0000016527 00000 n 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. Contact the Medicare plan for more information. MedImpact (Includes: Excellus/ FLRx) trailer Please do not turn the customer away if you receive a rejected claim. 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. 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 BIN# 610014 BCBS 430 Date Printed 12/22/2014. 0000001040 00000 n Your medical benefits allow you 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. 0000006921 00000 n When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000009323 00000 n Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . 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 . 0000001448 00000 n that insure or administer group HMO, dental HMO, and other products or services in your state). 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. 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. CO. & UHC INS. Details. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# 3=Three Occurrences . Joined Feb 3, 2010 Messages 2 . Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. BIN and PCN Codes If Commercial claims are submitted for groups that have transitioned with the old BIN or PCN, claims will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control Number). s.parentNode.insertBefore(gcse, s); For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 0000012588 00000 n Have them call the phone number on the back of their Cigna ID card. 610014 003858 MA . <]>> HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? We do not sell leads or share your personal information. Limitations, copayments, and restrictions may apply. Your membership is expired. }|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 We do not sell leads or share your personal information. %PDF-1.6 % Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. endstream endobj startxref 0000000975 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 We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 0000012195 00000 n RX Bin: 610014 . %%EOF BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan The three tables below shows the correct combinations effective March 1, 2018, for pharmacies to use when submitting MassHealth ACO/MCO/FFS pharmacy claims. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 74 0 obj <> endobj Sunrise, sunset, day length and solar time for Stockholm County. One piece of information is the name of the health plan/PBM. 0000008854 00000 n RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 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 0000016616 00000 n A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. WQqiT/ Y* T/q)~Z? 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. 3850 0 obj <>stream 0000000016 00000 n 0000011550 00000 n ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? 0000002142 00000 n '//cse.google.com/cse.js?cx=' + cx; 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. money from Medicare into the account. 0000046944 00000 n 45 0 obj << /Linearized 1 /O 47 /H [ 1020 449 ] /L 172513 /E 107663 /N 8 /T 171495 >> endobj xref 45 29 0000000016 00000 n 0000003982 00000 n 0000002069 00000 n xb```b````c` |, ,,2g]>%Ad`B. 0000008238 00000 n 0000002203 00000 n 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 Honestly, whenever I see BIN 610014 I know it's PAID. 0000008305 00000 n 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. Plug . Express Scripts resources for pharmacists. 0000005958 00000 n 0000019287 00000 n 0000001856 00000 n Have them call the phone number on the back of their Cigna ID card. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 0000009281 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. It refers to a six-digit number that is assigned to banks for electronic routing of transactions. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 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 var s = document.getElementsByTagName('script')[0]; 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. Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. 0000021562 00000 n 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. 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). (function() { startxref 2391 0 obj<>stream Members may enroll in a Medicare Advantage plan only during specific times of the year. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 109-A9 Transaction count 1 to 4 M Up to 4 If using IE11, please consider using an alternative browser. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 %%EOF We are an independent education, research, and technology company. 2389 0 obj<> endobj 0000003547 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. Sign-up for our Medicare Part D Newsletter, Have a question? Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). during the calendar year will owe a portion of the account deposit back to the plan. 0000100252 00000 n 0000033238 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. 0000005422 00000 n Emblem Health (800) 447-8255. 8254 36 NCPDP has recently updated our Privacy Policy. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . xref Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 0000006462 00000 n However, it is highly encouraged that the Group ID is submitted for all Part D claims. The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000002482 00000 n The current local time in Stockholm County is 2 minutes ahead of apparent solar time. International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. 3424 0 obj <> endobj If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. The benefit information provided is a brief summary, not a complete description of benefits. 'https:' : 'http:') + The BIN/IIN field will either be filled with the ISO/IEC 7812 IIN or the NCPDP Processor BIN, depending on which one the health plan has obtained. 0000001867 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. The application and registration procedures are identified in ISO/IEC 7812-2. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . hb```>>S~1A\pDKu;sH(1mA~>bN 0000006674 00000 n 0000001465 00000 n Star Ratings are calculated each year and may change from one year to the next. 0000032330 00000 n RX Group: UHEALTH . 0000007443 00000 n 0000028633 00000 n Sign Up To Receive Emails For Events, News & General NCPDP Information. 0000028726 00000 n gcse.src = (document.location.protocol == 'https:' ? EmblemHealth (888 . 0000001081 00000 n You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. 0000014836 00000 n DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA".