Bin 011552 pbm. Apologies, and thank you for your support over the years.

Bin 011552 pbm 6989 | San Diego 800. 560. Online and Mobile App . At Blue Cross and Blue Shield of Texas, we know it’s more important than ever to better manage pharmacy costs without The document provides a list of contracted PBMs (pharmacy benefit managers), their contracted lines of business, BIN/PCN numbers, and help desk contact information. National Network, Medicaid Networks, Perfect Pay Network (Copay Billing), Specialty Network, Vaccines 008019 Rightway's aligned PBM with high-touch pharmacy navigation drives every prescription to its true lowest net cost, reducing employer spend by over 15%. m. M (BIN 61ØØ56 only Prime Therapeutics (Prime) is unveiling our new corporate vision and brand identity, signifying a bold transformation and commitment to reimagining pharmacy solutions. Generics and Vendor Contracting Generics and Vendor Contracting. You. Do NOT enter any prescription information into this form. Prime’s services include: • Pharmacy network management Home Welcome to APCI - The United Voice of Independent Pharmacy; About Us About Us. binlist now severely limits their API usage, and their paid options are hilariously expensive for my needs. Bank Identification Numbers (BIN) and Processor Control Numbers (PCN) Plan BIN PCN . Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 1 of 6 (E0654 through H2134) 011552: MAPDMTG: H0111: Wellcare: all plans: 004336: MEDDADV: H0112: Palm Beach PACE: all plans: 016110: PACE: H0137: Commonwealth Care Alliance Massachusetts: all plans: 610602: NVTD: H0148 : all plans: Please process their prescription using the above BIN/PCN/Group information. • The most expensive ingredient will display at the claim level. But when prescriptions alone account for nearly a third of total health care costs 2, employers struggle with how to best control costs. <br>Union Leader for the power and gas industry workers, representing more than 6000 members for more than 15 years. All pharmacies are required to reenroll with the Vendor Drug Program (VDP) to continue receiving payment in fee-for-service and managed care. Rightway's superior pharmacy benefits management model guides every member to the right medication with the highest value. 3 Provider Enrollment 5 3. Removed fields 478, 479, & 480 from the Pricing Segment. PCN: -----ILCAID . 1343420. Rightway is a healthcare technology company that simplifies the healthcare experience through its care navigation and pharmacy benefit management (PBM) solutions. It includes over 20 PBMs, such as CVS Caremark, Express Scripts, OptumRx, Prime Therapeutics, and others. The BIN/IIN field will either be filled with the ANSI IIN or the The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2023 Medicare Part D plan sponsor. Refer to the MCO's provider manual for details. (i. In 2021, the healthcare system spent more than $600 billion on prescription drugs, or about Important Pharmacy Benefits Update. 6 A bank identification number (BIN) is the initial set of four to six numbers on a credit card that identifies the lending institution. The problem is, it can be difficult to identify a BIN from Home » Questions And Answers » i have BCBS med supp plan F. Special Requirements or Limits. Please refer to the Pharmacy Manual for contact information. 1 Telephone and Fax Numbers 5 3. Social Share. The OptumRx Help Desk is available 24 hours per day and 365 days per year. 1, Bin# 009661, PCN: P013009661 BCBS NM MEDICARE PARTD 5. Providers will be paid only for claims in which a prescription for a covered item is written by a prescriber BIN: PCN: Group Number: PBM Phone Number: AHCCCS FFS; 001553. Medicare-Medicaid dual eligible 015581 03200000 Medicaid plans 610649 03190000 . com The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. BCBSIL utilizes Prime Therapeutics LLC as our pharmacy benefit manager to administer our pharmacy program to help contain rising drug costs and maintain and improve the quality of care delivered to members. Added BIN/PCN Combination BIN 025771 PCN IRXCOBAP Added BIN/PCN Combination BIN 025771 PCN IRXCOMAP . Some drugs may have limits on how much medicine can be filled per prescription or in a given 011552 TXCAID TXC1 855-457-0403 (CHIP Only) 855-457-0407 : 888-657-6061 . 610602 MCD EPF 877-908-6023 . Visit Prime Therapeutics to: Search for prescription drugs; Find a pharmacy; Order mail service refills or new prescriptions online; View status of coverage for As your pharmacy benefit manager (PBM), Express Scripts helps you stress less and save more. Click here for the second page (H2354 - H4093) , third page (H4094 - H6293) , fourth page (H6306 - H9431) and fifth page (H9438 - S9701) . Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9662 through S9854) 011552: MAPDTX3: H9706: Blue Cross and Blue Shield of Texas: 801, 802: 011552: MAPDTXG2: H9706: Blue Cross and Blue Shield of Texas: 002: 011552: TXSNP2: H9712: HAP Empowered MI Health Link: Prescription drugs are a vital part of your health care coverage. : Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME The chart below is the fifth page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H7323 through H9686. The health plan hopes to cut prescription drugs costs between 10% and 15%, or about $500 million a year. Text. The contact is listed for any questions about the PBM listing. 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 012833, 011552, 015905, 014897, 014906, 016895, 016499, 800001 800-821-4795 ProCare Rx Access Based Networks, Managed Care Preferred Network, National Network PBM Networks BINs Help Desk US Script, Inc. April 1, 2023 340B Pharmacy Contract Administrators AHCCCS Pharmacy Directors 10/01/2024 Page 3 of 32 HIGHLIGHTS – Updates, Changes & Reminders This payer sheet refers to Medicare Part D Primary Billing and Medicare as Secondary Payer Billing. Union Leader / Board Member · Consultant for earthworks near power cable and gas pipes. 1, Bin# 011552, PCN: MPDNM . 397. BIN and PCN Codes. GETTING STARTED. Refer to the VDP payer sheets at If there is a Part D BIN/PCN/Group missing that you would like us to add, please shoot us an email at support@amplicare. 1 . com to learn more about how we coordinate our medical and pharmacy benefits, review our drug lists, submit prior authorization requests, and more. 2 Mailing Address 5 3. The Affordable Care Act requires all pharmacies, including those who enrolled with VDP prior to Nov. BIN PCN GROUP; 022659: 6334225: MediCalRx: Medi-Cal Rx Customer Service Center 1-800-977-2273: Submit Prior Authorization requests to Medi-Cal Rx by: Fax to 800-869-4325. > PCP Effective Date: Rx Group No. However, PBM has raw version, which looks like this: 'P4\n# This is a comment\n5 5\n\xf8\xf8\xf8\xf8\xf8' How can I do it? Description of PBM format says: The chart below is the second page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H2001 through H3563. Note: Not all employer groups retain Prime Therapeutics as their pharmacy benefits manager (PBM). 277. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas (BCBSTX), this information can help you and your doctor get the most from your prescription drug coverage. 1 • SERVU-IPA 5. bcbsil. Covered Persons may not have received their new identification cards. A transparent PBM model infused with care navigation drives every prescription to true lowest net cost. The chart below is the second page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H2029 through H3499. . –. Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME BlueCross BlueShield Of Texas A Cato a Legal Liersee Crass Blue Member Name: NAMEM INITL NAME> Alpha Prefix: ZGE Oklahoma 011552 1215 877-353-0992 BCBS of Rhode Island BX/WellPoint National 610468 use gp # 800/777-1023 BCBS of South Carolina Medical Matrix National 004992 PCN-599 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 The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2023 Medicare Part D plan sponsor. com > Resources > 2022 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: E0654: TEAMStar Medicare Part D Prescription Drug Program: all plans: 015574: ASPROD1: E3014: Pennsylvania Public School Employees Retirement Sy: all plans: 610097: 9999: E4744: MISSOURI DEPARTMENT OF The chart below is the third page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3572 through H5325. Author: Leti Created Date: PBM Name: Prime Therapeutics BIN: 011552 PBM Name: Optum Rx BIN: 610494 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 Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 6 (H7245 through H9649) 011552: MAPDTX1: H8133: Blue Cross and Blue Shield of Texas: 801, 803: 011552: MAPDTXG1: H8142: Baylor Scott & White Health Plan: all plans: 610011: CTRXMEDD: H8145: Humana: all plans: 015581: 03200000: 4. OptumRx is the current PBM contracted with the Veterans Health Administration Office of Community . Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fifth page (H8634 - S9701) . 1, BIN# 003452, PCN: NONE − Added patient’s last name field • EBMS 5. 0988 | Los Angeles 800. Effective January 1, 2024, Express Scripts will serve as Superior HealthPlan’s new Pharmacy Benefit Manager (PBM) and begin processing pharmacy claims. COMMUNITY RX 5. BIN:011552 PCN: ILDR R Pharmacy Program: 1-800-423-1973 For claims information via the internet: www. For remittance requests, please use the following link: Pharmacy remittance request - Prime Therapeutics LLC. Choosing a quality PBM should be easy but unfortunately too many contracts are misleading. Brand: Type: Prepaid? Country: Flag: Adding letters to BIN numbers (example 012353A instead of 012353). OptumRx processes over 4 million pharmacy With 50% of Americans having at least one prescription 1, drug coverage is a vital benefit to your client's employees. 8 Added new BIN/PCN combination: BIN 027570 PCN SSRX42 *UPDATED* Removed sunset BINs/PCNs Added additional BIN: 026696 o For new plans only, effective 10/2024 to 12/2024 . PrimeTherapeutics. You can use the filter to search for a specific country, search with the country name. 1 ; 610577 . Click here for the first page (E0654 - H2235) , third page (H3962 - H5928) , fourth page (H5928 - H8634) and fifth page (H8634 - S9701) . September 30, 2014 . → If you have questions regarding claims processing, please contact Prime’s Pharmacy Help Desk at 877. Bin 011552 PCN: TXCAID. com After-Hours Care AFTER-HOURS ACCESS Search any BIN number issued in any brand, level, type, country or issued by any bank in the world [Main Menu] BIN List. txvendordrug. Board of Directors APCI Board of Directors; Event Calendar Event Calendar; Wholesaler Relationship Wholesaler Relationship; Annual Convention Annual Convention; Services Services. That’s why Express Scripts is here for you anytime you need. 1, BIN# 610675, PCN: 27006 − Added prior authorization fields • MEDICARE BLUE PPO 5. This can be very useful for tracking your most profitable insurance payers or gathering data for upcoming audits. Prime Therapeutics LLC (Prime) 1 now manages your prescription drug benefits for your Boeing-sponsored medical plan, administered by BCBSIL. 1, BIN# 610455, PCN: MPD19 − Removed duplicate patient gender field In standard specification, metroSTOR PBM accommodates 4- wheeled bin containers from 660L to 1280L capacity for controlled front loading through a waste stream specific aperture. What if a prescription drug I am currently taking which is covered under the CRH plan is not covered under the Prime Therapeutics Balanced Formulary? A BIN number, or bank identification number is misleading in the fact that no bank is involved in issuing your prescription drug. 1. 5 Processing Control Number (PCN) 5 4. 011552 ; TXCAID : TXC1, TXC2, TXC3, TXC4, TXC5, TXC6, TXC7 STAR Kids 011552 TXCAID 600D, 600N, 601D, Added new BIN/PCN combination: BIN 027570 PCN SSRX42 *UPDATED* Removed sunset BINs/PCNs Added additional BIN: 026696 o For new plans only, effective 10/2024 to 12/2024 . BIN number refers to the first six digits of any card. April 5, 2012 Addition of Bin number 808412 April 18, 2012 Addition of Bin number 900020 August 23, 2012 Addition of Bin numbers: 610280, 016516, 016508, 015517 Removed references to 5. Get an overview of the BIN numbers data classified by countries, you can take an idea about the numbers of BIN, banks, and brands each country has. 5614 | Orange 800. Specialty drug management. According to Pharmacy Tech Resources, "the term was carried over from the early days of electronic banking jargon" 2. → Covered Person ID Number (9 digits) → Date of Birth → Gender → Group Number → U&C → Days Supply Pharmacy NPI → Active/Valid Prescriber ID (NPI, DEA or State License) → Date Rx Written → Rx Origin Code . But when prescriptions alone account for nearly a third of total health care costs 2 employers struggle with how to best control costs. We know this sounds cliche, but we truly stand by our customer service. Prescription help: Please call the toll-free number on the back of your prescription benefit card or sign in to your member account. It is important to have this information when filling prescriptions to ensure that they are processed correctly and that you receive the appropriate coverage from your insurance plan. This document provides information on electronic claims processing, specific to NCPDP defined fields and requirements, for OptumRx BIN 610279 business. This site will live on for now, but it is unlikely to work. Get API. TXC2 TXC3 TXC4 TXC5 TXC6 TXC7 TXS1 855-457-0405 : TXS2 (STAR Only) Christus* Plan PBM RxBIN PCN RxGRP Pharmacy Prior Authorization Member . MOLINA HEALTHCARE NM 5. 