Bin 004336 Pcn Adv
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The three tables below shows the correct combinations effective March 1, 2018, for pharmacies to use when submitting MassHealth ACO/MCO/FFS pharmacy claims
BIN: 001553 PCN: TNM All members of TennCare will receive a new member identification (ID) card as shown below 1Ø1-A1 BIN NUMBER Multiple M BIN's listed in General Information Section 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1 M 1Ø4-A4 PROCESSOR CONTROL NUMBER Multiple M PCN's listed in General Information Section 1Ø9-A9 TRANSACTION COUNT Ø1-Ø4 M Up to 4 transactions per B1 transmissions accepted . format name bin # pcn # ldi pharmacy benefit mgmt 5 Department of Veterans Affairs Veterans Health Administration Office of Community Care IB-10-1466—VHA OCC Created Date: August 24, 2020 Page 2 of .
004336 ----- 009893 MCAIDADV ADV ----- ROIRX, ROIRXUDL, RORIXUDL RX5436 ----- WLSNS Fee-for-Service NH Medicaid (Magellan Rx Management) 009513 P002002286 all For Well Sense Health Plan all claims are processed using the following information: BIN: 009893 PCN: ROIRX, ROIRXUDL and RORIXUDL Group #'s: WLSNS, NHM00001, NHM00002, NHM00003
Rx Bin: 004336 Rx PCN: MCAIDOH Rx Group: RX0718 Member ID Format: 12 Digits Person Code: 001 U Geographic Area New York For additional claim processing assistance, if needed, please call the CVS/caremark Pharmacy Help Desk at 1-800-364-6331 . HFHFIC21 Gold Total EPO For Providers / Medical Eligibility 1-888-801-1660 Prior AuthorizationMember Services 1-888-394-4327 Electronic Claims Payer ID 80141 Medical Claims Address Healthfirst Claims Department Plan PBM Phone BIN PCN Group OHA (Fee-for-Service or 888-437-7728 004336 ADV RX6156 Trillium Community Health Plans 866-843-5126 004336 MCAIDADV RX5461 Umpqua 800Health Alliance -788 2949 003585 38920 Yamhill Community Care 877 -216 3644 600428 07870000 YCCOPHTK .
The following are billing instructions for CDPHP: BIN: 004336, PCN: ADV, GRP: RXCDPHP
Pharmacy Benefit Administrator, BIN, PCN, and Group Specialty Pharmacy name and telephone number Website address for pharmacy information Aetna Better Health CVS/ Caremark 1-855-364-2975 Medicare/Medicaid Members BIN: 610591 PCN: MEDDADV Group: RX8812 Medicaid Only Members BIN: 610591 PCN: ADV Group: RX 8810 For Pharmacy Billing COVID-19 vaccines that have received FDA approval or Emergency Use Authorization (EUA) may be submitted . com check for eligibility, co-pays and Prima ry Medical P ovider (PMP) IN-MMED-0173 MCIS or oeerec o a coa a a our ea ee o ereae a ou are o ure aou o o e ® or e ® e mber or MC CS Carear P o oe This card is only valid at participating pharmacies .
This is an updated list of BIN/PCN/Group number combinations to use for pharmacy claims that MassHealth currently collects rebates on
BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan 855-425-3247 (STAR/Hidalgo) El Paso First Premier 004336 ADV RX0825 (STAR) 877-874-3317 . Rx BIN: 004336 Rx PCN: ADV Rx GROUP: RX0281 Confirm identity BIN/PCN/Group Numbers for ACOs, MCOs, PCC Plan, MassHealth-Only SCOs .
Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fifth page (H8634 - S9701)
Click here for the second page (H2237 - H3959) , third page (H3962 - H5928) , fourth page (H5928 - H8634) and fifth page (H8634 - S9701) BIN: 004336 PCN: MEDDADV Group: RX5045 Pharmacy Help Desk: 1-888-527-0014 Medicaid Only Members BIN: 004336 PCN: ADV Group: RX3292 Pharmacy Help Desk: 1-800-364-6331 CVS/Caremark Medicare/Medicaid Members BIN: 004336 PCN: MEDDADV Group: RX5060 Pharmacy Help Desk: 1-866-693-4620 . Number (PCN) Bin Number Additional Information Required for Pharmacy Claim Processing For eligibility information, plan policy and coverage questions For billing issues, claim processing questions and assistance with claim edits Affinity Health Plan (866) 247-5678 CVS Caremark (800) 364-6331 ADV 004336 Group: RX4212 Prescription Drug: Coverage provided by CVS Caremark, BIN #004336, PCN#ADV, Group# RX6027, Issuer (80840) 9151014609, 1-877-769-7447, option 4 Dental Care: Provided by Emblem Health, 1-800-947-0101 Vision Care: Provided by Davis Vision, 1-888-588-4823 Mental Health and Substance Abuse: Provided by ValueOptions, 1-877-769-7447, option 3 .
RXBIN 004336 RXPCN ADV RXGRPs RX7541, RX7545 Cost-Share Please rely on the claims system response to determine the correct amount to collect from the plan member
Rx Bin: 004336 Rx PCN: ADV Rx Group: RX1663 HFIC20_21b Coverage is provided and insured by Healthfirst Insurance Company, Inc Staff are typically able to respond within one business day . Enrollment in Viva Medicare depends on contract renewal 610593 : MHP : HNEMH (800) 918-7545 (Optum Rx) Berkshire Fallon Health Collaborative CVS 004336 .
800-364-6331 (CVS Caremark) Tufts Health Together with Atrius Health
I was 30 I did not know what in the home directory dont care who he Y0013_21PRVQRG_C (01/21) Copayments: Medicare Contract # H3259-001 Subscriber ID 749 (06/15) This card is for identification, not for proof of eligibility . Line of Business: BIN: Group Number: PCN: Commercial: 004336: RX3988, RX3989, RX3990, RX3991, RX3992, RX3993, RX3994, RX3995, RX3996, RX3977, RX3978, RX3979, RX3999 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) .
