Pcn number insurance

Pcn number insurance. “1” in the prior authorization type code field and “9999 ID Number (Anthem Policy Number) This is your unique ID number for your benefits and health insurance coverage. If you don’t know your state ID number or if you need help, call the pharmacy liaison. Learn when you need it and what other symbols on your insurance card mean, such as Rx, BIN, and PCN stands for Processor Control Number and is an important identification number concerning your health insurance. When GoodRx offers a better prescription price, use us instead. Our customer service professionals are available 24 hours a day, every day. ” It is a unique identifier assigned to a specific pharmacy benefit manager (PBM) or third-party administrator Rx stands for “prescription”; BIN stands for “bank identification number”; PCN stands for “processor control number”; and GRP stands for “group number. For starters, the BIN and PCN numbers on insurance cards are identifiers borrowed from the credit-card industry to identify specific health plans and benefit packages. 5. What you use to get all your covered care and prescription drugs. Originally establish in the baking industry, a 6-digit number found on the patient's insurance card that tells the pharmacy which PBM should be billed for the claim. If it rejects for the pcn, sometimes in the claim detail, under additional message it’ll give you the Honestly, this comes more with time. A PCN number is the same as a reference number. Group ID will be ignored by the processor. John Doe> <Phone: Pharmacy Benefit Rx Bin: 024251 Rx PCN: OHRXPROD Phone: 833-491-0344 Use Member ID for Billing Member Name <JaneHasVeryLongName> <Verylooooonglastname> Member ID Number <Coverage not provided through the Health Insurance Marketplace<, by CareSource Ohio, Inc> Bank Identification Numbers (BIN) and Processor Control Numbers (PCN) Plan BIN PCN . It serves as a reference code that helps to distinguish one policy from another within the insurance company’s database. Fact Sheet. PCN on an insurance card stands for Processor Control Number. Prescription drug BIN number. Policy numbers can differ in length depending on the insurance provider. The Processor Control Number (PCN) insurance card is not compulsory for clients in the United States. PEIA Finance Board Public Hearings Set for November. For Medicare Advantage Plans: A Medicare Advantage organization with Minnesota Health Care Programs providers billing for prescriptions for members in managed care organizations (MCOs) need to use the MCO's identification bin and PCN information. a Blue Cross‑issued contract number. Your member number, also known as your identification number, is listed directly below your name. " 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. Appeal against a fine or ticket. A three-character prefix is part of most member ID numbers. While the RxBIN identifies the PBM, the PCN identifies the specific claim processing network, and the Group Number identifies the employer or group plan. The group numbers, meanwhile, are used to identify a specific employer or individual benefit package. It identifies the process that is APPENDIX A: BIN / PCN COMBINATIONS 22 The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 24 . gov. The PCN is changing to CTRXMEDD. I have never been asked for a BIN or a PCN before. Insurance you purchased on your own through the Exchange (that’s Affordable Care Act or Obamacare health insurance) likely will not have a group number. Any evidence to support your appeal, which should be in JPG or PDF format. [Address] [City, State, ZIP] 4 6 7 8 5. Give them your receipt, state ID number, BIN (018902), and PCN (P303018902). S. Here are some common locations where you might find Your PCN number serves as a unique identifier for your insurance plan and can help healthcare providers access important information about your coverage. 4 %âãÏÓ 4 0 obj > endobj xref 4 100 0000000016 00000 n 0000002628 00000 n 0000002736 00000 n 0000004214 00000 n 0000004237 00000 n 0000004374 00000 n 0000004421 00000 n 0000004468 00000 n 0000005021 00000 n 0000005527 00000 n 0000005958 00000 n 0000006418 00000 n 0000006465 00000 n 0000009949 00000 n Group Number: You may not have a group number on your card. Beneficiaries with this plan may present a card similar to the cards below. The PCN (Processor Control Number) is required to be submitted in field 104-A4. Group Number. %PDF-1. Your health insurance policy number is typically your member ID number. You receive insurance cards for health, prescription, dental and vision benefits. If you don’t know your BIN, visit MyBenefits. You shouldn’t use your DoD ID number to submit claims. if you click details for that 3rd party plan it Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 1Ø1-A1 BIN NUMBER (see above) M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4-A4 PROCESSOR CONTROL NUMBER See above M Required for all claims Response Insurance Segment APPENDIX A: BIN / PCN COMBINATIONS The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 31 . On the other hand, insurance provided through an employer will probably have a group number. The number is typically found on the front of an PCN, or Plan Control Number, is a unique identifier assigned to insurance plans by carriers. What BIN number is used to adjudicate claims? Our BINs 610852 and The Rx BIN number on member ID cards is changing to 610011. The Program Member ID Required BIN PCN Group Processor/Helpdesk # Amerigroup Member or Medicaid ID 003858 MA WKJA Express Scripts/ 1-844-367-6112 To find your BIN number on the insurance Medicare Member ID card, look for the second number of ID cards marked as “ Rx BIN. You have 120 days from the date the prescription was filled to ask the pharmacy for a refund. Please enter the information that appears on the Get peace of mind with simple, dependable digital private hire insurance from INSHUR. Disclaimer for Your PCN number (e. Prescriptions, including refills, must contain the fill number (NCPDP