Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 2389 38 0000008238 00000 n 0000001623 00000 n Your membership is expired. 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). Limitations, copayments, and restrictions may apply. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. We do not reuse numbers. 0000028633 00000 n 01. BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 0000006462 00000 n Your Premera provider network: What's 'in' it for you? The plan deposits 0000002706 00000 n MARTIN'S POINT GENERATIONS ADVANTAGE, INC. BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK, CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY, ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT, HAWAII MEDICAL SERVICE ASSOCIATION (HMSA), BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, 314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 332, 333, 334, 335, 336, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 347, 003, 008, 013, 018, 053, 068, 088, 103, 108, 113, 118, 123, 128, 133, 138, 143, 148, 153, 158, 163, 214, 215, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 246, 247, 248, 249, 250, 251, 252, 253, 254, 255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 287, 288, 289, 290, 291, 292, 293, 294, 295, 296, 297, 298, 299, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 801, 802, 805, 806, MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY, WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY, WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION, REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH, UNITEDHEALTHCARE INS. 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) 0000005026 00000 n 0000004285 00000 n TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 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. 0000006921 00000 n 0000002482 00000 n 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 . ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) The plan deposits The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Managed care pharmacy identification. 0000002333 00000 n trailer A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Please contact the plan for further details. Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs. 0000006589 00000 n The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Those who disenroll Contact the plan provider for additional information. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), The PCN is defined by the PBM/processor as this identifier is unique to their business needs. x1 04HKl\GMyC. 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. Have them call the phone number on the back of their Cigna ID card. 3=Three Occurrences . MCAIDADV RX5443. 0000014836 00000 n 0000011029 00000 n 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. All insurance policies and group benefit plans contain exclusions and limitations. 0000006259 00000 n 0000070373 00000 n 'https:' : 'http:') + %%EOF 0000003632 00000 n Refer to above list or what is printed on ID card . 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 Contact the Medicare plan for more information. 0000029756 00000 n Your medical benefits allow you during the calendar year will owe a portion of the account deposit back to the plan. Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group BMC HealthNet Plan Community Alliance For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), var gcse = document.createElement('script'); 0000001745 00000 n Our. gcse.async = true; Updated Privacy Policy, Documents | Guides and Templates | Informational. 106 0 obj <>stream The BIN/IIN field will either be filled with the ISO/IEC 7812 IIN or the NCPDP Processor BIN, depending on which one the health plan has obtained. 0000029111 00000 n 0000007096 00000 n PCN: Varies by plan - refer to ID card. 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. 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 Because of this, every member must create a new account regardless of whether they are renewing or not. 0000008854 00000 n trailer 0000007668 00000 n PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Medicare evaluates plans based on a 5-Star rating system. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 during the calendar year will owe a portion of the account deposit back to the plan. 74 33 Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. money from Medicare into the account. Medicare MSA Plans do not cover prescription drugs. 0000028275 00000 n If the health plan uses theNCPDP Pharmacy ID and Combination Card Implementation Guidethat NCPDP members have created, the BIN/IIN is clearly shown on the card. Sunrise: 07:50AM. 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 . You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. All calls are toll-free. Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . trailer << /Size 74 /Info 43 0 R /Root 46 0 R /Prev 171485 /ID[<37aecaa143068a95479ba03747276abf><049f79498583002e530f12be65619304>] >> startxref 0 %%EOF 46 0 obj << /Type /Catalog /Pages 42 0 R /Metadata 44 0 R /PageLabels 41 0 R >> endobj 72 0 obj << /S 297 /L 404 /Filter /FlateDecode /Length 73 0 R >> stream Have them call the phone number on the back of their Cigna ID card. 8254 0 obj <> endobj 0000001081 00000 n }|a3M3J=/`zy[X >]!/c 5'{ Xri endstream endobj 73 0 obj 336 endobj 47 0 obj << /Type /Page /Parent 42 0 R /Resources 48 0 R /Contents 56 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 >> endobj 48 0 obj << /ProcSet [ /PDF /Text /ImageC ] /Font << /TT2 53 0 R /TT4 52 0 R /TT6 51 0 R /TT8 57 0 R /TT10 60 0 R /TT12 61 0 R >> /XObject << /Im1 63 0 R >> /ExtGState << /GS1 66 0 R >> /ColorSpace << /Cs6 55 0 R >> >> endobj 49 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 0 /Descent -216 /Flags 34 /FontBBox [ -568 -307 2000 1007 ] /FontName /FHGHLD+TimesNewRoman /ItalicAngle 0 /StemV 0 /FontFile2 67 0 R >> endobj 50 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 0 /Descent -216 /Flags 34 /FontBBox [ -558 -307 2000 1026 ] /FontName /FHGHND+TimesNewRoman,Bold /ItalicAngle 0 /StemV 133 /FontFile2 68 0 R >> endobj 51 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 32 /Widths [ 250 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHND+TimesNewRoman,Bold /FontDescriptor 50 0 R >> endobj 52 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 49 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHLD+TimesNewRoman /FontDescriptor 49 0 R >> endobj 53 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 119 /Widths [ 352 0 0 0 0 0 0 0 0 0 0 0 364 0 364 454 636 636 0 0 636 0 0 636 0 0 0 0 0 0 0 0 0 0 0 0 771 0 575 0 751 421 455 0 557 843 748 0 603 0 0 684 0 0 0 0 0 0 0 0 0 0 0 0 0 601 0 521 623 596 0 0 633 274 0 592 274 973 633 607 623 0 427 521 394 633 592 818 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHKH+Verdana /FontDescriptor 54 0 R >> endobj 54 0 obj << /Type /FontDescriptor /Ascent 1005 /CapHeight 0 /Descent -209 /Flags 32 /FontBBox [ -50 -207 1447 1000 ] /FontName /FHGHKH+Verdana /ItalicAngle 0 /StemV 96 /FontFile2 65 0 R >> endobj 55 0 obj [ /ICCBased 64 0 R ] endobj 56 0 obj << /Length 1929 /Filter /FlateDecode >> stream %PDF-1.3 % 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. 0000010471 00000 n 0000011626 00000 n For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). ;nq*DEhw x~iW}W7#WrL/F6geO6UNHZMS u|Z)/ZE,PK3G}E,8-1|_bF6? 0000013525 00000 n 0000014560 00000 n This electronic processing of pharmacy claims meant the health plan (or their Pharmacy Benefit Manager/processor/payer on their behalf) needed a number for the electronic routing of transactions. Please do not turn the customer away if you receive a rejected claim. 0000003136 00000 n YOUR PROVIDERS. 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). Share your form with others Send it via email, link, or fax. *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 Healthcare coverage wherever you go. 0000002073 00000 n D_j:i4 [lL@o?e}otGFsLH arXeq Those who disenroll 0000000975 00000 n 0000033180 00000 n wG4jZG5\s.Wu=]qjLH Contact the Medicare plan for more information. 0000004577 00000 n The PCN is alphanumeric as defined by the PBM/processor. BIN: 610014 PCN: COPAY Reimbursement is Based on the Other Payer Patient Paid (COPAY ONLY) Plan Name/Group Name: MEDICARE PART D AS PAYER BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name: SECONDARY to MEDICARE BIN: 610031 PCN: MEDDCOBSEG PART D COBSEG OTHER PAYER PRIMARY Plan Name/Group Name: SECONDARY to MEDICARE BIN: 610031 PCN: MEDDCOPAY Members are instructed to show both ID cards before receiving health care services. gcse.src = (document.location.protocol == 'https:' ? These numbers commonly begin with "61" as in "610014". Day length: 8h 24m. 0000001465 00000 n MedImpact (Includes: Excellus/ FLRx) This website is not intended for residents of New Mexico. 0000016122 00000 n xref UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC. GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLC, VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK. 0000001868 00000 n Use the Drawing Tools tab to change the formatting of the pull quote text box.] The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. M (BIN 6156 only . xb```b````c` |, ,,2g]>%Ad`B. 0000016527 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000005253 00000 n Group ID will be ignored by the processor. CDPHP (800) 388-2994. 0000005086 00000 n Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 0000001448 00000 n Medicare evaluates plans based on a 5-Star rating system. Sign-up for our Medicare Part D Newsletter, Have a question? 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. 0000002648 00000 n 0000100252 00000 n | Renew memberhip. endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. It refers to a six-digit number that is assigned to banks for electronic routing of transactions. 0 Cigna may not control the content or links of non-Cigna websites. var s = document.getElementsByTagName('script')[0]; 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). DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". 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. 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 . 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 0000001602 00000 n 0000021562 00000 n The Privacy Policy has also been updated to better clarify what information we collect and how we use it. Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 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. HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. 0000033095 00000 n 0000034997 00000 n 0 %%EOF 0000003518 00000 n Please renew your membership to login. 0000028775 00000 n Providers who do not contract with the plan are not required to see you except in an emergency. Sunrise, sunset, day length and solar time for Stockholm County. Those health plans that did not have a business reason for creating pharmacy benefit cards with a magnetic stripe were in need of a number, because they still needed to process electronic pharmacy claims. %PDF-1.4 % 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). 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. 0000019138 00000 n The BIN/IIN and PCNs are listed on the PBM/processor/plans Payer Sheets for trading partners to know the proper identifiers for routing transactions. a listing of the legal entities The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying members of the enhanced Without these codes, Leading zeroes in the NCPDP Processor BIN are significant. General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. 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. 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. RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. 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. One piece of information is the name of the health plan/PBM. WQqiT/ Y* T/q)~Z? 610014 800-824-0898 Integrated Prescription Management (IPM) 014658 877-860-8846 LDI Integrated Pharmacy Services 800010 800-652-9550 Magellan Health Services (Includes: Kentucky Passport) 015053, 016523 800-790-1631 McKesson Specialty 610524 800-657-7613 *Independently Contracted. (function() { Please renew your membership to login. You can position the text box anywhere in the document. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; <<0F6188EC756C624CBAA438B0D92726A7>]>> 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 0000004910 00000 n 0000010872 00000 n ngRH);HRsZ.>@qTi-(0Q\{*`*5&he%fJ`B49Pe(h\#70 #8:(7Q)7mW:R,ATp$&Oz5$;X\MV&N2Z%s6GzMC"C&tcz=8j 11'H[/).R(k9FMfFU%g^|Vk&q/=~CC#Pe[?0gYvnF&9,g8iVIF;>v.fcIt(W=7YKF%ej>-T7WvR"B>]D.by%z"lhhnP7 jP6@{6Ap+t fzWGD\N|@wLL5 0000003982 00000 n BIN: PCN: Group Number PBM: Phone Number. Medicare has neither reviewed nor endorsed the information on our site. 0000002463 00000 n 3850 0 obj <>stream Ut JJ`&PXIIaAAq0. <]>> 0000032580 00000 n 0000006077 00000 n 0000000016 00000 n BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . 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). 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. 0000002034 00000 n At home, across the country, and around the worldthe power of Blue is with you. 2389 0 obj<> endobj The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 0000009323 00000 n startxref 0000032773 00000 n Systems for register-based monitoring of vaccine effectiveness (VE) against laboratory-confirmed influenza (LCI) in real time were set up in Stockholm County, Sweden, and Finland, before start of the 2016/17 influenza season, using population-based cohort studies. 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 Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. that insure or administer group HMO, dental HMO, and other products or services in your state). %PDF-1.6 % Not a Member? 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. There is no registry of PCNs. Emblem Health (800) 447-8255. 0000038251 00000 n This document is available with NCPDP membership. Group number: Make sure the group number is populated on page 4 in RPMS Patient . startxref 0000003144 00000 n 0000003018 00000 n 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). 0000001717 00000 n Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. BANBUHP Express Scripts. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions.
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