577 00000 n Our. area. NCPDP provides a service to those health plans that do not use magnetic stripe cards. 0000003144 00000 n You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 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. 0000000927 00000 n The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000002706 00000 n If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. RX Bin: 610014 . that insure or administer group HMO, dental HMO, and other products or services in your state). '//cse.google.com/cse.js?cx=' + cx; If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Medicare MSA Plans do not cover prescription drugs. As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. It refers to a six-digit number that is assigned to banks for electronic routing of transactions. Please do not turn the customer away if you receive a rejected claim. The ISO/IEC 7812 IIN is a number used throughout electronic routing. All the information you need to properly process prescription claims with Cigna. We are not compensated for Medicare plan enrollments. trailer << /Size 74 /Info 43 0 R /Root 46 0 R /Prev 171485 /ID[<37aecaa143068a95479ba03747276abf><049f79498583002e530f12be65619304>] >> startxref 0 %%EOF 46 0 obj << /Type /Catalog /Pages 42 0 R /Metadata 44 0 R /PageLabels 41 0 R >> endobj 72 0 obj << /S 297 /L 404 /Filter /FlateDecode /Length 73 0 R >> stream 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). 0000001856 00000 n xref trailer 0000028633 00000 n
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