Telecommunications Standard D. Choose from a range of coverage options to find your ideal policy. Home (current); News; Information Fees What's New How to for Funders How to for Healthcare Service Providers Full membership of SPNP is open to Registered Professional Nurses who have their own PCNS practice number issued by the Board of Healthcare Funders, while those without practice numbers are welcome as Associate members. It seems the PCN number corresponding to 610502 is 00670000 or AETCRXC. Provides information including BIN, PCN, group number, cardholder ID, person code, and processor helpdesk number; Options to send inquiries to our Commercial Eligibility Partner only or combined with our Medicare Part D Eligibility Partner; Determine additional coverage options. Call us at the number above if you need help. Each line of business will have a designated payer sheet for reference when setting up Capital Rx BIN/PCN numbers into the pharmacy system. g. (Firm Reference Number 313860) and is classed as an insurance broker. Often the Rx Contact phone numbers for hospital and professional claims are listed on the back of the ID card. and the 4Rx data below: BIN: 015599 PCN: 005440000 Group ID: May be left blank Cardholder ID: Medicare claim number (include letters) Optional field: Patient ID: Medicaid ID or Social A policy number is a unique identifier assigned to an insurance policy that helps the insurer track the insured’s coverage. The BIN number on an insurance card plays a vital role in the healthcare and insurance industry, serving multiple important functions that contribute to a seamless and efficient claim processing system. Online Depending on your plan, you can select Member ID Card under Account in the main menu after you log in. This is a unique number assigned by an insurance company that is used to approve or reject reimbursement for healthcare services and PCN, or Processor Control Number, is an identifier insurance companies use to route pharmacy transactions for prescription benefits. Facebook: @PSAPhilSysOfficial. Like your individual policy number, the group number on your insurance card is a code assigned to your employer’s insurance plan. Then select 'Pay and appeal tickets and fines on our parking website' to get started. Copayment amounts . This page contains information on how to pay a PCN. 3. PCN number stands for Pharmacy Benefit Manager Control Number and is a unique identifier for prescription drug benefits. The first two digits will either be BD, CG, BZ. If you run into an issue, please call our GoodRx Advocates at 1-855-268-2822. Often the Rx Select one: The policyholder's name and number The number to call with billing questions The number of dependents on the policy The specific plan within an insurance company, Which number is used to tell the pharmacy which insurance company will be billed for a prescription? Select one: Dependent code Group BIN PCN and more. New features added to 2022 GEHA medical ID cards. Sometime it’s useless. 2. Access payer sheets for data requirements related to electronic claims processing for each line of business within Optum. What does Rx PCN mean? Rx BIN and PCN numbers are used by new members to pick up a new prescription (or refill) prior to having a new ID card or showing up in the new Carrier’s Rx system. What Is an Rx BIN Number On An Insurance Card and What Does It Stand For? Rx BIN number, consisting of 6 digits, is employed by health plans to facilitate the processing of electronic pharmacy claims. you'll notice that there are a group of common ones you'll see all the time. This will depend on your circumstances and will be discussed Your other insurance is a CHAMPVA supplemental plan that pays after CHAMPVA pays. George Agdgdgwngo Series 1 Compilation – Fonejacker Look Up Your National Producer Number (NPN) The National Producer Number is a unique NAIC identifier assigned through the licensing application process. APPENDIX A: BIN / PCN COMBINATIONS 21 Insurance Segment: Mandatory Field # NCPDP Field Name Value Comment 1Ø1-A1 BIN Number 610502 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M NCPDP vD. 4. Your card also includes a DoD ID number, a 10-digit number on the front of the ID card. PNC Visa ® Debit Card PIN; Online Access PIN; If you don't have a PIN, please call Customer Care 1-800-762-2265 for assistance. 0, the BIN number is required in field 101-A1 and is "004740". RxBin - the Bank Identification Number routes a claim towards the right insurance; RxPCN - the Processor Control Number further narrows the claim to the specific insurance; ID - the member's designated identification number The contributor case number; The fingerprint date found on the IdentoGo by Idemia receipt; For those agencies required to archive: The TCN (formerly the PCN) found in the new PCN column (this column will still say PCN on the spreadsheet) on New York State Health Insurance Program (NYSHIP) for Active Employees, Retirees, • Group number: 030500 • The Empire Plan Prescription Drug Plan • BIN: 004336 • Group: RX6027 •V PCN: AD For questions regarding vaccinations, call The Empire . express-scripts. If your insurance only sent you a medical insurance card in the mail, you can typically find your pharmacy benefits information online or by calling your insurance (look for the phone number for Phone Number Email . One way to find out your prescription coverage is to call the number on the back of your insurance card. Learn what it means, how it works with Rx BIN and Rx Grp, and why it matters for your i PCN on an insurance card stands for “Processor Control Number. Locating the BIN number on an insurance card is essential for policyholders, healthcare providers, and pharmacies. ” The Rx symbol indicates if your insurance includes prescription coverage. Employment Disputes) Employers Liability & Public Liability Insurance – to cover any gaps for those working on behalf of the PCN, across practices . The number of nonelderly uninsured individuals (25. Preferred Care Network values our providers and the quality service they provide our members. PCN stands for Processor Control Number and is an identification code for pharmaceutical transactions. Medicare-Medicaid dual eligible 015581 03200000 Medicaid plans 610649 03190000 . The BIN number is a strictly financial identifier. 