0000002203 00000 n 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. Sign-up for our Medicare Part D Newsletter, Have a question? Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 2389 38 0000002706 00000 n 0000002333 00000 n 0000021734 00000 n 0000000016 00000 n In certain situations, you can. This includes accounts for Grandfathered members. WQqiT/ Y* T/q)~Z? Not a Member? <<5F4BCB39515F55479546A7F5DAE5B678>]>> Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 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). 0000003518 00000 n 3456 0 obj <>stream EmblemHealth (888 . But that's pure memorization. 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 For more information contact the plan. 0000009281 00000 n TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Solar noon: 12:02PM. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 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. BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . 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). 0000010471 00000 n endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. gcse.async = true; 0000010641 00000 n What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? 0000009323 00000 n area. Group number: Make sure the group number is populated on page 4 in RPMS Patient . endstream endobj startxref 0000001623 00000 n 0 0000001040 00000 n 0000100252 00000 n 0000007215 00000 n The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. %%EOF 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. 0000003383 00000 n startxref 0000002482 00000 n The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. 0000007679 00000 n CDPHP (800) 388-2994. BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . If you forget if you need a group number or not, use the third party inquiry. Use the Drawing Tools tab to change the formatting of the pull quote text box.] 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. Medicare MSA Plans do not cover prescription drugs. The plan deposits Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . 2. 0000016527 00000 n These numbers commonly begin with "61" as in "610014". The Bank Identification Number (BIN) is a term commonly used in the credit card industry. 0000006921 00000 n 02. The PCN is alphanumeric as defined by the PBM/processor. 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. 0000002330 00000 n 0000003144 00000 n Healthcare coverage wherever you go. 0000008305 00000 n 0000007096 00000 n You can position the text box anywhere in the document. It is important to understand the difference between the ISO/IEC 7812 IIN and NCPDP Processor ID Number (BIN) before applying for a Processor ID Number (BIN). 0000002648 00000 n 0000012195 00000 n 0000001856 00000 n money from Medicare into the account. 0000023131 00000 n 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. 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 . 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 . Honestly, whenever I see BIN 610014 I know it's PAID. 0000013525 00000 n 0000004060 00000 n 0000006077 00000 n Sunrise: 07:50AM. Leading zeroes in the NCPDP Processor BIN are significant. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). If they have bookmarked their old account, this will NOT show 2020 plan information. Members are instructed to show both ID cards before receiving health care services. '//cse.google.com/cse.js?cx=' + cx; 0000006674 00000 n 0000007668 00000 n Og%$pB1 o:er1?P_ojKuK3L 9H(! To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The ISO/IEC 7812 IIN is a number used throughout electronic routing. ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. <]>> Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 0000001867 00000 n MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor. 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 0 0000002463 00000 n Group ID will be ignored by the processor. xref Please do not turn the customer away if you receive a rejected claim. Those who disenroll 0000011095 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000038251 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 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 (function() { during the calendar year will owe a portion of the account deposit back to the plan. 0000029834 00000 n The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000008854 00000 n a listing of the legal entities Your membership is expired. 0000000927 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. Rx PCN: N/A Our Privacy Policy is now easier to read and better organized. r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. 0000016714 00000 n The term BIN is synonymous with the ISO/IEC 7812 IIN. The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. 0000007443 00000 n We do not sell leads or share your personal information. Limitations, copayments, and restrictions may apply. Sunrise, sunset, day length and solar time for Stockholm County. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 0000001448 00000 n 0000022896 00000 n 0000032330 00000 n 0000004285 00000 n Plug . UMP Plus (SEBB) 2021 Quick Start Guide. If using IE11, please consider using an alternative browser. Contact the Medicare plan for more information. 0000029111 00000 n Some health plans decided to use magnetic stripe cards, some did not. On the ANSI web page, enter "IIN" in the Search box. When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000019138 00000 n 0000002142 00000 n gcse.async = true; If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. RX Group: UHEALTH . 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. %PDF-1.6 % Medicare MSA Plans do not cover prescription drugs. var s = document.getElementsByTagName('script')[0]; 0000002069 00000 n startxref Updated Privacy Policy, Documents | Guides and Templates | Informational. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 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. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) 'https:' : 'http:') + The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 0000005253 00000 n YOUR PROVIDERS. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 0000034997 00000 n 3850 0 obj <>stream A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. %%EOF 0000013064 00000 n 0000009374 00000 n Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance 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. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Members may enroll in a Medicare Advantage plan only during specific times of the year. 0000014626 00000 n 0 D_j:i4 [lL@o?e}otGFsLH arXeq However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000033180 00000 n 74 33 General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. 0000001081 00000 n 610014 003858 MA . We are an independent education, research, and technology company. gcse.type = 'text/javascript'; NCPDP issues the Processor ID Number (BIN). 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. var gcse = document.createElement('script'); 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) Have them call the phone number on the back of their Cigna ID card. Click here to let us know, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA, Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York, BlueCross BlueShield: Empire, Excellus, WNY & NENY, Health Alliance Medicare Prescription Plan, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of IL, NM, OK, TX, Blue Cross and Blue Shield of Kansas or Blue KC, Regence BlueShield of Idaho and Regence BC BS Utah, Horizon Blue Cross Blue Shield of New Jersey, 001-012, 014-034, 070, 105, 106, 121-137, 801, 802, 808. 0000002830 00000 n Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 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). *hE\gUk~4>nmSLz~d}ICbQ>9MGZ,*:1E[&{nM)mB5})vB^1+g< 'DgrKZEU @kTHP"8\P*:C (W PYa+B .@.&n9i O|i2G/Xy3|`(pn|`;&30ax a= LcqOb.g`a G5'00gd8gf)g]X)5iG@ P 0000011550 00000 n 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. MedImpact (Includes: Excellus/ FLRx) We are an independent education, research, and technology company. P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. 0000003547 00000 n BIN: PCN: Group Number PBM: Phone Number. Medicare evaluates plans based on a 5-Star rating system. Our. DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". Share your form with others Send it via email, link, or fax. 610014 MEDDPRIME BUCKEYE COMMUNITY HEALTH PLAN, INC. 001 012353 03200000 002 003 004 Humana Medicare Employer (HMO) CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Medicare Advantage (PPO) Care Improvement Plus 014 H0104 BLUE CROSS AND BLUE SHIELD OF ALABAMA 010 014897 MBG Blue Advantage (PPO) RPD 011 804 endstream endobj 75 0 obj <. enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Rx Information: MEDCO 1-800-842-2038 . 0000004910 00000 n xref RX Bin for GuideStone Health Plans Except for Secure Health (No PCN Number required) 610014; Rx Bin for Secure Health TM Plans 003858 ; PCN Number for Secure Health TM Plans A4; You can also visit GuideStoneHealth.org and create an account to print a temporary ID card on or after your health plan effective date. 0000001717 00000 n 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. Star Ratings are calculated each year and may change from one year to the next. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. These standards are developed by theInternational Organization for Standardization / International Electrotechnical Commission(ISO/IEC) Joint Technical Committee (JTC) 1,Information Technology, Subcommittee (SC) 17,Cards and personal identification, Working Group (WG) 5. All calls are toll-free. Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. trailer Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. RX BIN: 610114, PCN: PV 8009333734 Pharmacy Help 8669509949 www.pharmavail.com PharmAvail 3380 Trickum Road Building 400, Unit 100 Woodstock, GA 30188 HCC Pharmacy Onsite Pharmacy and 90day/Mail Order Prescriptions 8668278975 9196788261 Fax: 9196788159 C. CPhT1969 New Member. 0000001602 00000 n %PDF-1.3 % As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. The current local time in Stockholm County is 2 minutes ahead of apparent solar time. We are not compensated for Medicare plan enrollments. As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Your medical benefits allow you 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 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. 109-A9 Transaction count 1 to 4 M Up to 4 xref In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. 3=Three Occurrences . 0000001469 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. <<0F6188EC756C624CBAA438B0D92726A7>]>> Emblem Health (800) 447-8255. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . %%EOF In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Providers who do not contract with the plan are not required to see you except in an emergency. 0000002215 00000 n Day length: 8h 24m. What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. s.parentNode.insertBefore(gcse, s); Please enter the information that appears on the International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. 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. 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. Please renew your membership to login. Your Dental Benefits 0000005387 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. BANBUHP Express Scripts. s.parentNode.insertBefore(gcse, s); 0000011626 00000 n The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. Have them call the phone number on the back of their Cigna ID card. 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. 0000032773 00000 n 0000002685 00000 n Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . 0000005026 00000 n })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). TTY users should call, 1-800-325-0778; or your state Medicaid Office. We are not compensated for Medicare plan enrollments. 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. BCBS of MI BIN: 610011 PCN: Varies - Never "IRX" AARP BIN: 610652 PCN: Varies - refer to ID card OptumRx BIN: 610127 PCN: 02330000 01960000 01990000 02330088 COSF GASF MASF PCN: NCCSI NCSF NWSF SCCSI SCSF OHSF 04000013 LDI / CastiaRx BIN: 020321 BIN: 800010 PCN: COM PCN: LDI SavaScript Value . Author: Kelly Wilson Created Date: Sign Up To Receive Emails For Events, News & General NCPDP Information. 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). Details. Medicare evaluates plans based on a 5-Star rating system. What is a Take-Home Drug? When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. 0000002289 00000 n Cigna may not control the content or links of non-Cigna websites. 'https:' : 'http:') + 0000002851 00000 n 0000003136 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. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 0000001020 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. 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 . 0000006589 00000 n 0000028726 00000 n 0000003344 00000 n Y fz Y!t|n^JFR0=eS(72H;F^2Myb hIaR:6Y\VO%\":l`v-?y-D[WsF'L"6[C(# )j$\R3 !krl[lp3#u40T534k0ElJQzsC0GKi;}c-Bd9(pU!8;wj0~8@^DUt1Th~;rB] qySULJk(!T&*BTEo0k 6Q4c)![8U/^:y} Providers who do not contract with the plan are not required to see you except in an emergency. 0000014560 00000 n The application and registration procedures are identified in ISO/IEC 7812-2. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Those who disenroll Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Hb```?@(AEs,Pp IG1~D&t Plan Name/Group Name: MI01/MIMEDICAID BIN:009737 PCN: P008009737 Processor: Processor/Fiscal Intermediary Effective as of: 01/01/2012 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 10/2017 NCPDP External Code List Version Date: 10/2017 %PDF-1.4 % Health insurance can seem complicated, especially if you're new to the plan. xb```b````c` |, ,,2g]>%Ad`B. money from Medicare into the account. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? The benefit information provided is a brief summary, not a complete description of benefits. 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. hb```>>S~1A\pDKu;sH(1mA~>bN 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. The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 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 . 0000003632 00000 n hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 trailer 0000006324 00000 n 2389 0 obj<> endobj Ut JJ`&PXIIaAAq0. 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 Our. 0000016122 00000 n This document is available with NCPDP membership. M (BIN 6156 only . 0000007450 00000 n 0000010872 00000 n RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. 0000006259 00000 n 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. BIN# 610014 BCBS 430 Date Printed 12/22/2014. For more information contact the plan. 0000000016 00000 n Please renew your membership to login. RX Bin: 610014 . 3424 0 obj <> endobj The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 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). 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y startxref In certain situations, you can. Please do not turn the customer away if you receive a rejected claim. Sunset: 04:14PM. In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. 0000005958 00000 n Star Ratings are calculated each year and may change from one year to the next. 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. 4=Four Occurrences.

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