Bin 610502 pbm Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fifth page (H8634 - S9701) . Ø Pharmacy claims may be submitted electronically for approved patients. 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. Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 31 . The table also lists values as defined under Chart of 2025 BIN and PCN numbers for each Medicare Part D prescription drug plan Part 4 of 7 (H4699 through H6079) includes M3P (MPPP) BIN/PCN numbers 610502: MPPPOR: H4714: PACE of the Southern Piedmont: all plans: 022188: PSTMEDD: H4733: Community Health Group: all plans: 015574: ASPROD1: H4739: First Choice VIP Care (HMO 1Ø1-A1 BIN Number 012114, 610239 610468, 012147 020099, 020388 610502, 004336 610591, 020115 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. 001m，bin1=0. AetnaMedicare. The table also lists values as defined under Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/04/2020 Page 4 of 23 . Chart of 2025 BIN and PCN numbers for each Medicare Part D prescription drug plan Part 2 of 7 (H1889 through H3329) includes M3P (MPPP) BIN/PCN numbers 610502: MEDDAET: H2064: LIFE Geisinger: all plans: 015574: ASPROD1: H2085: Providence PACE: all plans: 012353: 08220000: H2096: Shared Health Dual Freedom: all plans: 004336: 1Ø1-A1 BIN Number 012114, 610239 610468, 012147 020099, 020388 610502, 004336 610591, 020115 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. Services We would like to show you a description here but the site won’t allow us. These are called maintenance medications. 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 azero. BIN/IIN: 610502: Card Brand: PRIVATE LABEL: 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 LDI / CastiaRx BIN: 020321 BIN: 800010 PCN: COM PCN: LDI SavaScript Value Services BIN: 023153 PCN: HT Arizona Medicaid Fee For Service BIN: 001553 PCN: AZM AIRAZM Get to know your benefits We offer benefits and services that take care of the whole you. Pharmacies must be contracted with our PBM vendor to submit electronic claims for pharmacy billing of eligible medication copays. Other Payer BIN Number is not used for this Transaction Code 99Ø‐MG 12/01/2022 Page 7 of 35 106-37207A 031824 Plan member privacy is important to us. This can be very useful for tracking your most profitable insurance payers or gathering data for upcoming audits. Same for BCBs. Our employees are trained regarding the appropriate way to handle members’ private health information. 0 Payer Sheet, in accordance with the pelo nome do medicamento, código de barras, princípio ativo, fabricante ou nome do programa. The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana. SilverScript Choice (PDP) National 004336 MEDDADV RXCVSD S5601 N P1/S2 610502 MEDDAET ; RXAETD . 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) . 1-866-241-0356 . Board of Directors APCI Board of Directors; Event Calendar Event Calendar; Wholesaler Relationship Wholesaler Relationship; Annual Convention Annual Convention; Services Services. 009265, 610198, 012965 800-837-0581 Applied Underwriters, Inc 13329 877-234-4420 Argus Health Systems 012353, 600428, 011834, 610245, 610141, 015292, 610225 800-522-7487 Atlantic Prescription Services 610704 877-277-7934 BIN 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 020115 020388 1-833-377-4266 *Help Desk phone number serving Puerto Rico Providers is available by calling toll-free 1-8ØØ-842-7331. The table also lists values as defined under The chart below is the fourth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5163 through H6832. This document provides information on electronic claims processing, specific to NCPDP defined fields and requirements, for OptumRx (formerly Catamaran) non-Medicare Part D business. Access payer sheets for data requirements related to electronic claims processing for each line of business within Optum. Click here for the first page (E0654 - H2235) , third page (H3962 - H5928) , fourth page (H5928 - H8634) and fifth page (H8634 - S9701) . m. 7k次，点赞34次，收藏5次。本文介绍了PBM模型中的Discrete离散方法，重点关注Bins分区、粒径设置和Phenomena。Bins表示颗粒的离散化，通过设置Geometric Ratio和粒径范围来简化计算。颗粒体积系 Title: Payer Sheet_RightWay 610862_20210830. The following is a summary of our new requirements. 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 . Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , and fifth page (H6846 - H8998) . Click here for the first page (E3014 - H2001) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , fifth page (H6846 - H8998) , and sixth page (H9001 - X0001) . 03. • Leading zeroes in the NCPDP Processor BIN are significant. Learn more about what your Rx BIN and other numbers mean on your Medicare Part D or Medicare PBM HELP DESK# BIN# PC# 4 D Management aClaim 888-422-5246 005848 nla ACS 800-365-4944 610084 DRSMPROD AETNA 800-238-6279 001684-Aetna HMO 00670000 610502-Non HMO Alagap 610489 ALGA Ameriscript 800-767-4226 012924 Varies by card plan 610640 Anthem 800-662-0210 610575 00890000 APS 877-277-7934 610704 APSRX Argus 800-522 We would like to show you a description here but the site won’t allow us. 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) . 