3=Three Occurrences . This form is specifically used to request a check reissue. → Prime’s Medicare Part D payer specification sheets are available at: www. MEDICARE PARTD NMHCRX 5. E-PRESCRIBING Available through Surescripts® for providers to check eligibility, review medication history, and review Formulary information. Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fourth page (H5928 - H8634) . 2, 2015, to reenroll using the new VDP Pharmacy Provider Enrollment Application. , member ID, BIN, Lot, drug name. If you have questions, please call True Rx at 2025 OptumRx BIN 610279 Payer Sheet. If you have questions processing this claim, please don’t hesitate to call our Pharmacy Help line: 888-532-3299. If you have a Covered 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. Customer Service: 866-921-4047 . We take pride in doing more for our clients, and patient care is our Version 2022. Author: Test STAR Insurance card NAME LONG M NAME Malicaid ID PCP Rx : Rx BIN Rx PBM: 011552 TXCAID PRIME BlueCross B ueS ie of Texas SmithRx is the designated PBM for this patient Note to Pharmacists: ENTER RxBIN, RxPCN, and GROUP MEMBER ID # FORMAT IS DATE OF INJURY IF NO ALL CAN BE USED Pharmacist Support 844-414-0703 Rx Bin Rx PCN Rx Group 019025 8001002 AMIGFF Present this card to the pharmacy to receive medication for your work related injury . How to use our BIN Search: - Enter the card’s BIN number in the search field below. caremark. 5 NCPDP Version/Release #: D. 012189 ; 5037 . 1 claims. 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) . We take care of you, so you can focus on what really matters. : Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME BeneCard PBF Pharmacy Provider Manual Revised 8/11/2021 2 TABLE OF CONTENTS 1. Find BINs Fast. The pharmacy policies content only applies to those employer groups who retain Prime Therapeutics. The chart below is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9699 through S9701. 12/01/2024 Page 4 of 25 PART 1: GENERAL INFORMATION Blue Cross and Blue Shield of Texas (BCBSTX) utilizes Prime Therapeutics LLC as our pharmacy benefit manager to administer certain core services in our pharmacy program that will help contain rising drug costs and maintain and improve the quality of care delivered to members. com* For STAR only, Over The Counter (OTC) items are included if on the The chart below is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H8634 through S9701. We strive to be transparent and upfront in both our contracts and our pricing. Available through . Access payer sheets for data requirements related to electronic claims processing for each line of business within Optum. – 9p. Coverage considerations Most prescription drug benefit plans provide coverage for up to a 30-day supply of medication, with some exceptions. 01_RXL Page 3 of 33 GENERAL INFORMATION Payer Name: Archimedes Date: 01/01/2022 Plan Name/Group Name: All NCPDP ECL Version: Oct 2019 Processor: RxLogic Software NCPDP ECL Emergency Version: Jan 2019 Effective as of: 01/01/2022 NCPDP Telecommunication Standard View Abdul Samad Bin Abdul Wahab, PBM’s profile on LinkedIn, a professional community of 1 billion members. : Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME PLAN NAME / GROUP NAME BIN PCN WellDyne - Various 023252 WCH, WDN (BIN: 008878) CHRX ChicagoRx Card / WellCardRx 020586 WDN or as appears on ID card Pharmastrategies 014856 Not required Pharmastrategies 015383 Not required Pharmastrategies 016359 Not required RxMedSaver 018034 WDF or as appears on ID card Must be 12 to 30 characters long Must be 12 to 30 characters long ; Must include at least one upper case character (A-Z), one lower case character (a-z), and one numeric or special character (no spaces) Must include at least one upper case character (A-Z), one lower case character (a-z), and one numeric or special character (no spaces) AHCCCS Pharmacy Benefit Manager (PBM) All Fee-For-Service prescription claims must be submitted electronically at the point-of-sale to the AHCCCS contracted PBM, Optum Rx. Navitus . 