PDF SAS Benefit Vendor Contact Information 0000033095 00000 n 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). In addition to their Minnesota Health Care Programs (MHCP) ID cards, members enrolled in a managed care organization (MCO) also receive ID cards directly from their MCOs. On the ANSI web page, enter "IIN" in the Search box. 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. 0000028775 00000 n Please do not turn the customer away if you receive a rejected claim. %%EOF 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 . If they have bookmarked their old account, this will NOT show 2020 plan information. 0000003144 00000 n Medco Version D.0 Claim Reversal and Response Payer Sheet - YUMPU The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. 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 Star Ratings are calculated each year and may change from one year to the next. Not all entities use the PCN to differentiate plans. JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 money from Medicare into the account. PDF Acute Care Plans - azahcccs.gov endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream | Renew memberhip. 0000003518 00000 n Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 0000011949 00000 n 0000001081 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. 'https:' : 'http:') + Your Dental Benefits 109-A9 Transaction count 1 to 4 M Up to 4 Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. Op!> =bLxT_W\h%H,8)1mhT@(\ 0000030450 00000 n Refer to above list or what is printed on ID card . 0000001415 00000 n Healthcare coverage wherever you go. 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. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. The term BIN is synonymous with the ISO/IEC 7812 IIN. Medicare MSA Plans do not cover prescription drugs. 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. PDF Medco manages the prescription drug benefit for many of your customers 106 0 obj <>stream The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 2389 38 This document is available with NCPDP membership. 3424 0 obj <> endobj 0000003383 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 Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 0000032330 00000 n Providers who do not contract with the plan are not required to see you except in an emergency. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Those that use magnetic stripe cards apply through ANSI for an IIN. 0000002830 00000 n 0000008161 00000 n 3456 0 obj <>stream 0 0000012195 00000 n Updated Privacy Policy, Documents | Guides and Templates | Informational. Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 The PCN is alphanumeric as defined by the PBM/processor. Your membership is expired. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? 0000032580 00000 n The application and registration procedures are identified in ISO/IEC 7812-2. We do not sell leads or share your personal information. 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 . 0000003136 00000 n 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. wG4jZG5\s.Wu=]qjLH 0000007215 00000 n CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. If you forget if you need a group number or not, use the third party inquiry. U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 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 PDF Pharmacy Providers - West Virginia Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 0000005086 00000 n 0000001717 00000 n Medicare MSA Plans do not cover prescription drugs. gcse.type = 'text/javascript'; BIN: PCN: Group Number PBM: Phone Number. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Please enter the information that appears on the TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. during the calendar year will owe a portion of the account deposit back to the plan. 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 0000000927 00000 n 0000005422 00000 n })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). 2019 Payer Sheet NCPDP Version D - meridianrx.com PDF Rx BIN Number PCN RX Bin: 610014 . A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. Contact the Medicare plan for more information. UMP Plus (SEBB) 2021 Quick Start Guide. PCN GROUP : Type Network: Location Help Desk Number: ARGUS 1.1.2015 HealthCare Corp of America /Prescription Corp of America HCA-PCA 340 Basics 600428 06730000 Medicaid: National 1-800-309-1603: ARGUS 1.1.2015 Health Network Dscnt Card 600428: 1HEALTH Commercial: National 1-866-921-7286: ARGUS 1.1.2015 Health Options 600428: 07130000 Commercial . D_j:i4 [lL@o?e}otGFsLH arXeq 0000021734 00000 n 0000010872 00000 n 0000034997 00000 n 0000001745 00000 n Og%$pB1 o:er1?P_ojKuK3L 9H(! The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). 0000006077 00000 n The benefit information provided is a brief summary, not a complete description of benefits. gcse.type = 'text/javascript'; You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Please renew your membership to login. 0000013064 00000 n 0000001020 00000 n 0000011029 00000 n Solar noon: 12:02PM. PDF Medco Medicare Prescription Plan, and in support of a number of other 0000004060 00000 n Chart of 2021 BIN and PCN values for each Medicare Part D prescription Rx Information: MEDCO 1-800-842-2038 . Day length: 8h 24m. 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). WQqiT/ Y* T/q)~Z? When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. The Bank Identification Number (BIN) is a term commonly used in the credit card industry. PDF 2020 Medicare Advantage Guide - EmblemHealth SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC. HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC. WELLCARE HEALTH INSURANCE OF TENNESSEE, INC. FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY, BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK, COMPCARE HEALTH SERVICES INSURANCE CORPORATION, BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY, CENTRAL VALLEY MEDICAL SERVICES CORPORATION, CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC, WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA. s.parentNode.insertBefore(gcse, s); 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 Leading zeroes in the NCPDP Processor BIN are significant. BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . All insurance policies and group benefit plans contain exclusions and limitations. 