This means community providers must enter into a contract with one of VA's Third Party Administrators (TPA)
BIN:004336 PCN: ADV GROUP: MVP625 BIN:004336 PCN: ADV GROUP: MVPMRKT BIN:004336 PCN: ADV GROUP: MVPCOMM BIN: 004336 PCN: MEDDADV Rx Group: RX4236 for PPO and Part B and RX4237 for For assistance with claims that have a date of fill prior to . 0 Segment Field Value Service Provider ID (201-B1) The Type 2 NPI for the pharmacy contracted for COVID-19 test services should Pharmacy Benefit Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Aetna Better Health CVS/ Caremark Phone: 1-855-364-2975 Medicare/Medicaid Members BIN: 610591 PCN: MEDDADV Group: RX8812 Medicaid Only Members BIN: 610591 PCN: ADV Group: RX8810 .
IMPORTANT: Veterans, click here and here for informational flyers on getting your flu shot
0 NCPDP Data Dictionary Version Date: October 2013 A Award criterion is bin 004336 pcn mcaidadv for ten minutes . If you can't reach BCBS Customer Services, you can also contact HUB at 318-629-8769 or email email protected BIN 017431 : PCN EBMS You may also be asked to present your AAA membership card .
Rx Bin: 004336 PCN: ADV BCBS Plan 080/580 Copay CD0000 P00 S00 ER000 RX DH Local CareFirst providers mail to: Mail Administrator PO Box 14116 (for claims) Lexington, KY 40512-4116 PO Box 14114 (for correspondence) Lexington, KY 40512-4114 CareFirst BlueChoice, Inc
Once a community provider is part of VA's contracted network, they can begin providing urgent care services to Veterans You can also find up-to-date information about your CareFirst membership using the Mobile App available for free at the App Store or on Google Play . 004336 MCAIDADV RX5435 Molina coordination of benefits (COB) members 013089 COMESEGADV Group per Molina plans listed below Molina: MOLINA WA - AHFAM/IMC PLAN BIN PCN GROUP NUMBER Amerigroup 020107 CM WKHA Apple Health Fee-For-Service (FFS) 610706 WAPROD N/A Community Health 003858 A4 CHWA Coordinated Care of Washington, Inc .
Group #1804 Denver/Boulder: 303-338-3800 or 1-800-632-9700 or 1-800-201-5824 Northern Colorado: 1-800-632-9700 Southern Colorado: 1-888-681-7878 www
BIN: 017010 PCN: 02150000 Plan Name/Group Name: Cigna Pharmacy - Commercial, Non-Med D Business BIN: 017010 PCN: 02160000 Processor: Argus Health Systems Effective as of: 06/01/2015 NCPDP Telecommunication Standard Version/Release #: D Register Step 1 Identity UnitedHealthca10 Health Select! En Español ERS Homepaae Demo Weedback Common Questions Identity Next Step What if I dont have O card? What if the system cant find in formation ? What if I have . RX BIN: 004336 RX PCN: ADV RX Group: RX0546 Prescription Prior Authorization Request: Prescriptions for medications requiring prior approval or for medications not included on the Molina Formulary List may be approved when medically necessary and when formulary list options have demonstrated ineffectiveness M 1Ø1-A1 BIN Number 004336, 610591 610084, 021007 012114, 013089 020107, 020396 .
Please contact specific MCO for past billing codes
Optum Help Desk Veteran Eligibility 888-901-6609 7 a RX Bin#: 004336 RX PCN#: ADV RX Group: RX0823 Primary Care Provider Phone: (002) 002-0002 John Smith, M . Please use the BIN, PCN, and RxGroup number below to process an online/electronic claim to CorVel: BIN: 004336 PCN: ADV RxGroup: RXFFWC604 Member ID: See below to generate ID To Generate Member ID: The Injured Worker's 9 digit Social Security Number plus 8 digit Date of Injury will be used as As a member, you can schedule a virtual visit to speak to a board-certified healthcare provider from your computer or smart phone—anytime .
RxBIN 004336 RxPCN ADV RxGrp RX1113 Member ID: 9000XXXX1 Visit MyHFNY
If you can't reach BCBS Customer Services, you can also contact HUB at 318-629-8769 or email email protected Group #12144626 1-800-877 BIN: 610494; PCN: 9999; Group: ACULA; Any other pharmacy-related questions can be directed to the Medicaid Pharmacy Program at 1-800-437-9101 . 1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D Moderna COVID-19 NDC: 80777-0273-99) along with the following: .
Viva Medicare is an HMO plan with a Medicare contract and a contract with the Alabama Medicaid Agency
data element to be sent with all claims for this bin# The clinical and PA support line will open January 1, 2007 . ***For possible changes since this posting, please reach out to each MCO Use your drug discount card to save on medications for the entire family ‐ including your pets .
MassHealth PBM BIN PCN Group Primary Care Clinician (PCC) Plan
Creating a username You can use an email address as your username or create something new You can use it for every member of your family (and even pets are covered with our pet card ) . Step 1: Enter BIN: 004336; Step 2: Enter PCN: ADV; Step 3: Enter Rx Group: RX4136; Step 4: Enter 10-digit Veteran ID; Step 5: Enter Veteran’s date of birth (YYMMDD format) For questions, please call the CVS Caremark Pharmacy Help Desk at 800-364-6331 (24/7) Pharmacists services: 800-364-6331 ONLY Rx BIN: 600428 Rx PCN: 07440002 Rx Group: LIFEASSN Cardholder ID: 800001234 Jonathon Sharp .
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