6% Social Security Number (SSN) PNC Account Number; One of the following: Mobile or Phone Number to receive a one-time passcode. It serves as a crucial element in claims processing, helping healthcare providers route PCN stands for Prior Authorization Number. Visit Anthem. Number exclusive to a group. This number is unique to you, and it’s often at the top and/or in big It’s important to note that the RxBIN number is distinct from the PCN (Processor Control Number) and the Group Number on an insurance card. OptumRx Part-D and MAPD Plans BIN: 610097 PCN: 9999 Part-D WRAP Plans BIN: 610097 PCN: 8888 1Ø1-A1 BIN NUMBER See Above M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4-A4 PROCESSOR CONTROL NUMBER See Above M Response Insurance Segment Just hit f12 and it'll tell you the relevant information needed for each insurance, like that PERX would need Id+ 3 digit person code while omitting letters. > Deductible and Out-of-Pocket Max We have developed a tailored PCN Insurance Package to cover: Professional Indemnity; Director & Officers Insurance; Employment Practices Liability (e. Registered office at Inshur UK Ltd, 1 Jubilee Street, Brighton, East Sussex BN1 1GE, United Kingdom. How do I read and use my insurance identification card? Member ID cards vary, and different insurance companies have different formats. You can use GoodRx whether you have or do not have insurance or Medicare. Name: Your first and last name is listed on your card. Member ID Number. BIN and PCN Codes. The acronym BIN was established in the banking industry and carried over to the health insurance industry when cards were 2. If you only have a flexible spending account (FSA) or health reimbursement account (HRA): When you register choose "Yes" for an ID card, but use your Social Security number for your Member ID and the FSA or HRA Group/Policy number from your employer. A policy number is a unique identifier assigned to an insurance policy that helps the insurer track the insured’s coverage. Where can I find my PCN number? The PCN number can be found above the vehicle image in the top right hand corner of the PCN Payer Sheets. With a valid PCN, insurance Here are the terms you will find on your health insurance cards. 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 Pay parking tickets and fines for driving in bus lanes or bus gates. AHCCCS Health Plans BIN PCN Group Number PBM Phone Number AHCCCS FFS 001553 AZM OptumRx 855-577-6310 AHCCCS FFS – Secondary to Commercial 001553 AZM OptumRx 855-577-6310 AHCCCS FFS – Dual Eligibles for Covered OTC Prescriptions 001553 AZM OptumRx 855-577-6310 United Healthcare Community Plan (Acute, CRS, DD, LTC) 610494 The providers will accept this card for you and your covered dependents. Copays (what you pay for services) for PCPs, specialists, urgent care, and emergency care. > Issuer. 111-AM Segment Identification Ø4 M Insurance Segment 3Ø2-C2 Cardholder ID M The insurance policy number is a unique identifier assigned to an insurance policy by the insurance company. What numbers should I be using for these? I usually only need to use my SSN and my Benefits Number from my CAC when I'm visiting in person. Copay Finding the BIN Number on an Insurance Card. On July 1, 2021, certain beneficiaries were enrolled in NC Medicaid Managed Care health plans, which include the beneficiary’s pharmacy benefits. PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS. 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 the new Member ID Number, Rx Group, BIN, and PCN. Contact information —important phone numbers and addresses. Blue Cross Blue Shield, UnitedHealthcare, Aetna), member name (your name), PCN, or Processor Control Number, is an identifier insurance companies use to route pharmacy transactions for prescription benefits. Request a call . Get your PCN number if you have lost your ticket or letter and get more information. Your primary care doctor (PCP) name. Copayments may not appear Insurance Segment Questions Check Claim Billing/Claim Re-Bill If Situational, Payer Situation This Segment is always sent. For professional claims inquiries in 2023 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H5372: Essence Healthcare: all plans: 015574: ASPROD1: H5373: ProMedica Medicare Plan: co-insurance, and deductibles may vary based on the level of Extra Help you receive. For Medicare Advantage Plans: A Medicare Advantage organization with a Medicare Member ID (also called a subscriber number or patient ID)—the number providers need to verify coverage. Your Vehicle Registration Mark (numberplate). That's assuming you've found the BIN+PCN combo you need, which with IC is really simple. one thing i like doing is going to the 'Third Party Inquiry' (F10) and then typing in the bin # on the insurance card. IB-10-1189—PHARMACY Created Date: June 13, 2019 Page 2 of 2. PCN/ Group Help Desk 4D Pharmacy Network-Managed Phy Network Fox Insurance Procare Rx National 014194 877-447-6335 Fretz Construction WHI/WHP National 603286 01410000, GP 512235 800/207-2568 003585 gp number 800/788-2949 Health Alliance Of Michigan MedImpact IL & National Study with Quizlet and memorize flashcards containing terms like What is the Rx PCN number?, What is the BIN or IIN Number?, Originally establish in the baking industry, a 6-digit number found on the patient's insurance card that tells the pharmacy which PBM should be billed for the claim. Find your plan's BINs, PCNs, and RxGroups! Aetna, Allina Health, Better Health Innovation Health-Aetna, Advantra and Coventry plans (MAPDs): The insurance policy number is a unique identifier assigned to an insurance policy by the insurance company. without the unique BIN/PCN? Beginning April 1, 2012, any claim submitted with an incorrect PCN will