10/01/2024 Page 4 of 26 PART 1: GENERAL INFORMATION Payer/Processor Name: CVS Caremark® Plan Name/Group Name: All Effective as of: October 2Ø24 Payer Sheet Version: 2. Aetna Medicare Part D member IDs, under BIN 610502, begin with “ME”. PCP $ ER $ AS HO SP $ 20 65 20% 35 20% . PRIOR AUTHORIZATION FORM. Rx BIN Numbers and PCNs PBM BINs Help Desk 4D Management Systems, Inc. 0 NCPDP Data Dictionary Version Date: October 2019 BIN: 011222 PCN: GACMS BIN: 011214 PCN: HICMS BIN: 011859 PCN: MACMSA BIN: 011842 PCN: NCCMS BIN: 011230 PCN: NWCMS BIN: 011172 PCN: SCCMS Health Choice Management BIN: 610011 PCN: HEAMEDD Health Choice Management Utah BIN: 610011 PCN: HEAUMEDD Catamaran / Seniorscript Services BIN: 013170 PCN: Not Required 2020 OptumRx Wrap COB BIN 610127 Payer Sheet. pdf - Free download as PDF File (. This number is required for pharmacy claims processing. Aetna System BIN Help Desk Number Aetna . AbsoluteTotalCare. Aetna Medicare PO Box 981106 El Paso, TX 79998-1106 1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D. 1 C (11/15) Open enrollment begins on December 1 and ends on December 31. NCPDP Data Dictionary Version Date: 2012. The chart below is the second page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H2237 through H3959. ; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and PBM Networks BINs Help Desk 4D Management Systems, Inc. The table also lists values as defined under 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 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx and HealthTrans BIN: 004428 005947 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 . pdf), Text File (. BIN PCN Organization Marketing Name Source: Integreated Data Repository Enrollment Transaction Records A4 PCS COTROOP 005497 CLAIMCR 005947 MODOT111 600471 但是Fluent这样模拟颗粒尺寸计算量太大，因此通过bin将颗粒尺寸分为几份，如bin=2，则bin2=0. You should submit the information as written on the identification card to avoid point-of-service rejection. 9835. 0 VERSION 18 Used as guidance in filling out and creating a NCPDP Telecommunication Standard Implementation-based Version D. Preferred-Choice Pharmacy Network (Retail and Extended Day) 600428 800-522-7487 012320, 610502 610473, 610468, 610591, 610211 VARIES-See Patient's card Medicaid plans, Amerigroup, Vaccines Emdeon The service is available for many common medications taken for long-term therapy. Top. We join the right medical professionals with the right technology, so members benefit from As of January 1, 2021, all Cigna Healthcare SM Commercial pharmacy plans and Cigna Healthcare Medicare claims are adjudicating on the Express Scripts systems. 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 610502 1-8ØØ-238-6279 CarelonRx 020099 020115 020123 020388 1-833-296-5038 1-833-377-4266 1-833-296-5038 1-833-377-4266 *Help Desk phone number serving Puerto Rico Providers is available by calling toll-free 1-8ØØ-842-7331. Covered NDC(s): Any NDC Inactivated Influenza Vaccine High-Dose Route of Adminstration:Any Reimbursement: Fixed Price of $58. The table also lists values as defined under We would like to show you a description here but the site won’t allow us. Costco Customer Service is available Monday through Friday from 5:00 a. For self-funded plan sponsors looking for turn-key pharmacy benefit management with affordable prescription drug costs. This includes drugs to help manage high blood pressure, high cholesterol and diabetes. Navitus currently utilizes two unique PCNs on behalf of its Medicare Part D clients. PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS The following table lists the segments available in a Billing Transaction. 09/29/2011 Page 11 of 19 Insurance Segment: Situational Field # NCPDP Field Name Value Comment 111-AM Segment Identification Ø4 M Insurance Segment Payer Sheet Version: 2. Helpful Information for Retail Providers Verification of Eligible Persons . Ø NCPDP ECL Version: Oct 2Ø19 NCPDP Emergency ECL Version: Jan 2Ø19 Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response PBM partner to support administration of pharmacy claims, manage rebate contracting with pharmaceutical manufacturers, manage our retail pharmacy networks, provide mail-order dispensing The Rx BIN number on member ID cards is changing to 610011 as a result of the PBM transition to OptumRx. Plan Name: Prevea360 BIN: 610602 PCN: 6104 Plan Name: Wellfirst BIN: 610602 PCN: 8104 Plan Name: Honest Discount BIN: 610602 PCN: HDX Plan Name: LowestMed (dba RxSaver) BIN: 610602 PCN: LMD Plan Name: Navitus Part B BIN: 610602 PCN: NVTPARTB Plan Name: UCARE MA only BIN: 610602 PCN: NVPRTB Plan Name: UMP BIN: 610602 PCN: NVTU 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: MEDDAET: 610502: MPPPOR: H8604: The Health Plan: 010, 013: 610014: MEDDPrime: H8614: Milford Wellness Village PACE: all plans: 022188: PSTMEDD: H8634: Blue Cross and Blue Aetna 610502 1-8ØØ-238-6279 CarelonRx 020099 020115 020123 020388 1-833-296-5038 1-833-377-4266 1-833-296-5038 1-833-377-4266 *Help Desk phone number serving Puerto Rico Providers is available by calling toll-free 1-8ØØ-842-7331. yvow cjhoo holgsn ygrcaq tlrhjj svhe dppccc goy twfms bgjdsi glpfle ztkz bhkdy sbepfy zfidm