Bin Number 610455PCN GROUP : Type Network: Location Help Desk Number: AlphaScrip Inc Alpha Scrip 610600: AS Commercial: 1-877-274-3244 AmWins Rx Commercial AmWINS Rx AmWINS Rx: Location Help Desk Number: ARGUS 1. This BIN number is still. Medicare Plan Pharmacy Numbers: BIN: 610455 PCN: CSPDP See BIN/PCNs for all plans: Plan Type (Reach): Regional Plan: Number of Members enrolled in this plan in Iowa: 14,819 members: Number of Members enrolled in this plan in your CMS Region: 44,074 members (CMS Region 25) Number of Members enrolled in this plan nationally: 44,074 members. Search Items per page 1 2 3 4 5 6 7 8 9 … ››. Care management programs that can help you get the best results from our prescribed drug therapy. 00 Managed care product for employees of the State of Minnesota Group number: 0S228Z_ Lists primary care clinic. 1, 2021 For more information → Medicare Part D and. The following is the new information to. Start verifying, validating, and checking all information of credit/debit cards just using BIN numbers. You can find it in your health plan materials or by calling the number on your member ID card. Do not enter a value in the Total Noncovered Amount field. BIN PCN ID Number Length Group Number BlueCHiP for Medicare MAPD Individual. BlueCHiP for Medicare MAPD Group ; 610455 BCRIMAG 12 digits BCRIMA. Free Prime Therapeutics Prior (Rx) Authorization Form. MAESTRO Card Level Card Type DEBIT Country UNKNOWN Bank UNKNOWN Details about the BIN/IIN number 610455 The BIN number 610455 was issued by UNKNOWN in UNKNOWN. Providers of Fee-for-Service (FFS) members may contact Magellan Medicaid Administration via phone or fax to document patient specific clinical considerations requiring exception to these limits. BIN 61Ø648, PCN Ø189ØØØØ This is required when Covered Person’s of Truli have secondary coverage with Truli, BIN Ø12833, PCN THP This is required when Covered Person’s of BCBS of North Dakota USW Union Bobcat group has secondary coverage with BCBS of ND, BIN: 610455 PCN: NDBCSUP 429-DT SPECIAL PACKAGING INDICATOR RW Payer Requirement:. A BIN or IIN is the first six numbers that appear on a credit card/debit card. PDF Sample Identification Cards. PDF Payer Specification Sheet. 610455: meddadv: h5943: scan health plan: all plans: 003858: md: h5945: prominence healthfirst: all plans: 015574: asprod1: h5959: blue cross and blue shield of minnesota: 009, 010, 011, 012, 013, 014: 610455: emnh5959: h5959: blue cross and blue shield of minnesota: 801: 610455: emnh5959g: h5965: wellcare health insurance company of washington. 1, 2021 For more information → Medicare Part D and Part B claims with a fill date on or after Jan. Region BIN PCN/ Group Help Desk 4D Pharmacy Network-Managed Phy Network National 610455 PGIGN 800/821-4795. We do not store or view any data you enter. NCPDP Data Elements Version 32 Variable Fld #. Members are instructed to show both ID cards before receiving health care services. Enter the total noncovered amount. Total Number of Formulary Drugs: 3,214 drugs: Browse the MedicareBlue Rx Select (PDP) Formulary: This plan has 5 drug tiers. Our free BIN checker can help you spot fraudulent credit card transactions. Member ID cards with RxBIN 610455 and RxPCN PGIGN or HMHS on the front indicate that a member has Prime Therapeutics as their PBM and these pharmacy policies apply. 610455 MPDPW PrimeWest Health H2417 ITASCA MEDICAL CARE IMCare Classic (HMO SNP) 00433 2015 Medicare Contract/Plan and BIN/PCN Combinations BIN/PCN Data Disclaimer. 