reject with NCPDP reject code 04: Missing/Invalid Processor Control Number. My insurance card does not have a bin number and I don’t know where to find that. Is insurance policy number the same as member ID? PCN: Varies by plan – refer to ID card. We're New Jersey's #1 choice for health insurance. t. Ø 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing Insurance Program, and the P4HB program is Georgia’s Section 1115 Family Planning Waiver program. Always read the information on the PCN or any other statutory document very carefully before proceeding. Your Rx BIN number is a 6-digit code that identifies the insurance company who provides your Medicare drug plan. In fact, in some cases, it can serve as a replacement for the PCN or as an addition to it. The number is typically found on the front of an insurance card, alongside other vital information, like the member ID, group number, and Rx BIN (Bank Identification Number). Ø 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing Further important indicators: the BIN number. 2023 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H9662: Cigna: all plans: 017010: CIMCARE: H9678: Healthfirst Medicare Plan: all plans: co-insurance, and deductibles may vary based on the level of Extra Help you receive. You’ll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for APPENDIX A: BIN / PCN COMBINATIONS 22 Insurance Segment: Mandatory Field # NCPDP Field Name Value Req Comment 1Ø1-A1 BIN Number 610502 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M NCPDP vD. 2022 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H9699: Health Advantage: all plans: 016895: HMOAR Importance of BIN Number on an Insurance Card . Depending upon the plan the member is enrolled in, additional messaging may include: PDP and MAPD Plans: “Resubmit with Mdcr Part D PCN: MEDDAET” Plan ID Number Primary Care Provider <Dr. To find your BIN number on the insurance Medicare Member ID card, look for the second number of ID cards marked as “ Rx BIN. You can register for access to our secure provider portal where you can conduct many transactions such as Verification of member eligibility / benefits, Authorization requests / status (PCPs Only), View Hospital Admission / Discharge (PCPs Only), Submit transactions Write yourself a little cheat sheet for common insurance carriers. Ø 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing 1Ø9-A9 Transaction Count Bank Identification Number (BIN) and Processor Control Number (PCN): For submitting FFS claims to Medicaid via NCPDP D. NC Medicaid Outpatient Pharmacy Services. Number Qualifier 1 M 1 – Rx Billing 4Ø2-D2 Prescription/Service Reference Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID Qualifier (436-E1) is zero (ØØ) 4Ø7-D7 Product/Service ID M If billing for a multi-ingredient prescription, Product/Service ID 2. Please be reminded that your PSN is highly confidential and shall Find the information you need to contact Aetna, including phone numbers, address, social networks, as well as customized options for members, employers, health care providers, and insurance agents and brokers. 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 You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?" UNITEDHEALTHCARE INSURANCE COMPANY: all plans: 610097: 9999: H8764: ASPIRE HEALTH PLAN: all plans: 004758: DNPS: H8768: UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY: all plans: 610097: Have questions about your UnitedHealthcare member identification (ID) card? Want to access your card online? Lost your member ID card? Get answers to your questions here. The IDs start with the letter “K” followed by a unique 8-digit number (a “K-ID”). We provide affordable, comprehensive plans for individuals and families who may not qualify for Medicaid or other government coverage. Allow 24 hours for this information to be available. Just click on the Download Card button to download and/or print your member ID Card. However, there are some exceptions to this; ID cards for the following products/programs do not have a prefix: • Stand-alone vision and pharmacy when delivered through an intermediary model† • Stand-alone dental products† • Federal Employee Program (FEP) – has the letter “R” in front of the ID number† Minnesota Health Care Programs providers billing for prescriptions for members in managed care organizations (MCOs) need to use the MCO's identification bin and PCN information. If you have health insurance through work, your insurance card probably has a group plan number. com to learn more about how we coordinate our medical and pharmacy benefits, review our drug lists, submit prior authorization requests, and more. This number is used by healthcare providers, pharmacies, and other entities to verify coverage and submit claims on behalf of the patient. If you’re the policyholder, your final two digits may be 00, while others on the policy may have numbers that end in 01, 02, or other letters. Make sure your name is correct and the plan name that you enrolled in appears on your card. Health plan: The name of your plan Dependents: Any dependents on your plan, like a child or spouse, are found here. You will need your Benefits Identification Number (BIN). This is a good way to tell your new card apart from your old card. 6% Request Appointment Control Number Monday, October 28, 2024 Request Appointment Control Number To coordinate your routine covered dental care, you must first get an Appointment Control Number (ACN). 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 Call us for help at the phone number above. 7 %âãÏÓ 128 0 obj > endobj 143 0 obj >/Filter/FlateDecode/ID[5A8C42DDC7D05743937C9B94DBD6E752>]/Index[128 32]/Info 127 0 R/Length 79/Prev 102874/Root 129 0 2023 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: E0654 : all plans: 015574: ASPROD1: E3014: Pennsylvania Public School Employees Retirement Sy co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details Call one of our Aetna pharmacy customer service professionals. CUT0491-1E (2/23) Member ID cards may include one of several logos identifying the type of coverage the member has and/or indicating the provider’s Study with Quizlet and memorize flashcards containing terms like What is the Rx PCN number?, What is the BIN or IIN Number?, What is the RX group number? and more. 