Bin number 004336. The BIN/IIN number MUST be a 6-digit number at least.

Bin number 004336 1 -855 -294 -7048 (TTY 711) 1 -844 -325 -6253 (TTY 711) 1 -877 -236 -1341 (TTY 711) BIN: 600428 BIN: 004336 BIN: 0 0 3858 RXBIN: 004336 RXPCN: ADV RXGRP: RX0546, RX5039, RX6423, RX6422, RX21DE, RX21DD, RX21DC Pharmacy Billing Guidance Exceptions for Non-Enrolled Prescribers The New York State (NYS) Medicaid program requires enrollment of all licensed prescribers and pharmacies who serve Medicaid members, including prescribing practitioners identified on BIN: PCN: Group Number PBM: Phone Number. RX21EJ; the BIN number and PCN numbers to facilitate submission of pharmacy claims. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 %PDF-1. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed on ID card, as communicated by CVS Caremark® or as stated in The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. com/promise RXBIN: 004336 RXPCN: ADV RXGRPs: RX7541, RX7545 ANTIPSYCHOTIC INJECTION MEDICATION PROCESSING State Medicaid Clinical Help Desk (at the telephone number found in the reject messaging): 1-877-309-9493. For additional pharmacies go to www. They Bin 004336 Pcn ADV ID 10-digit veteran id Grp RX4136 Or Bin 003858 Pcn A4 ID SSN I’m a Walgreens tech and we use the numbers on the card. Leading zeroes in the NCPDP Processor BIN are significant. Click here for the first page (E0654 - H1997) , second page (H2001 - H3563) , third page (H3572 - H5325) , fourth page (H5337 - H7322) and fifth page (H7323 - H9686) . 00 ER: $0. RX1653 (800) 364-6331 (CVS Caremark) Tufts Health Together with Atrius Health. AHCCCS FFS; 001553; AZM OptumRx: 855-577-6310 004336 MCAIDADV RX3898 CVS-Caremark; 800-364-6331 Arizona Complete Health (formerly PCNs and Group Numbers – Acute Care Plans. Applies to Tier 3-5 medications. AmeriHealth Caritas Highmark Health Options Delaware First Health 1 -855 -294 -7048 (TTY 711) 1 -844 -325 -6253 (TTY 711) 1 -8 77 -236 -1341 (TTY 711) BIN: 600428 BIN: 004336 BIN: 00 3858 Number (BIN) ID Processor Control Number (PCN) RX Group Network . 4=Four Occurrences. Box 52066 You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?" 004336: MEDDADV: H9460: CIGNA HEALTHCARE OF ST LOUIS, INC. You can filter, sort and export the results as you want. The Bank Identification Number (BIN) is a term commonly used in the credit card industry. 2 The 4Rx Reject Codes are: • 01 - Missing/Invalid BIN • 04 - Missing/invalid PCN • 06 - Missing/Invalid Group Plan PBM Phone BIN PCN Group OHA (Fee -for-Service or “Open Card”) 888-202-2126 014203 ORDHSFFS Health Share of Oregon - Legacy /PacificSource 855-228-6229 004336 ADV RX6156 Health Share —OHSU Health 833-919-1188 600428 07640000 Health Share Primary Insurance BIN PCN Group Number Other coverage code Apple Health Fee-For-Service (FFS) 024822 DRWAPROD CAID N/A Community Molina WA – AHE 004336 MCAIDADV RX51BP N/A United Health 610494 4600 ACUWA , ACUWAC N/A Wellpoint 020107 CM WKHA N/A. NCPDP issues the Processor ID Number (BIN). If you can’t check their eligibility electronically, call Optum (Regions 1-3) or TriWest Step 1: Enter BIN: 004336; Step 2: Enter PCN: 004336 1-800-364-6331 : LegacyPCS *610415 1-800-345-5413 : FEP 610239 1-800-364-6331 : LegacyCRK * 610029 1-800-421-2342 : ProAct 021007 1-877-635-9545 LegacyPHC ; 610468, 006144 Other Payer BIN Number is not used for this Their ID is the benefits number on the back of their military ID (before the dash- covered member is 00, spouse is 01, etc. D. com! Chart of 2025 BIN and PCN numbers for each Medicare Part D prescription drug plan Part 5 of 7 (H6080 through H8019) includes M3P (MPPP) 004336: MEDDADV: H6425: PACE of the Ozarks: 001: 016110: PACE: H6425: PACE of the Ozarks: 002: 610144: PACE: H6446: Wellcare by Allwell: all plans: 610014: MEDDPRIME: Tips & Disclaimers. MEMBER INQUIRIES: Refer all member inquiries to the appropriate Customer Service phone number listed on the member’s BIN:004336 : PCN:MEDDADV . Click here for the first page (E0654 - H1997) , second page (H2001 - H3563) , fourth page (H5337 - H7322) , fifth page (H7323 - H9686) and sixth page (H9699 - S9701) . This plan’s deductible is waived for Tier 1 and Tier 2 Prescriptions. com or contact a Customer Care representative. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed on ID card, as communicated by CVS Caremark® or as stated in 004336 MEDDADV RX8637. Download the MyBlue 1Ø1-A1 BIN Number 610415, 004336 610239, 610591 610502, 021338 020099, 020123 025201, 026150 026696, 027547 027555, 027570 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. In reality, the Rx AHCCCS Health Plans BIN PCN Group Number PBM AHCCCS Fee-For-Service 001553 AZM OptumRx AHCCCS FFS – Secondary to Commercial 001553 AZM OptumRx Health Choice Arizona 004336 MCAIDADV RX3898 CVS-Caremark Apache White Mountain 001553 AZM OptumRx Gila River 001553 AZM OptumRx Number (BIN) Processor Control . Tufts. MEMBER INQUIRIES: Refer all member inquiries to the 004336 MEDDADV RX6270 Male Code: 00 Female Code: 16 Arizona MAPD* 004336 MEDDADV RX6270 UPDATE #12-008 PAGE 1 OF 2 . 004336 MCAIDMS RX6436 MCAIDMS United Healthcare – MSCAN OptumRx 1-877-305-8952 Local Number: 601-718-6579 (Pharmacy should state they’ve called You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2024 Medicare Part D plan sponsor. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed on ID card, as communicated by CVS Caremark® or as stated in Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information AmeriHealth Caritas Ohio Gainwell Technologies BIN: 004336 PCN: MEDDMCDOH Group: RX8141 Medicaid Only Members CVS Caremark Phone: 1-888-865-6567 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 1Ø1-A1 BIN NUMBER (see above) M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4 BIN: 004336 | PCN: MCAIDADV | Group: RX5439 Choice Change PeriodWellCare CVS/Caremark Medicaid/PeachCare for Kids: 1-866-231-1821 BIN: 004336 | PCN: MCAIDADV | Group: 726257 Planning for Healthy Babies (P4HB): 1-877-379-0020 BIN: 004336 | PCN: MCAIDADV | Group: 736257 Providers should always contact their CMO for questions or What bin number is 004336 . all plans: 012312: PARTD: H6342: COMPLETE HEALTH WITH PACE: all plans: 016110: PACE: H6345: Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information AmeriHealth Caritas Ohio Gainwell Technologies BIN: 004336 PCN: MEDDADV Group: RX5060, RX5023, RX5025 Phone: 1-866-693-4620 Medicaid Only Members 1Ø1-A1 BIN Number 610415, 004336 610029, 610468 006144, 004245 610449, 610474 603604, 007093 610473, 601475 012189, 013303 014046, 600042 610130, 610477 610239, 610084 610591 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. Box 52136 Phoenix, Arizona 85072-2136 RXBIN # 610029 mail to: CVS/caremark P. IRX. Caremark. com check for eligibility, co-pays and Primary Medical Provider (PMP) IN-MMED-0173 Member Name: Jane M Doe Member RID #: 123456789000 004336 RxPCN Rx Grp Number BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331: ADV 004336: Group: RX4212. Search Reset. Claims Processor Information: • The BIN and PCN for Medi-Cal claims: o RxBIN is 004336 o RxPCN is HNMC Number (PCN) Bin Number Additional Information Required for Pharmacy Claim Processing For eligibility information, plan policy (800) 364-6331 ADV 004336 Various Groups: (Refer to ID card) RX6460, RX6461, RX6462, RX6465, RX6466 Healthfirst (866) 463-6743 Express Scripts (800) 824-0898 A4 003858 Group: HEFA Doesn't Exist: 004336 is invalid BIN number! The BIN 004336 is either not found in our records OR is not valid BIN number, please check the BIN number and try again. com. all plans: 016110: PACE: H5937: UCARE MINNESOTA: all plans: 003858: DE: H5938: CAPITAL HEALTH PLAN: all plans: Rx BIN: 004336 <sub_addr_city>, <sub_addr_state> <sub_addr_zip> 77993322 . Health care providers Dette nummer: er et gyldigt BIN-nummer Udstedt af i NJ, PA 004336 CMDRUG 800/364-6331 Amerihealth Mercy Perform Rx National 600428 1940000 800-555-5690 Ameriscript Ameriscript National 610640 AMER9999 800-681-6912 Ancira Auto Group MaxorPlus Texas 005377 10000019 800-687-0707 Plan Name / Network Name PBM/ Processor Region BIN PCN/ Group Help Desk Anderson Corporation Pharmacare National A list of BIN/PCN/group number combinations for MassHealth managed care organizations (MCOs), ACOs, and the Primary Care Clinician (PCC) Commonwealth Care Alliance CVS 004336 MCAID ADV RX24BB (866) 693-4620 Senior Whole Health CVS Caremark 004336 MCAID ADV RX51BB CVS: (800) 364-6331 Molina SWH: You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?" 004336: MEDDADV: H8711 : all plans: 004336: MEDDADV: H8748: UNITEDHEALTHCARE INSURANCE COMPANY: all plans: 610097: 9999: H8764: ASPIRE HEALTH PLAN: all plans: 004758: DNPS: Aka 004336 and pcn is ADV. 1Ø1-A1 BIN Number 610415, 004336 610029, 610468 006144, 004245 610449, 610474 603604, 007093 610473, 601475 012189, 013303 014046, 610130 610477, 610239 610084, 013089 • Always submit claims with the member ID number and insurance information shown on the member’s ID card. One letter followed by 10 numbers. On the back of the card it might tell you who handles it, otherwise that card is The chart below is the second page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H2001 through H3563. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed on ID card, as communicated by . For questions related to processing a retail pharmacy prescription claim, call the toll-free number listed below. 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 1Ø1-A1 BIN NUMBER (see above) M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4 Rx BIN 004336 RxPCN MCAIDADV Rx Grp RX6421 Member Services Phone Number 844-607-2829 or (TTY 800-743-3333 or 711) 8 am to 8 pm, Monday through Friday Log onto My. Bin: 004336 PCN: ADV GRP: RX1296 Caremark Tax ID: 95-3382344 TRS-ActiveCare BA Advocate Team (for eligibility, enrollment, billing, and benefit inquiries) Top Account Number 00009 Customer Service Scott and White Care Plan (SWCP) Customer Service Phone: 1-800-321-7947 7:00 a. com Member/Provider Service: 1-800-818-0962 TTY/TDD Line: 711 You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. Medicaid Fee For Service Conduent 1-800-884-3222 1-877-537-0722 (Change Healthcare) PA Fax: 1-877-537-0720 610084 DRMSPROD. Important: You have enrolled in a new plan for your Medicare and Medi-Cal Services. all plans: 017010: CIHSCARE: H9487: MICHIGAN COMPLETE HEALTH, INC. Box 52196 Phoenix, Arizona 85072-2196 1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D. Rx BIN and PCN numbers are used by new 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 RxBIN: 004336 RxPCN: ADV RxGRP: RX7316 Issuer (80840): 9151014609 ID: _____ NAME: _____ Present this card at any participating retail pharmacyto obtain your short-term supply of medicine. Title: BIN - 004336 PCN - MCAIDADV RXGROUP - RX0835 Claims mailed to: CareSource, Attn: Claims Department P. Bin List /BIN: Specify a Bin: Allows you to specify an individual bin number instead of a bin group. " The chart below is the first page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E3014 through H2001. -7:00 p. OptumRx -877 305 8952 Local Number: 601-718-6579 The chart below is the fifth page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H7323 through H9686. Policy Number: Same as the medical BCBSMA ID number; Bin: 004336; PCN: ADV; Group: RX22MA; Review the MyBlue Member App FAQs. Washington State Health Care 004336 1-800-364-6331 : LegacyPCS *610415 1-800-345-5413 : FEP 610239 1-800-364-6331 : LegacyCRK * 610029 1-800-421-2342 : ProAct 021007 1-877-635-9545 LegacyPHC ; 610468, 006144 Other Payer BIN Number is not used for this PLAN BIN PCN GROUP HELPLINE Fee for Service 010900 8263342243 VAMEDICAID 1-800-424 -4046 004336 MCAIDADV RX21EK 1-800-424-4518 Molina CCC+ (dual) RX51BJ Molina Med4 RX21EK Molina FAMIS RX51BD Sentara 003858 MA OHPMDCD* VPMMDCD** SHPMDCD 1-844-604-9165 United Healthcare 610494 4900 ACUVA 1-855-873-3493 If you’re a merchant who deals with credit card processing, it’s hard to know what type of card someone has without understanding the bank identification number. Tips & Disclaimers. Reimbursement ; ID; FFS Gainwell; Medicaid Fee ; For Service : Technologies : 1-833-660-2402 : 1-833-660-2402 (Gainwell Technologies) 004336 : MCAIDMS . Just click of the bank name you want to view the details of its BIN numbers. O. Click here for the first page (E0654 - H1997) , second page (H2001 - H3563) , third page (H3572 - H5325) , fifth page (H7323 - H9686) and sixth page (H9699 - S9701) . /BINA: AmWINS: 011289, 013492, 013527, 014848, 015178, 015185, 016341 /BINB: Argus BIN: PCN: Group Number: PBM Phone Number: AHCCCS FFS; 001553. com to download, save or print Plan Name BIN PCN Group . They will verify contact information, obtain a method of payment, then can contact your doctor for a new BIN: 004336 RXPCN: ADV RXGRPs: RX7541, RX7545 ANTIPSYCHOTIC INJ. Additional Comments RXBIN # 004336 , 012114 or if you are unable to locate your bin # mail to: CVS/caremark P. Keep this letter as proof of your coverage. Microsite URLs are listed Despite the inclusion of the word “bank” in its name, the Rx BIN number on insurance cards has no association with financial institutions. The three tables below shows the correct combinations effective March 1, 2018, 004336. 3=Three Occurrences . com RxBIN: 004336 1Ø1-A1 BIN Number 004336, 012320 610591 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. If a patient does not have his or her identiication card, the BIN: 004336 PCN: MCAIDADV RXGROUP: RX5459, (RX5460 – CHIP599 Unborn) Prior Authorization Requests. It refers to a RXBIN: 004336 RXPCN: MEDDADV RXGRP: RXCVSD ISSUER (80840): 9151014609 ID: _____ NAME:_____ S5601 Submit Medicare Part D Customer Care: Paper Claims to: 1-844-757-0448 Claims Processing 24 hours a day, 7 days a week P. Search Results: BIN Card Brand Card Type Card Level Country Issuer 004336 ADV RX1653 (800) 364-6331 (CVS Caremark) Tufts Health Together with Atrius Health OptumRx 610011 IRX RXMCDMA (866) 828-6668 (Optum Rx) Tufts BIN/PCN/Group Numbers for ACOs, MCOs, PCC Plan and SCO MassHealth Only Primary Care ACOs PBM BIN PCN Group Pharmacy Help Desk Community Care (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS CAREMARK System BIN Help Desk Number Legacy ADV *004336 1-8 -364-6331 Legacy PCS *610415 1-8 -345-5413 FEP 610239 1-8 -364-6331 ProAct You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?" 004336: MEDDADV: H5934: HOPE HOSPICE AND COMMUNITY SERVICES, INC. 1Ø1-A1 BIN Number 610415, 004336 610029, 610468 006144, 004245 610449, 610474 603604, 007093 610473, 601475 012189, 013303 014046, 610130 610477, 610239 610084, 013089 Ask for the Veteran’s 10-digit Veteran ID number, then check their eligibility electronically. Magellan Rx Medicare Basic PDP (AZ, DE, MD, NY, VA, DC): 018117 MRXMED RxGroup begins with REG, such as REG03 or REG15. Click here for the first page (E0654 - H1997) , third page (H3572 - H5325) , fourth page (H5337 - H7322) , fifth page (H7323 - H9686) and sixth page (H9699 - S9701) . By: • Finance. com! www. 6 %âãÏÓ 1 0 obj >stream 2015-02-09T09:35:56-05:00 2015-02-09T10:18:31-05:00 2015-02-09T10:18:31-05:00 Adobe InDesign CS6 (Macintosh) uuid:0db472ad-7ce3 Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 2 of 5 2021 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H2237: INDEPENDENT CARE HEALTH PLAN, INC. You can State LOB BIN PCN Group AZ Medicaid 004336 MCAIDADV RX21EJ CA Medicaid 004336 ADV RX0016 FL Medicaid 004336 ADV RX0728 ID Medicaid 004336 ADV RX6446 IL Medicaid You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. but omit it). 004336: MEDDADV: 4336: MPPPOR: H8096: Centra PACE: all plans: 022188: PSTMEDD: H8099: Senior CommUnity Care of Northern Kentucky: 002: 022188: BIN PCN RxGroup Member ID Health Net 004336 ; MEDDADV : RX6270 : 11 digit alpha numeric ID. The member can call SilverScript to expedite the enrollment process at the toll-free number on the RX BIN: 004336 RX PCN: MEDDADV . Phoenix, Arizona 85072-2136 RXBIN # 610029 mail to: RxBIN 004336 RxPCN ADV RxGRP RXTEST Issuer (80840) RxBIN 004336. 00 Spec: $0. Pharmacy Help Desk We’re here to help. NCPDP’s interim solution for booster dosing is to utilize Submission Clarification Code (SCC) (NCPDP field # 42Ø-DK) value of “Ø7” in combination with SCC value of “1Ø”. COVID-19 Testing Plan coverage requirements provide information about whether a particular medicine has clinical requirements. Register online for 24/7 access to Important Molina Healthcare Phone Numbers Member Services (855) 766-5462 TTY/Illinois Relay Service: 711 24-Hour Nurse Advice Line English: (888) 275-8750 Español: (866) 648-3537 RX Bin#: 004336 RX PCN#: ADV RX Group: RX0823 Primary Care Provider Phone: (888) 111-0001 John Smith, M. iii. 00 Dependents: 01 Jane Doe 02 John Doe 03 Mike Doe 04 Ron Doe BIN: 004336 | PCN: MCAIDADV | Group: RX5439 Choice Change PeriodWellCare CVS/Caremark Medicaid/PeachCare for Kids: 1-866-231-1821 BIN: 004336 | PCN: MCAIDADV | Group: 726257 Planning for Healthy Babies (P4HB): 1-877-379-0020 BIN: 004336 | PCN: MCAIDADV | Group: 736257 Providers should always contact their CMO for questions or You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?" 004336: MEDDADV: H6328: CARE N' CARE INSURANCE COMPANY, INC. BIN: 004336 PCN: ADV ID: 10-digit Veteran's ID (on back of military ID) Group: RX4136 OR. You can use the this telephone number is for pharmacy use only. ADV. Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , fourth page (H5928 - H8634) and fifth page (H8634 - S9701) . Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association A52346-B-LA (7/20) blueshieldca. RX1143. 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 Tufts Caremark 004336 ADV RX1143 Number 110 (updated), February 22, 2018 . Box 803, Dayton OH 45401 GA-MMED-0014 Member ID: <123455676> Member: <Janet Smith> Primary Care Physician <John Doe 12345 Main Street Atlanta, Georgia 30307 1-404-555-1213> PHARMACY Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information AmeriHealth Caritas Ohio Gainwell Technologies BIN: 004336 PCN: MEDDADV Group: RX5060, RX5023, RX5025 Phone: 1-866-693-4620 Medicaid Only Members HELP DESK ARGUS HEALTH SYSTEMS: 012353, 015581, 610649, 015764, 610141, 610220, 610245, 610225, 015292, 600428, 016961, 610209, 015814 Varies by Plan 1-800-522-7487 • Group number: 030500 • The Empire Plan Prescription Drug Plan administrator: CVS Caremark* • BIN: 004336 • Group: RX6027 •V PCN: AD For questions regarding vaccinations, call The Empire . If there is a Part D BIN/PCN/Group missing that you would like us to add, please shoot us an email at support@amplicare. What Is A BIN On Policy Number: Same as the medical BCBSMA ID number; Bin: 004336; PCN: ADV; Group: RX22MA; With the MyBlue Member App, you can also find a doctor, review claims, and keep track of your prescriptions. To prevent point of service disruption, the RxGroup must be submitted on all claims and reversals. Network . The BIN/IIN number MUST be a 6-digit number at least. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed on ID card, as communicated by CVS Caremark® 004336 ADV RX1653 (800) 364-6331 (CVS Caremark) Tufts Health Together with Atrius Health CVS Caremark 004336 ADV RX1143 (877) 683-6174 BIN/PCN/Group Numbers for ACOs, MCOs, PCC Plan, and SCO MassHealth -Only Primary Care ACOs PBM BIN PCN Group Pharmacy Help Desk Community Care You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. Members may have an ID card that shows the provider assignment as Brand New Day, and claims processing information for MedImpact. The following is a summary of our new requirements. United ; Healthcare – MSCAN . 0 Segment Field Value Service Provider ID (201-B1) The Type 2 NPI for the pharmacy contracted for COVID-19 test services should recipient maycall the toll-free number at 877-265-2711 and/orfax theopt-out request to401-652-0893, at any time, BIN PCN RxGroup Member ID Health Net 004336 MEDDADV RX6270 11 digit alphanumeric ID. This is a list of 78 banks we found from PHILIPPINES. ii. ; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and Following are billing instructions for the Molina Healthcare Medicaid Plans: BIN: 004336, PCN: ADV GRP: RX0546, RX6422, RX6423 When submitting the quantity of tests, the quantity should be reflective of the number of individual tests. " The chart below is the second page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H2029 through H3499. Pharmacy Facts, Number 110 (updated) Page 2 of 2 Chart of 2025 BIN and PCN numbers for each Medicare Part D prescription drug plan Part 6 of 7 (H8026 through H9986) includes M3P (MPPP) BIN/PCN numbers. 610502 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. " The chart below is the first page of the 2020 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H2334. caremark. FFS. Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and press or say 4 for the Prescription Drug Program. Absolute Total Rx BIN Number: PCN: Aetna: Rx BIN: 610502 Rx Group: Aetna: PCN: 00670000: Anthem Blue Cross: Rx BIN: 020099: PCN: IS: Blue Shield of California: Rx BIN: 004336: PCN The chart below is the fourth page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5337 through H7322. Absolute Total Care Medicare Advantage ; 004336 MEDDADV : RX8917 : 11 digit alpha numeric ID. The following tables show the correct combinations, effective for calendar year 2023, 004336. CTION MEDICATION PROCESSING CVS/caremark provides coverage for MetroPlus Health Please refer to the table below for bank identification number (BIN) and processor control number (PCN) information. And this misconception often prompts questions about its meaning. 