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. Sunrise: 07:50AM. 74 33 XLS Home - Centers for Medicare & Medicaid Services | CMS The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 0000023131 00000 n 2391 0 obj<>stream startxref var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; But that's pure memorization. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Mid-season real-time estimates of seasonal influenza vaccine PDF Certified Payors - McKesson 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 . 0000003944 00000 n PDF NCPDP Version D.0 Payer Sheet - EpiphanyRx 0000046944 00000 n Group ID will be ignored by the processor. BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. 0000004799 00000 n Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . 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). Time in Stockholm County, Sweden now AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . One piece of information is the name of the health plan/PBM. 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. 0000006674 00000 n Managed care pharmacy identification - Minnesota Department of Human 0000007096 00000 n We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. '//cse.google.com/cse.js?cx=' + cx; 0000016527 00000 n PDF Payer Sheet - WellDyne In certain situations, you can. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Walgreens' Insurance Codes!!! | Student Doctor Network 0000033180 00000 n Cigna may not control the content or links of non-Cigna websites. Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. 0000032773 00000 n 0000013525 00000 n When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000006026 00000 n gcse.async = true; xb```b````c` |, ,,2g]>%Ad`B. 0000003632 00000 n This includes accounts for Grandfathered members. We are not compensated for Medicare plan enrollments. 0000003018 00000 n 0 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. Those who disenroll The current local time in Stockholm County is 2 minutes ahead of apparent solar time. PDF NYS Medicaid Managed Care Plan Contact and Billing Information 2015 BIN# 610014 BCBS 430 Date Printed 12/22/2014. NCPDP - NCPDP Processor ID (BIN) In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. 0000029111 00000 n 0000002170 00000 n 0000016714 00000 n 0000002203 00000 n Honestly, whenever I see BIN 610014 I know it's PAID. As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. 74 0 obj <> endobj 0000002333 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. 0000000016 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Express Scripts NCPDP Version D.0 Payer Sheet Department of : Fill M (BIN 6156 only . 0 However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . 03. 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 . BANBUHP Express Scripts. Use the Drawing Tools tab to change the formatting of the pull quote text box.] 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 }|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 Members are instructed to show both ID cards before receiving health care services. If you continue to browse or use this website, you agree to this updated Privacy Policy. PDF Group Health Plan Information for IRS/SSA/CMS Data Match TTY users should call, 1-800-325-0778; or your state Medicaid Office. Pharmacy :: The Health Plan There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. If using IE11, please consider using an alternative browser. Instructions for setting up RPMS POS for Blue Cross/Blue Shield Federal Health insurance can seem complicated, especially if you're new to the plan. 0000019138 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. Share your form with others Send it via email, link, or fax. 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. 0000005253 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 The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 0000002851 00000 n Details. In certain situations, you can. 0000007028 00000 n 0000005854 00000 n You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 0000100252 00000 n PDF commercial payer sheet - Express Scripts The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. Verify member eligibility and the MCO enrollment . 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. 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. '//cse.google.com/cse.js?cx=' + cx; var gcse = document.createElement('script'); r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. Pharmacist Resource Center gcse.src = (document.location.protocol == 'https:' ? Medicare has neither reviewed nor endorsed the information on our site. UMP Plus networks. 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. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Both in Stockholm and Finland, an e 0000012588 00000 n 0000014626 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. 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. 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) We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 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). The ISO/IEC 7812 IIN is a number used throughout electronic routing. 0000009374 00000 n 0000008305 00000 n %PDF-1.3 % Some entities may use the Group ID; still others may not need this level of differentiation. PDF Navitus Health Solutions LLC Pharmacy Network Development A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 0000008238 00000 n 0000002463 00000 n 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 0000003547 00000 n 0000008854 00000 n Below are some tips to help you get the most out of your benefits and save money. (function() { Medicare evaluates plans based on a 5-Star rating system. 0000007443 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. 0000002215 00000 n 0000006589 00000 n s.parentNode.insertBefore(gcse, s); 0000007679 00000 n Contact the plan provider for additional information. The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. 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 0000011626 00000 n 0000002073 00000 n PDF UMP Plus (SEBB) 2021 Quick Start Guide - hca.wa.gov Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 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. 0000014836 00000 n 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). 0000002685 00000 n 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. Sunrise, sunset, day length and solar time for Stockholm County. Links will appear for the application process. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 0000009092 00000 n 0000010641 00000 n What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?