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 Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 3 of 5 (H3962 through H5928) A non-government resource for the Medicare community ANTHEM INSURANCE COMPANIES, INC. Use the correct prefix to ensure the claim is routed to the correct Blue Plan. Changes for Plan Year 2026 (Benefits from 7/1/25 – 6/30/26) are being finalized and public hearings have been scheduled for November. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies. Please contact the plan for further details. We would like to show you a description here but the site won’t allow us. Disclaimer 5 May read as: “Cigna Health and Life Insurance Company” or “Connecticut General Life Insurance Co. If your plan includes delivery of long-term medicines, your doctor will prescribe the maximum days’ supply allowed by your plan. All pharmacies use BIN and PCN numbers for processing prescription drug claims. This is where we begin to explain PCN is a code that helps process pharmaceutical payments between insurers and pharmacies. On the Express Scripts® Pharmacy mobile app Secondary Insurance Carrier: Rx BIN Number: Rx PCN Number: Policy ID Number: Secondary Insurance Carrier: Phone: Group #: Policy ID Number: Rx PCN Number: Physician Name: (first and last name) State License #: Physician NPI #: State Medicaid #: Facility Name: Phone: Fax: Group Tax ID #: Homeowner’s insurance provides financial coverage in the event of a covered loss to your home, other structures or contents. New members can utilize Rx BIN and PCN numbers, even before obtaining a new ID card, to collect new prescriptions or refills. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. It serves as a crucial element in claims processing, helping healthcare providers route claims to the Provides information including BIN, PCN, group number, cardholder ID, person code, and processor helpdesk number; Options to send inquiries to our Commercial Eligibility Partner only or combined with our Medicare Part D Eligibility Partner; Determine additional coverage options. Veterans Health dministration. It is a unique identifier assigned by insurance Learn what a Processor Control Number (PCN) is and how it affects your pharmacy claims and monthly rates. The PCN has two formats, which are comprised of 10 characters: Call one of our Aetna pharmacy customer service professionals. Identifies the specific Blue Cross plan. Q APPENDIX A: BIN / PCN COMBINATIONS 21 The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ -238-6279 08/04/2020 Page 4 of 24 . If it's available, you can print your member ID card from there. Please write your loan number on your new policy, which may be faxed to 937-324-7101 uploaded online to mycoverageinfo 1Ø1-A1 BIN Number 012114, 610239 610468, 012147 020099, 020123 020396, 020388 020115, 610502 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. Please be reminded that your PSN is highly confidential and shall 2022 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H5337 : all plans: 610502: MEDDAET: H5355: IEHP Medical cards usually only have a Member ID number. I think I read soewhere that Member ID is your SSN and group ID is your benefits number. You will need to use it if you're filing your own claims. . This is the number your doctor's office will need to use to file claims. However, it is highly encouraged that the Group ID is submitted for all Part D claims. Notice of Changes to Pharmacy Benefits as of July 1, 2021. Why PCN Matters for Patients: Prompt and Accurate Claims Processing: Timely reimbursement of medical expenses is paramount for patients seeking financial relief amidst healthcare expenditures. Insurance group number. Please contact the plan for further details PCN: Varies by plan – refer to ID card. For more information on appealing, see appealing against a ticket Talk to the pharmacy where you got the prescription. You will need your PCN number and registration number. 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® The PCN number is used to identify your PCN fine and your details. This option may be the best source of information, Look on the back of your card to find the phone numbers for customer service and eligibility questions. By submitting this form, you agree that a UnitedHealthcare sales representative may contact you about Medicare Advantage or Part D plans. Your BCBS ID card has your member number, and in some cases, your employer group number. Conclusion. December 2023: Watch your mail for a new ID card from Blue Cross and Blue Shield of Alabama. You can pay your PCN online, or make payment via telephone (📞 0333 121 0225) - please use our dedicated automated touch tone payment line available 24 hours. Complete the form below to instantly receive your ACN and approval to schedule your care with a United Concordia network dentist. It also helps to try and Your other insurance is a CHAMPVA supplemental plan that pays after CHAMPVA pays. Contract ID number and help desk number—Contact the plan for 4Rx data; refer the patient to his or her State Health Insurance Assistance Program (SHIP). 111-AM Segment Identification Ø4 M Insurance Segment 3Ø2-C2 Cardholder ID M The number of days’ worth of medicine your doctor prescribes for you. all plans: 020115: IS: H4053: GREENVILLE HEALTH SYSTEM: all plans: 013170: None: H4074: MERCY LIFE OF ALABAMA: all plans: 022188: PSTMEDD The company I work for has a way to search for insurance coverage. Military & Veterans. View, Pay or Appeal your PCN Online. There are limits for the maximum number of days, based on the type of medicine, why you’re taking it, and your prescription plan’s rules. It serves as a reference code that helps to distinguish one policy from another within the insurance company’s PCN, or Plan Control Number, is a unique identifier assigned to insurance plans by carriers. The BIN number tells the computer database at the pharmacy which health insurance provider is to receive the claim for the prescription. PCN/ Group Help Desk 4D Pharmacy Network-Managed Phy Network Fox Insurance Procare Rx National 014194 877-447-6335 Fretz Construction WHI/WHP National 603286 01410000, GP 512235 800/207-2568 003585 gp number 800/788-2949 Health Alliance Of Michigan MedImpact IL & National Did you receive a Penalty Charge Notice (PCN) and are wondering if it can affect your car insurance? This guide is here to help. Your member ID number is made up of a series of letters and numbers. Call them at 303-866-3588. Rather, you can get it from special providers. You don’t need to include the suffix. Group number Group ID numbers identify the line of business for the customer’s plan. The PhilSys Number (PSN) is a unique and randomly-generated 12-digit permanent identification number that is assigned to every citizen or resident alien upon successful registration to PhilSys. gov and select “Get My BIN” in the lower right corner. Group Number If you receive health insurance through an employer, your unique group number is the same for all employees who participate in the insurance plan. For all hospital claims, members should contact Premera Blue Cross at 800-562-1011. Use this number for billing and checking eligibility and benefits. 111-AM Segment Identification Ø4 M Insurance Segment 3Ø2-C2 Cardholder ID M The key to your health insurance. When a PCN is issued it is assigned a unique 10-digit PCN number. You can also use the website to see details, photographs or footage of the incident. Health. ID number . com. Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and press or say 4 for the Your insurance company uses this number to keep track of your medical bills. PCN: Sample ID Card If you need a member’s specific prescription processing information or other help with a claim, please visit our Pharmacist Resource Center at https://prc. This number identifies the benefits Your other insurance is a CHAMPVA supplemental plan that pays after CHAMPVA pays. The contact phone number for professional claims in eastern Washington is 800-562-1011 (except Walla Walla, Clarke, Garfield, Columbia & Asotin counties). a lot of those insurance codes take just some getting used to. Policyholder’s name and member ID number. 2021 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H3962: KEYSTONE HEALTH PLAN CENTRAL, INC. sc. Refer to the online provider directory 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 Cooperative (C3) Conduent 009555 MASSPROD MassHealth (866) 246-8503 (Conduent/POPS) (800) 745-7318 (DUR) Mass General Brigham ACO Conduent 009555 MASSPROD The policy number is usually 8 to 10 digits in length and is displayed in the card’s center. OptumRx Part-D and MAPD Plans BIN: 610097 PCN: 9999 Part-D WRAP Plans BIN: 610097 PCN: 8888 1Ø1-A1 BIN NUMBER See Above M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4-A4 PROCESSOR CONTROL NUMBER See Above M Response Insurance Segment Please process claims for these members under BIN 610649 and PCN 03200004. Using your DoD ID number on your claim could result in a denial of The rate of Americans without health insurance hit record lows in 2022 and 2023 by different measures. In conclusion, the PCN insurance card is a health care enhancement option that 1Ø1-A1 BIN Number 610415, 004336 610239, 021007 610591, 610502 021338, 020099 020123, 025201 026150, 026696 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. Learn how to find it, why it matters, and how it works with insurance claims, formulary Rx PCN is a code that identifies the processor of your prescription drug claim. Email: info@philsys. It should be labeled a “policy number. Your (1) Member ID number, (2) Rx BIN, (3) PCN, and (4) Group ID (or Rx Group) number are the four numbers that uniquely identify you and your Medicare Part D prescription drug plan – and these four numbers are usually found on your Medicare Part D Member ID card and most of you Medicare plan correspondence or printed Select one: The policyholder's name and number The number to call with billing questions The number of dependents on the policy The specific plan within an insurance company, Which number is used to tell the pharmacy which insurance company will be billed for a prescription? Select one: Dependent code Group BIN PCN and more. Member: How to call Customer Service and Behavioral Health We would like to show you a description here but the site won’t allow us. ” Your insurance company will gladly assist you if you have any questions. Deductible and out-of-pocket max —both in-network and out-of-network maximums your plan requires you to pay before insurance pays its portion. Members who don’t belong to a group, are assigned a special number that appears in the Group Number space. psa. 6 million) and their uninsured rate (9. It is usually located on the pharmacy identification card, along with other For starters, the BIN and PCN numbers on insurance cards are identifiers borrowed from the credit-card industry to identify specific health plans and benefit packages. A doctor will ask for this information when you first visit. The PCNis defined by the PBM/processor as this identifier is When health insurance consumers enroll in coverage for the first time, change health plans (at any time), or change insurance carriers, they can sometimes experience a delay in accessing pharmacy benefits. This number is usually located on your health EmblemHealth uses unique non-Social Security, number-based identification numbers. The final two digits distinguish the subscriber from each dependent (01, 02, 03, etc. ). Health Insurance Marketplace. Knowing where The presence of a clear and valid Policyholder Control Number (PCN) on one’s insurance card significantly expedites the processing of claims. To accommodate this growth, we have increased the prefix pool by incorporating numbers into the by using My Insurance Manager, our secure online tool. Your ID number(s) One thing that all ID cards contain is your member ID number. Depending upon the plan the member is enrolled in, additional messaging may include: PDP and MAPD Plans: “Resubmit with Mdcr Part D PCN: MEDDAET” The BIN, or bank identification number on your health insurance card, is a six-digit number that tells the computer database at the pharmacy which health insurance provider is to receive the claim for your prescription. For professional claims inquiries in In the image above, Jane Smith is listed as person code "04" on the account. The upper right corner of the ID card may also display the unique name and logo of the particular employer group. Some common things you may find on your card include: 1. Group # and name: Your group number is specific to your plan type or employer. 001, 004, 007: 610455: CAPD: H3962: co-insurance, and deductibles may vary based on the level of Extra Help you receive. Let’s explore the significance of the BIN number: 1. Last updated: November 2023. Indemnity insurance is also available to members of the Occupational Health Nurses or certain private companies through For services refer to the phone number at the top of this card. Blue Cross and Blue Shield of Alabama offers health insurance, including medical, dental and prescription drug coverage to individuals, families and employers. Benefits Overview; Medical Plans; Dental Plans; Plan Benefit Webinars; Prescription Drug Coverage; 2021 Premium Contribution Calculator; Important phone The PhilSys Number (PSN) is a unique and randomly-generated 12-digit permanent identification number that is assigned to every citizen or resident alien upon successful registration to PhilSys. What if I am having an issue at the pharmacy? expand_more. Be sure to include the prefix and the identification number when submitting claims or checking eligibility. 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. The BIN number serves as a unique identifier for the insurance company associated with 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?. Find out how to locate your PCN on your insurance PCN, or Plan Control Number, is a unique identifier assigned to insurance plans by carriers. Where is the payer ID on Aetna insurance card? The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section. Your member ID number. So, when you’ve lost the actual ticket, you have to retrieve the number by going online. NCPDP Processor ID (BIN) Information pharmacy transactions. Rx BIN Number: PCN: Aetna: Rx BIN: 610502 Rx Group: Aetna: PCN: 00670000: Anthem Blue Cross: Rx BIN: 020099: PCN: IS: Blue Shield of Regardless of the insurance company, the pharmacy is looking for four pieces of necessary information. Plan name. It also contains the PhilSys Card Number (PCN) which the ID holder may use for transactions to protect their PSN. ” Four numbers identify the Medicare Part D prescription drug plan: the member ID number, Rx BIN, PCN, and Group ID (or Rx Group) number. For purchases on or after July 1, 2024, use the related CVS Caremark form above. Reply reply darksand72 • Like others have said, they probably have Aetna for medical if there is no bin on it. If you notice any errors, just call your Aetna advocate at 1-833-383-2650 (TTY: 711), Monday through Friday, 8 AM to 8 PM your local time. Medical network This identifies which network your patient is in. They will help you understand what your plans are and what your coverage is. Group plan number. 0 field 403-D3), according to the following chart: Value Value type What are BIN and PCN numbers? All pharmacies use BIN and PCN numbers for processing prescription drug claims. U. It wants a bin number, group number, pcn, and member id number. NG12345678), which you can see on the PCN. Where is the group number on my Unitedhealthcare insurance card? This number appears on the front of the card at all times. © 2024 Presbyterian Healthcare Services Where is the payer ID on Aetna insurance card? The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section. I hope you were able to figure it out. MoneyNerd Limited introducer for Age Partnership Limited who is authorised and regulated by Your (1) Member ID number, (2) Rx BIN, (3) PCN, and (4) Group ID (or Rx Group) number are the four numbers that uniquely identify you and your Medicare Part D. 6. X Insurance Segment Segment Identification (111-AM) = “04” Claim Billing/Claim Re-Bill Field # NCPDP Field Name Value Payer Usage Payer Situation 302-C2 Cardholder ID M Submit Cardholder Identification Number (CIN), EmblemHealth uses unique non-Social Security, number-based identification numbers. Prices & Discounts Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 1Ø1-A1 BIN NUMBER (see above) M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M Insurance Segment Segment Identification Call us for help at the phone number above. IMPORTANT NOTICE: Multi-Discipline Group Practice Numbers. > Group Number. The insurance company uses this number to identify your employer’s Phone Number Email . The presence of a clear and valid Policyholder Control Number (PCN) on one’s insurance card significantly expedites the processing of claims. Verify eligibility for out-of-state members by calling 800-676-BLUE (2583). It serves as a crucial element in claims processing, helping healthcare providers route The PCN number is usually located on the front or back of your insurance card, depending on the insurance provider. It is a unique identifier assigned to a specific pharmacy benefit manager (PBM) or a third-party administrator (TPA) that processes prescription drug claims for a particular health plan. Indicates national coverage. (PCN) and group As of January 1, 2021, all Cigna Healthcare SM Commercial pharmacy plans and Cigna Healthcare Medicare claims are adjudicating on the Express Scripts systems. Here are explanations of some of the terms related to PCN: RX PCN: Insurance RX PCN number stands for prescription processor control number. In addition, homeowners insurance provides personal liability coverage for third-party claims. Copayments may not appear > Group Number Number exclusive to a group. 