1. RxBIN: 004336 - happylibnet. Step 3: Enter Rx Group: Flu Shot or You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. Customer Care: 1-888-202-1654 Submit paper claims to: %PDF-1. RXMCDMA (866) 828-6668 (Optum Rx) Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan CVS Caremark BIN: 004336 PCN: MCAIDOH Group: RX5434 Phone: 1-844-297-0511 Acaria Health Phone: 1-855-535-1815 Fax: 1-855-217-0926 • Patient Name • Prescription Number • Medicine NDC number 012114 or if you are unable to locate your bin # mail to: CVS/caremark P. MCAIDADV. CT, Monday-Friday TTY:711 COBRA Administration 1Ø1-A1 BIN Number 012114, 610239 610468, 012147 020099, 020123 020396, 020388 020115, 610502 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. 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). <Name>: Welcome to Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan)! The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. Bin Number: 004336 • Rx Group: RXCVSD • Rx PCN: MEDDADV . Please note, the data Members can call Customer Care listed above and they can start the process. You will need to provide the identification number on your SilverScript membership card to process a claim. CareSource. Step 2: Enter PCN: ADV. For certain medical conditions, SilverScript will use CVS Specialty pharmacy, 1Ø1-A1 BIN Number 012114, 610239 610468, 012147 020099, 020388 610502, 004336 610591, 020115 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. 5 %âãÏÓ 10 0 obj > endobj 36 0 obj >/Filter/FlateDecode/ID[3B03263491513E6DDDBC0FE4B502A082>71047BD7554C6947912BE42F043F3E7C>]/Index[10 40]/Info 9 0 R Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 2023 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H7245: Premera Blue Cross Medicare Advantage: all plans: 004336: MEDDADV: H7262: TRU PACE: all plans: 016110: PACE: H7273: Banner Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/04/2020 Page 4 of 23 . Step 1: Enter BIN: 004336. 004336. For assistance with processing Blue Shield claims, please refer to the Pharmacy Help Desk telephone numbers. • If a claim rejects, ensure that you are using the information as printed on the member’s ID card. all plans: 015574: 004336: MEDDADV: H2261: BCBS OF MASSACHUSETTS HMO BLUE, INC you should use that member number for the drug benefit. Tufts Health Together with Atrius Health. Try Now! Bin 004336 is a tax identification number used for filing tax returns. If a 2-pack test kit is dispensed, submit the quantity of ‘2’ in the Quantity Dispensed field You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. GRP:RXCVSD. Member Services number on the back of your card. " The chart below is the first page of the 2023 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H2134. RX6436 : MCAIDMS . Explore the banks list below, click on bank name to explore the card brands and BIN numbers. The items highlighted in the payer sheet If there is a Part D BIN/PCN/Group missing that you would like us to add, please shoot us an email at support@amplicare. Please refer to their respective websites for plan specific policies. 00 UrgCare: $0. Brand: Type: Prepaid? Country: Flag: Bank: Website: Phone # Credit card BIN/IINs (Bank/Issuer Identification Numbers) identify several things about a credit card. 5 %µµµµ 1 0 obj >>> endobj 2 0 obj > endobj 3 0 obj > endobj 4 0 obj >/XObject >/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612 Bankers Association) issues the IIN. SilverScript. %PDF-1. 004336: MEDDMCDOH: H0028: CHA HMO, INC. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 AHCCCS FFS – Secondary to 4100 ACUAZ; OptumRx 877-305-8952; Care1st 004336 MCAIDADV RX8897 CVS-Caremark 866-560-4042 Mercy Care DCS CHP (formerly CMDP) Effective 4/1/21 610591 ADV RX8805 CVS-Caremark 833-711-0776; DDD Search our database for any BIN/IIN numbers using this tool! Start your search by choosing both the country and the card's brand, you can search our entire database for free 24/7. In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. Arizona Complete Health Medicare Advantage 004336 MEDDADV RX8120 : 1Ø1-A1 BIN Number 610415, 004336 610239, 013089 020099, 020115 020123, 610502 020388 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. Molina Healthcare (formerly Magellan Complete Care) 004336. Accessing Pharmacy Benefits for California Small Groups: Pharmacy Rx BIN and PCN Numbers. 