2851, download a state specific fax form or fax your requests to the number shown on our general request form. We are a family-owned prescription benefit company that prefers personal relationships to mass mailers. e. Your plan may also provide coverage for up to a 90-day supply of maintenance medications. For some drugs, you may need to meet certain criteria before your prescription drug coverage may be approved. 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) . This includes in-depth consultations. Prime Therapeutics offers e-prescribing administered through SureScripts ® , which allows providers to: Submit prescriptions electronically; Verify Member The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. Refer to www. Providers will be reimbursed for these services even if the member had the service on a prior plan or are not due. The BIN/IIN and PCNs are listed on the PBM/processor/plan’s Payer Sheets for trading partners to know the proper identifiers for routing transactions 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 011552 600001 610617 610435 009430 nla 010918-Bluegrass 01 1669-Walmart 600426-10 & UT 01620000-10 610624-WA 01 690000-UT 610623-OR 02060000-WA BIN: 011552 PCN: PDPIL See BIN/PCNs for all plans: Plan Type (Reach): Regional Plan: Number of Members enrolled in this plan in Illinois: 87,690 members (CMS Region 17) Number of Members enrolled in this plan nationally: 128,963 members: Plan’s Summary Star Rating: 4 out of 5 Stars. com . Pharmacy and Practitioner Exclusion Troubleshooting. The user identification number should be the cardholders 10-digit phone number. BCBS Texas Part B 011552 PARTBG2MA Processor Effective as of: Ø9/Ø1/2Ø11 NCPDP Telecommunication Standard Version/Release #: D. PCN GROUP : Type Network: Location Help Desk Number: AlphaScrip Inc Alpha Scrip 610600: AS Commercial: 1-877-274-3244 AmWins Rx Commercial AmWINS Rx AmWINS Rx: 011289; 013492; N/A Commercial 1-800-717-6614: AmWINS Rx 1. O. com BlueCross BlueShield of Illinois, an independent licensee of the BlueCross and BlueShield Association, provides United Healthcare Employer and Individual BIN: 610279 PCN: 9999 United Healthcare Employer and Individual – Contraceptive Services Only BIN: 610279 PCN: CONTRAC UHC Exchange BIN: 610279 PCN: 7777 Processor: OptumRx Effective as of: 01/01/2014 NCPDP Telecommunication Standard Version/Release #: D. Prime Therapeutics cannot change the address a check was mailed to unless the Prime Therapeutics LLC (Prime) provides pharmacy benefit management (“PBM”) services for Benefit Sponsors, including access to contracted pharmacy networks. BIN 011552 PCNTXCAID Rx Group# - See member ID card . 5 %µµµµ 1 0 obj >>> endobj 2 0 obj > endobj 3 0 obj > endobj 4 0 obj >/Font >/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 5 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. Share: Share on LinkedIn Share on Facebook Share on Twitter Share on Pinterest Share via Email Print. BIN Search Search our database for any BIN/IIN numbers using this tool! Start your search by choosing both the country and the card's brand, you can search our entire database for free 24/7. Box 34718 Seattle, WA 98124 Pharmacy Reimbursement Questions BIN: 011552 PCN: PDPTX See BIN/PCNs for all plans: Plan Type (Reach): Regional Plan: Number of Members enrolled in this plan in Texas: 21,663 members (CMS Region 22) Number of Members enrolled in this plan nationally: 74,763 members: Plan’s Summary Star Rating: 3. 1 About this Manual 4 2. Member ID cards with RxBIN 610455 and RxPCN PGIGN or HMHS on the front indicate that a member has Prime Therapeutics as their PBM and these pharmacy The chart below is the fourth page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5928 through H8634. 1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D. If you’re unable to use electronic prior authorization, there are other ways to submit your PA request. : TXJ1 BIN #: 020958 . Background: Navitus Health Solutions regularly monitors lists which may indicate that a practitioner or pharmacy is excluded from providing services to a government program. 