610455 BCRIMA 12 digits BCRIMA : 610455 : RIPARTB. If you have questions regarding claims processing,. Prime Therapeutics Prior (Rx) Authorization Form. IDENTIFICATION NUMBER YQA 9999999999 RxBIN 610455 RxPCN RX COVRG OFFICE COPAY PGIGN GOLD SELECT 15. RxID: RxGroup: RxBin: RxPCN. NDC Payer Profile Service. Bin #: 610455 States: Nationwide Destination: Prime Therapeutics Accepting: Claim Adjudication, Claim Reversals Format: NCPDP Version 3A 1. 1Ø1-A1 BIN NUMBER (see above) M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4-A4 PROCESSOR CONTROL NUMBER See above M Required for all claims 1Ø9-A9 TRANSACTION COUNT Up to 4 M 2Ø2-B2 SERVICE PROVIDER ID QUALIFIER 01 M NPI ONLY 2Ø1-B1 SERVICE PROVIDER ID 10 digit NPI number M. What is BIN or IIN? Bank Identification Number (“BIN”) or Issuer identification number (“IIN”) is the first six digits of a bank card number or payment card number. PDF IMPORTANT ACTION REQUIRED New Plan Announcement. 1, 2021 must be submitted with the BIN/PCN noted below. that appears when the cursor is on line 9 in the F7 Report program. We're leading the market in total drug management solutions that put people first. Medicaid coverage, billing requirements and rates: Program policy staff and telephone numbers Claim status: (877) 255-3092 Electronic Data Interchange: (866) 498-4357. 610455: SBPARTD: PMAP: 610455: MCAIDMN: MSC+: 610455: MCAIDMN: MinnesotaCare: 610455: MCAIDMN. 610455, 004915, 012833, 011552, 015905, 014897, 800-821-4795 ProCare Rx 009430, 013501, 014310, 014194, 012493 800-699-3542 *Independently Contracted. 610455 MPDPW PrimeWest Health H2417 ITASCA MEDICAL CARE IMCare Classic (HMO SNP) 00433 2015 Medicare Contract/Plan and BIN/PCN Combinations BIN/PCN Data Disclaimer. A message about whether your BIN is valid or invalid also appears. 00 CONTRACT YEAR 2008 Minnesota Advantage Health Plan ER COPAY IN NETWORK 75. Verify member eligibility and the MCO enrollment. Plan Sponsor Plan Name BIN PCN RX Group Number Alignment Health Plan of Nevada AVA (HMO) 610455 AHPPARTD H9686 Alignment Health Plan of North Carolina NC Premier (HMO) NCPlus (HMO) Platinum (HMO-POS) 610455 AHPPARTD H5296 Alignment Health Plan CalPlusDuals (HMO D-SNP) 610455 AHPPARTD H3815 Effective Jan. MAESTRO Card Level Card Type DEBIT Country UNKNOWN Bank UNKNOWN Details about the BIN/IIN number 610455 The BIN number 610455 was issued by UNKNOWN. Find all the information you need to manage your patients’ prescription drugs, including formularies, prior authorization forms, drug quantity limits, and more. BIN: 018704 601577 606464 610171 610548 610621 610704 015383 015814 017267 060646 601683 610011 610173 610560 610652 610709 020149 015962 PCN: Varies by plan –. PPACA for Value - January 1, 2023 (includes vaccine coverage) Value January 2023 update. BIN 61Ø648, PCN Ø189ØØØØ This is required when Covered Person’s of Truli have secondary coverage with Truli, BIN Ø12833, PCN THP This is required when Covered Person’s of BCBS of North Dakota USW Union Bobcat group has secondary coverage with BCBS of ND, BIN: 610455 PCN: NDBCSUP 429-DT SPECIAL PACKAGING INDICATOR RW Payer Requirement:. RESTAT 600471, 001693 800-926-5858 Sav-Rx 006558, 008563 800-228-3108 Script Care, LTD. 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. 610455, 004915, 012833, 011552, 015905, 014897, 800-821-4795 ProCare Rx 009430, 013501, 014310, 014194, 012493 800-699-3542 *Independently Contracted. 1, BIN# 003452, PCN: NONE − Added patient’s last name field • EBMS 5. The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN. Plan Name BIN PCN Group Number BlueCross BlueShield MedicareBlue MedicareBlueSM Rx Standard (PDP) SM Rx Premier (PDP) MedicareBlueSM Rx Select (PDP) 610455 CSPDP S5743 BlueCross BlueShield Group MedicareBlueSM Rx (PDP) 610455 CSPDPG S5743 Effective January 1, 2023 2022 Outstanding Claim Reversals and Processing. BIN PCN ID Number Length Group Number BlueCHiP for Medicare MAPD Individual. Part D Prior Authorization Form (Medicare) Part D Fax to: 1 (800) 693-6703. Start verifying, validating, and checking all information of credit/debit cards just using BIN numbers. 1, 2021, we rolled out our new. 1Ø1-A1 BIN Number 610415, 004336 610029, 610468 006144, 004245 610449, 610474 603604, 007093 610473, 601475 012189, 013303 014046, 600042 610130, 610477. If you wish to narrow the report by a customer or scrip number. Published: Dec, 24 2022 09:12:18 < Previous Next > The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2023 Medicare Part D plan sponsor. 1Ø1-A1 BIN NUMBER Multiple M BIN’s listed in General Information Section 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1 M 1Ø4-A4 PROCESSOR CONTROL NUMBER Multiple M PCN’s listed in General Information Section 1Ø9-A9 TRANSACTION COUNT Ø1-Ø4 M Up to 4 transactions per B1 transmissions accepted. Managed care pharmacy identification. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction. Medicaid coverage, billing requirements and rates: Program policy staff and telephone numbers Claim status: (877) 255-3092 Electronic Data Interchange: (866) 498-4357. BlueCHiP for Medicare MAPD Group Part B : 610455 RIPARTBG 12 digits N/A. 610455: meddadv: h5943: scan health plan: all plans: 003858: md: h5945: prominence healthfirst: all plans: 015574: asprod1: h5959: blue cross and blue shield of minnesota: 009, 010, 011, 012, 013, 014: 610455: emnh5959: h5959: blue cross and blue shield of minnesota: 801: 610455: emnh5959g: h5965: wellcare health insurance company of washington. CMS included the following disclaimer in regards to this data:. Prescriptions by Insurance Bin. MAESTRO Card Level Card Type DEBIT Country UNKNOWN Bank UNKNOWN Details about the BIN/IIN number 610455 The BIN number 610455 was issued by UNKNOWN in UNKNOWN. BlueCHiP for Medicare MAPD Group Part B :. Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group Berkshire Fallon Health Collaborative ACO Fallon Caremark 004336 ADV. Published: Dec, 24 2022 09:12:18 < Previous Next > The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2023 Medicare Part D plan sponsor. IMPORTANT ACTION REQUIRED New Plan Announcement. If you’re uncertain which formulary applies to you, please check your plan documents, or call the Member Services number on the back of your ID card. manager, using BIN 610455 and PCN RXNEB. If you wish to narrow the report by a customer or scrip number. You can find it in your health plan materials or by calling the number on your member ID card. Chart of 2023 BIN and PCN values for each Medicare Part D …. It depicts information such as the bank’s geographic location and the type of the card. PDF OptumRx NCPDP Version D. Our free BIN checker can help you spot fraudulent credit card transactions. Find all the information you need to manage your patients’ prescription drugs, including formularies, prior authorization forms, drug quantity limits, and more. BIN_PCN Sheet1 BIN_PCN E0654 IBT VOLUNTARY EMPLOYEE BENEFITS TRUST 801 IBT Voluntary Employee Benefits Trust (Employer PDP) 610097 9999 610455 MPDPW PrimeWest Health H2417 ITASCA MEDICAL CARE IMCare Classic (HMO SNP) Itasca Medical Care/IMCare Classic H2419 SOUTH COUNTRY HEALTH ALLIANCE. BCBS of ND, BIN: 610455 PCN: NDBCSUP 429-DT SPECIAL PACKAGING INDICATOR RW Payer Requirement: Applies for Multi – Ingredient Compound 461-EU PRIOR. Join our team of 3,000+ purpose-driven people determined to define what’s next in total drug management. The card scheme for this card is MAESTRO. On line 9 you will set your Code this will be what filters the report by insurance bin number. 2015 HealthCare Corp of America /Prescription Corp of America HCA-PCA. The chart below is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H8634 through S9701. Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fourth page (H5928 - H8634). Member ID cards with RxBIN 610455 and RxPCN PGIGN or HMHS on the front indicate that a member has Prime Therapeutics as their PBM and these pharmacy policies apply. Health insurance and dental plans, related health care benefits for Medicare, individual or group health insurance. 1 0 1 -A1 BIN NUMBER 610241, 017076, 017639, 018280, M 102-A2 VERSION/RELEASE NUMBER D0 M 103-A3 TRANSACTION CODE B1 M Note: Rebill (B3) not supported 104-A4 PROCESSOR CONTROL NUMBER Refer to PCN table on page 3 M Use correct PCN for BIN/Group/Line of Business. Help Desk Number Legacy ADV * 1Ø1-A1 BIN Number : 004336, 610591 020115, 020388. 1Ø1-A1 BIN NUMBER Multiple M BIN's listed in General Information Section 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1 M 1Ø4-A4 PROCESSOR CONTROL NUMBER Multiple M PCN's listed in General Information Section 1Ø9-A9 TRANSACTION COUNT Ø1-Ø4 M Up to 4 transactions per B1 transmissions. This card uses the Luhn validation algorithm. Region BIN PCN/ Group Help Desk National 610455 PGIGN 800/821-4795. Plan Name BIN PCN Group Number BlueCross BlueShield MedicareBlue MedicareBlueSM Rx Standard (PDP) SM Rx Premier (PDP) MedicareBlueSM Rx Select (PDP) 610455. 610455 AHPPARTD H5296 Alignment Health Plan CalPlusDuals (HMO D-SNP) 610455 AHPPARTD H3815 Effective Jan. What is BIN or IIN? Bank Identification Number (“BIN”) or Issuer identification number (“IIN”) is the first six digits of a bank card number or payment card number. Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. One free meter per beneficiary is covered every 2 years. MMIS POSC Job Aid: Supplemental Instructions for Reporting. Plan Name BIN PCN Group Number BlueCross BlueShield MedicareBlue MedicareBlueSM Rx Standard (PDP) SM Rx Premier (PDP) MedicareBlueSM Rx Select (PDP) 610455 CSPDP S5743 BlueCross BlueShield Group MedicareBlueSM Rx (PDP) 610455 CSPDPG S5743 Effective January 1, 2023 2022 Outstanding Claim Reversals and Processing →Persons of To prepare for this. PDF BCBSRI PBM Transition. In the Payer Responsibility field, select the appropriate code from the drop-down list. New BIN Numbers for Free Glucose Meter. 2020 OptumRx BIN 610279 Payer Sheet. Identification Number BlueChoice SolutionsChoice Networks Non-Group Health Individual Dental Individual Network Ded Network Coin Network Max Office Visit Copay Specialist Copay Emergency Copay Urgent Care Copay $1500 $4500 $25 $50 $300 $25 Group No. 2020 OptumRx BIN 610279 Payer Sheet. This number is used to recognize the bank or financial institution that issues the card. Centers for Medicare & Medicaid Services. 011552; 610455; Current Priority Health 600428/00750000 Current 601DN30Y *Note: Humana Part D and Humana LI Net was BIN 610649 for 5. 610455 is a DEBIT card. All you have to do is put those 6 digits into the checker and hit "enter" A list of details about the card appears onto your screens. On this page, you will find a fillable PDF version of this form which you can download, as well as the fax number that you must send it to. This list can also be found in the picklist. Chart of 2021 BIN and PCN values for each Medicare Part D …. 610455 AHPPARTD H5296 Alignment Health Plan CalPlusDuals (HMO D-SNP) 610455 AHPPARTD H3815 Effective Jan. Your card & bank information is safe. 011552; 610455; Current Priority Health 600428/00750000 Current 601DN30Y *Note: Humana Part D and Humana LI Net was BIN 610649 for 5. bin|pcn|effdate|termdate|filedate 001553|gam|20090101||20201229 001553|gmea|20090101||20201229 001553|mpd|20090101||20201229 001553|pda10|20090101|20200430|20201229. 407-D7 PRODUCT/SERVICE ID M NDC Number If billing for a Multi-Ingredient Compound , value is “Ø” 442-E7 QUANTITY DISPENSED R 4Ø3-D3 FILL NUMBER R 4Ø5-D5 DAYS SUPPLY R 4Ø6-D6 COMPOUND CODE 1-Not a Compound 2-Compound R See Compound Segment for support of multi-ingredient compounds 4Ø8-D8 DISPENSE AS WRITTEN. 610455 AHPPARTD H5296 Alignment Health Plan CalPlusDuals (HMO D-SNP) 610455 AHPPARTD H3815 Effective Jan. returned because the number of units billed exceeds the MUE value. Injury only, BIN 61Ø455, PCN BCRI Required for Capital Blue Cross BIN 61Ø455, PCN CBC 3Ø6-C6 PATIENT RELATIONSHIP CODE RW Payer Requirement: Required for. 610455, 004915, 012833, 011552, 015905, 014897, 800-821-4795 ProCare Rx 009430, 013501, 014310, 014194, 012493 800-699-3542 *Independently Contracted. 610455 MPDPW PrimeWest Health H2417 ITASCA MEDICAL CARE IMCare Classic (HMO SNP) 2016 Medicare Contract/Plan and BIN/PCN Combinations BIN/PCN Data Disclaimer. It refers to a six-digit number that is assigned to banks for electronic routing of transactions. Medicare Plan Pharmacy Numbers: BIN: 610455 PCN: CSPDP See BIN/PCNs for all plans: Plan Type (Reach): Regional Plan: Number of Members enrolled in this plan in Iowa:. 610455 AHPPARTD H5296 Alignment Health Plan CalPlusDuals (HMO D-SNP) 610455 AHPPARTD H3815 Effective Jan. 610455: MEDDADV: H5938: Capital Health Plan: 802, 804, 805: 610455: MEDDADVG: H5943: VillageHealth: all plans: 003858: MD: H5945: Prominence Health. Plan Code Rx BIN/PCN 714553005 650/150 610455/BCBSKS Deductible/Coinsurance Applies. BlueCHiP for Medicare MAPD and MA Individual Part B 610455 : RIPARTB. ) Search a drug list – Medicare (You'll need to know the name of your Medicare plan. This BIN number is still active. 109-A9 TRANSACTION COUNT 1 M Only one. How do employees obtain a temporary ID card? as well top 10 diagnosis categories and number and percentage of claims by dollar ranges. CMS included the following disclaimer in regards. Prime Therapeutics: Pharmacy Benefit Management Company. Published: Dec, 24 2022 09:12:18 < Previous Next > The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2023 Medicare Part D plan sponsor. 00 CONTRACT YEAR 2008 BlueCross BlueShield 00 JOHN A SAMPLENAME GROUP NUMBER XX199-11 IN NETWORK ER COPAY OFFICE COPAY 75. 1, 2021 must be submitted with the BIN/PCN noted below. 2023 MedicareBlue Rx Select (PDP) in IA Plan Benefits Details. Effective immediately, there is new BIN information for pharmacies and Durable Medical Equipment (DME) providers to use when processing a claim for a free Accu-Chek meter for North Carolina Medicaid and Health Choice beneficiaries. BIN number : Logout: PRIME THERAPEUTICS PAYER SHEET December 26, 2001 Prime Therapeutics Bin #: 610455 States: Nationwide Destination: Prime Therapeutics Accepting: Claim Adjudication, Claim Reversals Format: NCPDP Version 3A 1. 011552; 610455; Current Priority Health 600428/00750000 Current 601DN30Y Priority Medicare & Medicare Plus 012353/03690000 Current 601DN30Y Priority Medicare Rx. 004410 800-880-9988 ScriptGuideRx 015327, 015202 855-367-7479. 610455: meddadv: h5943: scan health plan: all plans: 003858: md: h5945: prominence healthfirst: all plans: 015574: asprod1: h5959: blue cross and blue shield of minnesota:. 2021 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H5928: BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN: 054: 012353: 07800000: H5932: GATEWAY HEALTH PLAN, INC. Author: Mai Xiong Created Date:. 407-D7 PRODUCT/SERVICE ID M NDC Number If billing for a Multi-Ingredient Compound , value is “Ø” 442-E7 QUANTITY DISPENSED R 4Ø3-D3 FILL NUMBER R 4Ø5-D5 DAYS SUPPLY R 4Ø6-D6 COMPOUND CODE 1-Not a Compound 2-Compound R See Compound Segment for support of multi-ingredient compounds 4Ø8-D8 DISPENSE AS WRITTEN. The following Medical Assistance (MA) Bulletin applies to 340B covered entities that bill the MA Fee-for-Service (FFS) program and/or a MA Program managed care organization (MCO) for drugs purchased under the 340B Drug Pricing Program and dispensed to MA program beneficiaries: MAB 99-13-08: 340B Drug Pricing Program Provider Requirements and. Our employees are dedicated to improving health outcomes, creating a better member experience and lowering the total cost of care through effective pharmacy benefit management (PBM). PDF CVS Caremark Payer Sheet Commercial Primary. Chart of 2023 BIN and PCN values for each Medicare Part D prescription. 011552; 610455; Current Priority Health 600428/00750000 Current 601DN30Y Priority Medicare & Medicare Plus 012353/03690000 Current 601DN30Y Priority Medicare Rx 012353/03700000 Current 601DN30Y *Note: Humana Part D and Humana LI Net was BIN 610649 for 5. On line 9 you will set your Code this will be what filters the report by insurance bin number. Y0080_SB_90009CLT_2013_9476_2570_801 October 29, 2012. BIN number : Logout: PRIME THERAPEUTICS PAYER SHEET December 26, 2001 Prime Therapeutics Bin #: 610455 States: Nationwide Destination: Prime Therapeutics Accepting: Claim Adjudication, Claim Reversals Format: NCPDP Version 3A 1. OptumRx BIN 610279 Payer Sheet. Caremark Payer Sheet">CVS Caremark Payer Sheet. This document provides information on electronic claims processing, specific to NCPDP defined fields and requirements, for OptumRx BIN 610279 business. 610455 CSPDP S5743 BlueCross BlueShield Group MedicareBlueSM Rx (PDP) 610455 CSPDPG S5743 Effective January submitted with the BIN/PCN outlined below → Beginning January 1, 2023, if you have questions regarding → Covered Person ID Number → Date of Birth Gender → Group Number → U&C → Days Supply. Region BIN PCN/ Group Help Desk 4D Pharmacy Network-Managed Phy Network National 610455 PGIGN 800/821-4795. CVS Caremark Payer Sheet Commercial Primary. Our database has +365,460 unique BINs. Providers of Fee-for-Service (FFS) members may contact Magellan Medicaid Administration via phone or fax to document patient specific clinical considerations requiring exception to these limits. What is the RX Bin number for members who don't have an ID card, only their ID number? Rx BIN/RxPCN 610455/BCRI RxGrp BCRI. HealthPartners Provider portal ">Before starting the HealthPartners Provider portal. Payer Specification Sheet. 1, BIN# 610455, PCN: MPD19 − Removed duplicate patient gender field. Medicare Plan Pharmacy Numbers: BIN: 610455 PCN: CSPDP See BIN/PCNs for all plans: Plan Type (Reach): Regional Plan: Number of Members enrolled in this plan in Iowa: 14,819 members: Number of Members enrolled in this plan in your CMS Region: 44,074 members (CMS Region 25) Number of Members enrolled in this plan nationally: 44,074 members. Blue Cross MN">Pharmacy Utilization Management. Chart of 2023 BIN and PCN values for each Medicare Part D. In the Payer Claim number field, enter the other insurance claim number. 610455 AHPPARTD H5296 Alignment Health Plan CalPlusDuals (HMO D-SNP) 610455 AHPPARTD H3815 Effective Jan. Pharmacy Utilization Management. Pharmacy Facts, Number 110 (updated) Page 2 of 2 If you have questions or comments, or want to be removed from this fax distribution, please contact Victor Moquin at Conduent at 617-423-9830. Medicare Part D Transaction Facilitator. Manage your health care choices with BCBSKS. 00 Managed care product for employees of the State of Minnesota Group number: 0S228Z_ Lists primary care clinic. Help Desk Number Legacy ADV * 004336 1-8ØØ-364-6331 CVS Caremark® 610591 As communicated by plan or refer to ID card: Aetna 610502 1-8ØØ-238-6279 : CarelonRx 1Ø1-A1 BIN Number : 004336, 610591. We partner with our Blue Plan partners through our superior partnership model and consumer-driven innovation to make health care work better. Chart of 2022 BIN and PCN values for each Medicare Part D prescription. Can I see utilization patterns? Yes, you can see this type of information, which. Update 12/24/2022: 2023 BIN and PCN available at Q1News. To set up an account with Accredo, call 833. PBM/Payor Plan Name/Contract Name BIN. Identification Number BlueChoice SolutionsChoice Networks Non-Group Health Individual Dental Individual Network Ded Network Coin Network Max Office Visit Copay Specialist Copay Emergency Copay Urgent Care Copay $1500 $4500 $25 $50 $300 $25 Group No. The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN. 1, BIN# 610675, PCN: 27006 − Added prior authorization fields • MEDICARE BLUE PPO 5. The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN. Managed care pharmacy identification / Minnesota Department. MedImpact Nat'l 003585 gp number 800/788-2949 Health Alliance Medical. It is commonly used in credit cards and debit cards, stored-value cards, gift cards, and other similar cards. 1Ø1-A1 BIN NUMBER (see above) M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4-A4 PROCESSOR CONTROL NUMBER See above M Required for all claims 1Ø9-A9 TRANSACTION COUNT Up to 4 M 2Ø2-B2 SERVICE PROVIDER ID QUALIFIER 01 M NPI ONLY 2Ø1-B1 SERVICE PROVIDER ID 10 digit NPI number M. Providers can complete a Prescription Prior Auth through Cover My Meds. Chart of 2021 BIN and PCN values for each Medicare Part D prescription. Sample Identification Cards. Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 1Ø1-A1 BIN NUMBER (see above) M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4-A4 PROCESSOR. Published: Dec, 24 2022 09:12:18 < Previous Next > The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values. The term BIN is synonymous with the ISO/IEC 7812 IIN. 11/2022 Before starting the HealthPartners Provider portal registration process, please note: • Your organization needs to be registered one time. MAESTRO Card Level Card Type DEBIT Country UNKNOWN Bank UNKNOWN Details about the BIN/IIN number 610455 The BIN number 610455 was issued by UNKNOWN in UNKNOWN. 1, BIN# 011552, PCN: 1217 − Added patient relationship field • BENESCRIPT STD 5. BIN and PCN values for each Medicare Part D ">Chart of 2023 BIN and PCN values for each Medicare Part D. 2015 Subject to Change BIN Type …. Member ID cards with RxBIN 610455 and RxPCN PGIGN or HMHS on the front indicate that a member has Prime Therapeutics as their PBM and these pharmacy policies apply. returned because the number of units billed exceeds the MUE value. For more inf ormatio n • Beginning January 1, 2017, for assistance with claims processing on Prime's platform,. In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. On this page, you will find a fillable PDF version of this form which you can download, as well as the fax number that you must send it to. Box 52424, Phoenix, AZ 85072-2424 ¹Other Pharmacies are Available in Our Network. GROUP NUMBER 0S228-ZX RxBIN RxPCN RX COVRG OFFICE COPAY 610455 PGIGN GOLD SELECT 15. This document provides information on electronic claims processing, specific to NCPDP defined fields and requirements, for OptumRx BIN 610279 business. Check, Verify & Validate BIN. 00 Minnesota Advantage Health Plan • Managed care product for employees of the. Our free BIN checker can help you spot fraudulent credit card transactions. Identification Number BlueChoice SolutionsChoice Networks Non-Group Health Individual Dental Individual Network Ded Network Coin Network Max Office Visit Copay Specialist Copay Emergency Copay Urgent Care Copay $1500 $4500 $25 $50 $300 $25 Group No. 2020 OptumRx BIN 610279 Payer Sheet. 610455 BCRIMAG 12 digits BCRIMA. Plan Code Rx BIN/PCN 714553005 650/150 610455/BCBSKS Deductible/Coinsurance. Hello, Florida & Texas! Now serving more members than ever, in 2023, we add Florida and Texas, and expand our plans in Arizona, California, Nevada and North Carolina. MAESTRO Card Level Card Type DEBIT Country UNKNOWN Bank UNKNOWN Details about the BIN/IIN number 610455 The BIN number 610455 was issued by UNKNOWN in UNKNOWN. Commercial Plan List Plan Name / Network. 610455, 004915, 012833, 011552, 015905, 014897, 800-821-4795 ProCare Rx 009430, 013501, 014310, 014194, 012493 800-699-3542 *Independently Contracted. Chart of 2022 BIN and PCN values for each Medicare Part D. BIN 610279 Payer Sheet">OptumRx BIN 610279 Payer Sheet. What is the RX Bin number for members who don’t have an ID card, only their ID number? Rx BIN/RxPCN 610455/BCRI RxGrp BCRI How do employees obtain a temporary ID card?. Commercial Plan List Plan Name / Network Name PBM/ Processor Region BIN PCN/ Group MedImpact Nat'l 003585 gp number 800/788-2949 Health Alliance Medical Plans MedImpact IL & National. 610455 MPDPW PrimeWest Health H2417 ITASCA MEDICAL CARE IMCare Classic (HMO SNP) 2016 Medicare Contract/Plan and BIN/PCN Combinations BIN/PCN Data Disclaimer. com/989 -- see first page (E0654 - H2134) , second page (H2161 - H3655) , third page (H3660 - H5355) , fourth page (H5372 - H7220) , fifth page (H7245 - H9649), and sixth page (H9662 - S9854). IDENTIFICATION NUMBER YQA 9999999999 RxBIN 610455 RxPCN RX COVRG OFFICE COPAY PGIGN GOLD SELECT 15. Apart from this, the following are the details that our BIN checked verifies: BIN. In the COB Payer Paid Amount field, enter the amount paid by the other insurance. Medicare Plan Pharmacy Numbers: BIN: 610455 PCN: CSPDP See BIN/PCNs for all plans: Plan Type (Reach): Regional Plan: Number of Members enrolled in this plan in Iowa:. Chart of 2021 BIN and PCN values for each Medicare Part D. Accredo will call or email you once they receive your prescription or when it is time for a refill. 610455: pdpok: s5726: blue cross and blue shield of kansas: all plans: 020115: is: s5743: wellmark ia & sd, & bcbs mn, mt, ne, nd,& wy: all plans: 004336: meddadv: s5753:. all plans 610455: EMNH5959: H5959: BLUE CROSS AND BLUE SHIELD OF MINNESOTA: 801: 610455: EMNH5959G: H5965: WELLCARE. bin|pcn|effdate|termdate|filedate 001553|gam|20090101||20201229 001553|gmea|20090101||20201229 001553|mpd|20090101||20201229 001553|pda10|20090101|20200430|20201229. or visit the Accredo website for more information. See below of a full list codes and their corresponding insurance bins. Please note, the data below is Part 6 of 6 (H9662 - S9854) with links to Parts 1 through 5. 1Ø1-A1 BIN Number 610415, 004336 610029, 610468 006144, 004245 610449, 610474 603604, 007093 610473, 601475 012189, 013303 014046, 600042 610130, 610477 610239, 021007 610084, 610591 021338, 020099 020123, 610502 025201 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. Hello, Florida & Texas! Now serving more members than ever, in 2023, we add Florida and Texas, and expand our plans in Arizona, California, Nevada and North Carolina. Plan Name BIN PCN Group Number BlueCross BlueShield MedicareBlue MedicareBlueSM Rx Standard (PDP) SM Rx Premier (PDP) MedicareBlueSM Rx Select (PDP) 610455 CSPDP S5743 BlueCross BlueShield Group MedicareBlueSM Rx (PDP) 610455 CSPDPG S5743 Effective January 1, 2023 2022 Outstanding Claim Reversals and Processing.