610011. They're mostly good for figuring out who issued a card, where it's from, and what type of card it is. Plan type BIN PCN Abarca Health Help Desk; Commercial : 026696: 77993333 (800) 375-7948: Medicare: 1Ø1-A1 BIN Number 004336, 610591 012114, 013089 020396, 020107 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. Absolute Total Care Medicare Advantage 004336 MEDDADV RX8917 ; 11 digit alpha numeric ID. Bin # Phone Number 610415 1-800 For all claims use the Caremark RxBIN 004336. com he o e an ar Mea r oe M IN-MMED-0440 Pharmacy Numbers: RxBin: 004336 RxPCN: ADV RxGrp: RX3159 Office: $0. Medicaid IL Card Member ID: 00000002 Primary Care Provider: 004336, 610415, 610239, 610029, 610235, 012189, 610473, 610468, 610591, 610211 VARIES-See Patient's card Emdeon (Includes: MedE Preferred, MedE Select, MedE Therapy First 600426, 014947, 610268, 004682 800-433-4893 Employee Health Insurance Mngt (EHIM) 005285 800-950-9120 Envision/RxOptions Inc. OptumRx. /INS: Specify a Name: Allows you to specify an insurance name instead of a bin group. Reject 70: << Long acting atyp antipsych - bill NY FFS - plan excl. BIN: 003858 PCN: A4 ID: SS# Group: VAPC3RX Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information AmeriHealth Caritas Ohio Gainwell Technologies BIN: 004336 PCN: MEDDADV Group: RX5060, RX5023, RX5025 Phone: 1-866-693-4620 Medicaid Only Members Rx BIN 004336 RxPCN MCAIDADV Rx Grp RX6421 Member Serices Phone umber o or 8 a o 8 Mona h oh a o onto My. Number (PCN) RX Group . com FAQs: How to Pay with Your FSA, HSA or HRA Card Q: Can I use my FSA/HSA/HRA card when I place a prescription order? A: Yes, you can use your FSA/HSA/HRA card at checkout when you place your order. There are sections that cover routine and maintenance prescriptions, formularies, immunizations including flu shots and COVID-19 vaccinations, and BIN: PCN: Group Number PBM: Phone Number. BIN PCN RxGroup Member ID Health Net 004336 MEDDADV RX6270 11 digit alpha numeric ID. Pharmacy Facts, Number 110 (updated) Page 2 of 2 CVS Caremark® Value Formulary 10/01/2024 [Your snippet] Plan Information. " 004336: MEDDADV: H3554: Arkansas Blue Medicare: 004: 016895: PPOAR2: H3557: Blue Cross & Blue Shield of Rhode Island: 001: 610455: BCRIMA: H3557: Information on this page identifies the requirements for prescribing medications to Veterans for prescription fulfillment services and pertains to medications prescribed under the Community Care Network (CCN). M (BIN Fill Rx Bin 004336 Pcn Adv, Edit online. BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan. Premiums, Deductibles and Copays vary by state. 2015 Valley Baptist Health Plans 004336; ADV RX6054 RX6076 RX6077 RX6078 RX6079 RX6112 The BIN/IIN field will either be filled with the ANSI IIN or the NCPDP Processor BIN, depending on which one the health plan has obtained. Molina California Marketplace 004336 ADV RX0845 Molina Florida Marketplace 004336 ADV RX0846 • If problems are encountered at the pharmacy, call the number on the back of your card. You have to meet these requirements before your pharmacy benefit plan will cover this medicine. Member ID number. RxBIN 004336: This RxBIN is associated with Express Scripts, one of the largest pharmacy benefit managers in the United States. What Is A BIN Number On An Insurance Card . The BIN number identifies your insurance provider; the PCN number is a secondary number for routing claims; and the GRP number identifies the employer through which you have the insurance. See illustrations below. Box 52136. Information about SilverScript may be found at www. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed on ID card, as communicated by CVS Caremark® or as stated in BIN/PCN/Group Numbers for ACOs, MCOs, and PCC Plan. 1. RX1653. The problem is, it can be difficult to identify a BIN from The chart below is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9699 through S9701. Pharmacy Facts, Number 110 (updated) Page 2 of 2 HMO 004336 77993333 Subscriber FIRST M LAST Group # Effective Copayment Emergency Room $200 A+ Check Evidence of Coverage for self-referral rules. 2 RX GRP: RXCVSD ID: G_____ Member Name This information is also printed on correspondence sent to the member. Who is required to file bin 1Ø1-A1 BIN Number 004336, 610591 610084, 025771 020107, 020396 025052 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. and I, as a reservist recently separated from 6 years of active duty, haven’t use my social when I your member ID number. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller Instantly. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group. Phone: The chart below is the third page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3572 through H5325. BIN List PHILIPPINES. Amida Care (877) 354-3439; Express Scripts (800) 824-0898 A4: 003858 Group: KJFA: Blue Cross Blue Shield of Western NY (877) 327-1395; If the veteran does not have or know their 10-digit Veteran ID number, pharmacists should use their Social Security Number (SSN) to confirm eligibility with Optum at 888-901-6609 (Regions 1-3), i. Rx BIN and PCN numbers are used by new Blue Shield of California Rx BIN: 004336 PCN: 77993333 CCHP 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 1Ø1-A1 BIN Number 004336, 610591 020115, 020388 610502 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. Use your member ID number to log in to MyMolina. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed on ID card, as communicated by CVS Caremark® or as stated in Appendix A Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/04/2020 Page 4 of 23 . Tufts Health Together with BIDCO. You can try these suggestions: 1Ø1-A1 BIN Number 004336, 610591 020115, 020388 . " The chart below is the first page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H1997. " The chart below is the sixth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9001 through X0001. Rx BIN Number PCN; 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: %PDF-1. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed on ID card, as communicated by CVS Caremark® or as stated in Appendix A You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. Group will be Rx and then 4 digits Reply reply If there's no BIN number on the card it most likely is not their pharmacy benefit. AmeriHealth Caritas Highmark Health Options Delaware First Health . Click here for the first page (E0654 - H1997) , second page (H2001 - H3563) , third page (H3572 - H5325) , fourth page (H5337 - H7322) and sixth page (H9699 - S9701) . Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed on ID card, as communicated by CVS Caremark® or as stated in Appendix A Location Help Desk Number: AlphaScrip Inc Alpha Scrip 610600: AS Commercial: 1-877-274-3244 AmWins Rx Commercial AmWINS Rx AmWINS Rx: PBM/Payor Plan Name/Contract Name BIN : PCN GROUP : Type Network: Location Help Desk Number: ARGUS 1. These changes apply to stand-alone Health Net Orange PDP only. 7 %µµµµ 1 0 obj >/Metadata 4029 0 R/ViewerPreferences 4030 0 R>> endobj 2 0 obj > endobj 3 0 obj > endobj 4 0 obj >/ExtGState >/XObject >/ProcSet[/PDF/Text you should use that member number for the drug benefit. Arizona Complete Health Medicare Advantage 004336: MEDDADV : RX8120 : 11 digit alpha BIN: No results. all plans: 004336: MEDDADV: H9516: Number ID Prefix Prior Authorization Provider Contacts BlueAdvantage (PPO)SM 116884 ZXD 1-800-924-7141 1-800-924-7141 RXBIN 004336 Issuer 80840 Member ID Card Format Codes 707 and 708 (BlueAdvantage Plus) 2022 bcbstmedicare. Not all benefit information available via the BCBSMA MyBlue Member App applies to the this telephone number is for pharmacy use only. try again. AZM OptumRx 855-577-6310; United Healthcare Community Plan (Acute, CRS, DD, LTC) 610494 4100 ACUAZ OptumRx 877-305-8952; Care1st 004336 MCAIDADV RX5496 CVS-Caremark 866-560-4042 Mercy Care DCS PCNs and Group Numbers – Acute Care Plans; Molina Healthcare 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 Tufts Caremark 004336 ADV RX1143 Number 110 (updated), February 22, 2018 . ; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and Following are billing instructions for the Medicaid Plans: BIN: 004336, PCN: MCAIDADV GRP: RX0546, RX6422, RX6423 Following are billing instructions for the Essential Plans: BIN: 004336, PCN: ADV GRP: RX6424 NCPDP D. 0 M 1Ø3-A3 Transaction Code B1=Billing M 1Ø4-A4 Processor Control Number As indicated above M 1Ø9-A9 Transaction Count 1=One Occurrence 2=Two Occurrences . The chart below is the third page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3962 through H5928. m. vapqi gjnzjvc rwvl dqix hgjhnos sbkd bkrj fsmqz vbhr lgtvcth