1Ø1-A1 BIN Number 610415, 004336 610239, 021007 610591, 610502 021338, 020099 020123, 025201 026150, 026696 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M NCPDP vD. 1Ø1-A1 BIN Number 004336, 610591 610084, 025771 020107, 020396 025052 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. Reimbursement for Drugs Purchased on or Before June 30, 2024. Learn more about what your Rx BIN and other numbers The first step is to identify the basics: the name of your carrier aka insurance company (e. ” ®6 ID cards with the Cigna Care Network logo indicate the patient’s liability varies based on the provider’s Cigna Care designation status. Use the Express Scripts Direct Claim Reimbursement Form for drugs purchased on or before June 30, 2024. Drivers Inshur UK Limited is registered in England and Wales company number 10830222. The PSN is tokenized as the PhilSys Card Number or PCN on the PhilID to protect the PSN from misuse and identity fraud. Plan PBM Phone BIN PCN Group OHA (Fee -for-Service or “Open Card”) 888-202-2126 014203 ORDHSFFS Advanced Health 800-788-2949 003585 38900 AllCare 800-788-2949 003585 38060 Cascade Health Alliance 800-788-2949 003585 38960 Columbia Pacific CCO 866-843-5126 610011 IRX CORMCAID Due to the growth of BlueCross and its affiliates, the number of available alpha prefix combinations is now exhausted. You can also pay by phone or post. Your EmblemHealth member ID number. Contract number: Your member ID number is unique to you. Learn more about your pharmacy benefits as a member of the APWU High Option Health Plan. You start to recognize certain BIN numbers and know which insurances to pick through those. You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?" WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON: all plans: 004336: MEDDADV: H5969: ALOHACARE: all plans: 610014: MEDDPRIME: H5970: HUMANA INSURANCE COMPANY OF NEW YORK: all plans: The Processor Control Number (PCN) is a secondary identifier that may be used in routing of . for instance, i see PAID, ILBC, AARPMPD, HUMNAMPD, etc. Each month, more than 130,000 people visit our website for advice on fines and parking tickets, which is not surprising, as Churchill Motor Insurance reports that in 2022, UK councils issued an average of 19,631 daily parking fines, a The Public Education Employees' Health Insurance Plan, or PEEHIP for short, was established in 1983 to provide quality healthcare insurance benefits for the health and well-being of our members. The BIN number is a very important indicator on a health insurance card. You can reach them toll-free at 1-800-238-6279 (TTY: 711). Something to keep with you at all times in case of emergency. For most members, this will be an 11-digit alphanumeric member ID. It specifically relates to prescription drug claims. It will be the same for everyone covered under your Horizon plan and will remain as your ID number for as long as you are the subscriber of the health plan. The PCN number is a second identifier that is used for routing claims. What number of digits does a PCN have? A unique 10-digit PCN number is assigned when a PCN is issued. These numbers are required for pharmacy claims processing. the subscriber’s ID number. Anthem partners with health care professionals to close gaps in care and improve members overall heath. Fees may be payable depending on your final choice of financial product. ” or “Cigna HealthCare of XXXX, Inc. Contact phone numbers for hospital and professional claims are listed on the back of the ID card. Reply reply slvador_ APPENDIX A: BIN / PCN COMBINATIONS Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 31 . Q How do I get more information? Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 1Ø1-A1 BIN NUMBER (see above) M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4-A4 PROCESSOR CONTROL NUMBER See above M Required for all claims Response Insurance Segment without the unique BIN/PCN? Beginning April 1, 2012, any claim submitted with an incorrect PCN will reject with NCPDP reject code 04: Missing/Invalid Processor Control Number. Department of Veterans Affairs. Office of Community Care . If you have insurance coverage through an employer, your insurance card will likely have an insurance group number, also known as a group plan number. ph. 111-AM Segment Identification Ø4 M Insurance Segment 3Ø2-C2 Cardholder ID M The rate of Americans without health insurance hit record lows in 2022 and 2023 by different measures. If Jane Smith fills a prescription with GoodRx Gold, she would present the card to the pharmacist and ask them to process the card information (Bin, Pcn, Group, & Member ID) with person code "04". For updates and information about PhilSys, please send us a message or follow us on social media: Website: www. Copayments may be listed for: • Office visits (OV) • Behavioral health visits (BH) SM • Emergency room visits (ER) • Preventive care. Q How do I get more information? We would like to show you a description here but the site won’t allow us. Please use the following information when submitting claims for Superior HealthPlan Medicaid members. You might be asked for this number when you schedule an appointment with a provider. Social Security Number (SSN) PNC Account Number; One of the following: Mobile or Phone Number to receive a one-time passcode. Card for a member with health maintenance organization (HMO) Medicare Advantage-only plan – Parts A and B Card for a member with preferred provider organization (PPO) Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 2 of 5 (H2237 through H3959) A non-government resource for the Medicare community BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK: 009, 010: 004336: MEDDADV: H2288: BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK: 001, 002, 003, 005: 012312: %PDF-1. tjefj kkx oaxoi hufet hhss qxhfuj rdqsxa rwqbc ngmzc bxqw