1, Bin# 003858, PCN: A4 . Contact Accredo at 1-833-721-1619. Rx Bin_8. PBM: IngenioRx Amerigroup - Pharmacy Enrollment STAR, CHIP, STAR+PLUS, STAR+PLUS MMP, STAR Kids phone: 866-488-4708 Program Claim BIN Claim PCN Claim Group STAR 011552 TXCAID TXS1, TXS2 CHIP . truerx. %PDF-1. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 The chart below is the sixth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9001 through X0001. Ø 1Ø1-A1 BIN NUMBER Multiple M BIN 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 PHARMAC BIN PCN NUMBERS WB. Action Required: Eligibility for these Covered Persons is currently being updated and expected to be corrected this evening. Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , fourth page (H5928 - H8634) and fifth page (H8634 - S9701) . do you have a better policy with you guys choice for me for about the same premium? group 0TX214 bin 011552 011552 rx pcn BCTX BC 400 BS 900? Hours of Operation. Update: The 2022 BIN/PCN list has been released. Added field 419 Prescription Origin Code to the Claim Segment. AZM OptumRx 855-577-6310; AHCCCS FFS – Secondary to Commercial 001553 AZM Revised to update new billing information for PBM pescription claims processing. Get support managing high-cost specialty drugs. Pharmacy Services Continued The Formulary and clinical edits will mirror Texas Vendor Drug Program -www. 3381 wordandbrown. INTRODUCTION 3 1. Other resources: www. • BC/BS OK 1217 5. We pass back all savings and rebates back to plan sponsors to drive healthcare value. Whether it’s family, friends or colleagues, they count on you to be there for them. com under the Pharmacists & Medical Professionals link for additional payer sheets regarding the following: Specialty drug management. ALASKA MEDICAID 5. 753. 255. com and in the True Rx app. t www. BIN 011552 PCNTXCAID Rx Group# - See member ID card ; E-PRESCRIBING . ) Careers: If you wish to be considered for employment at Prime Therapeutics, please do not send a message using this form – instead, please visit our Starting Jan. PRESCRIPTION DRUG LIST. com! Members can contact Customer Service at 1-800-521-2227 to obtain their pharmacy insurance information. Bin# 610575, PCN: 00890004 EXPRESS SCRIPTS 5. Part of Texas Health Steps, a new child health 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 With 50% of Americans having at least one prescription 1, drug coverage is a vital benefit to your client's employees. The enclosed design enables bin container lids to be left in the open position without risk of wind blow litter. Rx BIN and PCN numbers are used by new Adding letters to BIN numbers (example 012353A instead of 012353). Tools Pricing Blog. 0. BIN: Please search. 0 NCPDP Data Dictionary Version Date: October The chart below is the fifth page of the 2020 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9438 through S9701. Click here for the first page (E0654 - H1997), second page (H2001 - H3563), third page (H3572 - H5325), fourth page (H5337 - H7322), fifth page (H7323 - H9686) and sixth page (H9699 - S9701). 12/01/2024 Page 4 of 25 PART 1: GENERAL INFORMATION Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME BlueCross BlueShield Of Texas A Cato a Legal Liersee Crass Blue Member Name: NAMEM INITL NAME> Alpha Prefix: ZGE Subscriber ID: <SBSB 'CHIP Perinate PCP: N/A CHIP ID Number: <CHIP ID No. Helpful Information for Retail Providers Verification of Eligible Persons . 1, 2021 must be submitted with the BIN/PCN outlined on the left for Covered Persons on the new plan. Rx Group #: TRUE4540 . 24 Hours a Day / 7 Days a Week / 365 Days a Year. Contact Information 5 3. Submitting compound claims • The pharmacy must submit all ingredients that make up a compound claim. Benefit Identification Number (BIN): 011552 PCN: TXCAID 22. More. 011552; 610455; Current Priority Health 600428/00750000 Current 601DN30Y Priority Medicare & White PBM 610141/02510000 Current 601DN30Y South Carolina Medicaid *Note: Humana Part D and Humana LI Net was BIN 610649 for 5. Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME BlueCross BlueShield Of Texas A Cato a Legal Liersee Crass Blue Member Name: NAMEM INITL NAME> