endstream endobj 249 0 obj <>stream The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Y fz Y!t|n^JFR0=eS(72H;F^2Myb hIaR:6Y\VO%\":l`v-?y-D[WsF'L"6[C(# )j$\R3 !krl[lp3#u40T534k0ElJQzsC0GKi;}c-Bd9(pU!8;wj0~8@^DUt1Th~;rB] qySULJk(!T&*BTEo0k 6Q4c)![8U/^:y} To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. 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. 2389 0 obj<> endobj Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 74 0 obj <> endobj 0000003982 00000 n 0000001020 00000 n Box 7012 Downey, CA . 3424 0 obj <> endobj )!VZ*'kwBFIh\|#_`\8J5l}iYM NU(9p5i'#DsmZo;vqO?w *. \h%.=Of (%7j a5}s"rOTu.y=D#R_6IS.,Kmk?' z7F@s"WoM For more information contact the plan. 0 Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. *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 PDF Navitus Health Solutions LLC Pharmacy Network Development 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 0000030450 00000 n hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. Rx Information: MEDCO 1-800-842-2038 . CO. OF NY, BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA, MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK, 001, 002, 003, 004, 005, 006, 007, 008, 009, 010, 011, 012, 014, 015, 016, 017, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 070, 105, 106, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 801, 802, 808. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. 0000033180 00000 n MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. startxref var gcse = document.createElement('script'); 'https:' : 'http:') + (function() { 0000006921 00000 n 0000003516 00000 n BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . Some health plans decided to use magnetic stripe cards, some did not. 0000002648 00000 n endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 0000007215 00000 n If you forget if you need a group number or not, use the third party inquiry. 0000007096 00000 n HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? Pharmacy :: The Health Plan 0000001717 00000 n 0000011029 00000 n Use the Drawing Tools tab to change the formatting of the pull quote text box.] 0000004799 00000 n We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. Region BIN PCN/ Group Help Desk Fiserv Health Plans Innoviant National 610127 01960000 877-559-2955 Fishing Partnership Health Plan MedImpact MA 003585 Grp 35026 800-788-2949 FlexScripts WHI/WHP TX/FL 603286 01410000, GP 513274 800/207-2568 FLRx FLRx National 610475 See Card 585-327-7530 The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. cyU>]s#~e{0Bb'Su[4E(/0PS_5]bmE k!Nb%Lx@b,/c7RL Xg29jA8Ruk1 fRBYoD0F9%e=E>e?-"{wQD ?c['l|S_R "qQKMF4B6B] o)/+jtqGOfPN-H ni;9uE%[7 aX4wve.\FPDvY '}Aj(bsgZJLi|]&:{|r2+>p#+Y31D|nGPrtqp\R]oMDl${mI15R/,;$5#]_zK>%,u$xwO@B,UlCt MOkd?X?. Contact the Medicare plan for more information. 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. UMP Plus networks. 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. 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 Providers who do not contract with the plan are not required to see you except in an emergency. 0000001868 00000 n BIN: PCN: Group Number PBM: Phone Number. 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 0000008305 00000 n var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 0000001867 00000 n %PDF-1.6 % MedImpact (Includes: Excellus/ FLRx) 0000000975 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 0000000016 00000 n 0000011626 00000 n 0000014836 00000 n 0000006026 00000 n Health insurance can seem complicated, especially if you're new to the plan. 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). The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! plan name/group name: all plans bin: 020040 pcn: *n/a *for community health network only use pcn: ae7271 plan name/group name: all test claims bin: 020040 pcn: n/a . The benefit information provided is a brief summary, not a complete description of benefits. 0000023131 00000 n 0000006259 00000 n 0000004526 00000 n 8289 0 obj <>stream 0000008854 00000 n Express Scripts resources for pharmacists. 0 0000032773 00000 n gcse.async = true; Please enter the information that appears on the 8254 0 obj <> endobj 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. 0000019345 00000 n A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Limitations, copayments, and restrictions may apply. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. 0000033238 00000 n 0000002830 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. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 0000028633 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. 0000002203 00000 n 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. At home, across the country, and around the worldthe power of Blue is with you. MCAIDADV RX5443. Not a Member? Pharmacy Management and Credentialing | Cigna 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 . Verify member eligibility and the MCO enrollment . Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 3456 0 obj <>stream 0000005958 00000 n The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. The term BIN is synonymous with the ISO/IEC 7812 IIN. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. M (BIN 6156 only . })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). 0000028726 00000 n EmblemHealth (888 . The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. UMP Plus (SEBB) 2021 Quick Start Guide. NCPDP issues the Processor ID Number (BIN). U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7 % "iU|5*hu88mG?K5rS0Q+C@^5k;5o^dM0&s o*e1gq~8F+aNc>CV} ${ *#. Og%$pB1 o:er1?P_ojKuK3L 9H(! 0000009374 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 . x1 04HKl\GMyC. 0000002142 00000 n trailer PDF Medco Version D.0 Medicare Part D Payer Sheet - BCBSM | Renew memberhip. Express Scripts NCPDP Version D.0 Payer Sheet Department of : Fill 0000003944 00000 n Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 0000013064 00000 n For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? xref 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 0000006077 00000 n CVS Caremark (866) 693-4611; ADV XXXXXX; Group: RXCDPHP. 0000007555 00000 n a listing of the legal entities 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. Members may enroll in a Medicare Advantage plan only during specific times of the year. during the calendar year will owe a portion of the account deposit back to the plan. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. PCN List for BIN 610241 MeridianRx PCN Group ID Line of Business MHPILMCD N/A Medicaid Pharmacy Help Desk Information Inquiries to MeridianRx may be directed to our 24 hour Pharmacy Assistance Center. PDF Pharmacy Reference Guide %PDF-1.3 % Star Ratings are calculated each year and may change from one year to the next. 0000022896 00000 n If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 0000004060 00000 n Author: Kelly Wilson Created Date: The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) 0000001856 00000 n The PCN is alphanumeric as defined by the PBM/processor. 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). Providers who do not contract with the plan are not required to see you except in an emergency. In certain situations, you can. 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. Contact the plan provider for additional information. Contact the plan provider for additional information. 0000001465 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. The Privacy Policy has also been updated to better clarify what information we collect and how we use it. P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. var gcse = document.createElement('script'); We are not compensated for Medicare plan enrollments. 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, 0000003344 00000 n Please renew your membership to login. This document is available with NCPDP membership. 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. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. This includes accounts for Grandfathered members. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 0000014560 00000 n We do not sell leads or share your personal information. 0000005026 00000 n 0000001415 00000 n gcse.src = (document.location.protocol == 'https:' ? 58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. We are an independent education, research, and technology company. Cigna may not control the content or links of non-Cigna websites. PDF New ID cards are being distributed for 2022 See below for important 0000006324 00000 n NCPDP - NCPDP Processor ID (BIN) 0000046944 00000 n Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. 74 33 Members may enroll in a Medicare Advantage plan only during specific times of the year. 0000002706 00000 n PDF IMPORTANT PROVIDER NOTICE Medicare Part D Information - PBA Health 02. 0000003136 00000 n xb```b````c` |, ,,2g]>%Ad`B. 0000006462 00000 n RX Bin: 610014 . 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, Sign-up for our Medicare Part D Newsletter, Have a question? Rx BIN: 019059 Rx PCN: 07570000 Rx Group: HTH ID number - the pharmacy will need to submit the CURRENT ID number used for 2021 in January 2022 Customer Service/Pharmacy Help Desk: 844-373-0970 Self-Funded Group - Renown Health - HometownRx powered by Maxor Rx BIN: 019059 Rx PCN: 07570000 Rx Group: HTH 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. Pharmacist Resource Center 0000001040 00000 n But that's pure memorization. 0000000927 00000 n BIN 610239 PCN: FEPRX RxGrp: 65006500 3. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. %%EOF 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. %%EOF 0000034997 00000 n 0000029111 00000 n A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. 0000009092 00000 n There is no registry of PCNs. Click here to let us know, UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 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). Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. Once new versions of the standards are adopted, truncation will no longer be necessary. Time in Stockholm County, Sweden now PDF PBM BINs Help Desk - PBA Health gcse.async = true; 0000002715 00000 n Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. BANBUHP Express Scripts. NCPDP has recently updated our Privacy Policy. Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 0000002073 00000 n 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. money from Medicare into the account. 0000019287 00000 n Both in Stockholm and Finland, an e <<0F6188EC756C624CBAA438B0D92726A7>]>> The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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. PDF Meet your family's health partner - Premera Blue Cross PDF Payer Sheet - WellDyne BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. 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 . 0000005086 00000 n 0000003383 00000 n 109-A9 Transaction count 1 to 4 M Up to 4 Because of this, every member must create a new account regardless of whether they are renewing or not. ANSI is responsible for making certain the application has been properly completed and that all appropriate fees and attachments have been collected. 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. Update on Premera Individual Medical and LifeWise Individual Medical We are not compensated for Medicare plan enrollments. YOUR PROVIDERS. BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331 . CDPHP (800) 388-2994. var s = document.getElementsByTagName('script')[0]; Please do not turn the customer away if you receive a rejected claim. Mid-season real-time estimates of seasonal influenza vaccine 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. PCN: Varies by plan - refer to ID card. <]>> 0000007443 00000 n All the information you need to properly process prescription claims with Cigna. 0000028672 00000 n As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. 0000002463 00000 n BIN and PCN Codes 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). Your medical benefits allow you gcse.src = (document.location.protocol == 'https:' ? 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. Healthcare coverage wherever you go. Please contact the plan for further details. Your membership is expired. Please do not turn the customer away if you receive a rejected claim. 0000001448 00000 n Ut JJ`&PXIIaAAq0. 0000016616 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. Instructions for setting up RPMS POS for Blue Cross/Blue Shield Federal 0000021734 00000 n 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. The ISO/IEC 7812 Registration Authority (the American Bankers Association) issues the IIN. 03. For more information contact the plan. Rx PCN: N/A The current local time in Stockholm County is 2 minutes ahead of apparent solar time. You can position the text box anywhere in the document. gcse.type = 'text/javascript'; 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 when submitting MassHealth ACO/MCO/FFS pharmacy claims. CO. & UHC INS. 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. 0 startxref 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. Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. PDF NYS Medicaid Managed Care Plan Contact and Billing Information 2015 Sign Up To Receive Emails For Events, News & General NCPDP Information. %PDF-1.4 % All calls are toll-free. 0000007028 00000 n As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. Below are some tips to help you get the most out of your benefits and save money. Group number: Make sure the group number is populated on page 4 in RPMS Patient . The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. The plan deposits Members are instructed to show both ID cards before receiving health care services.
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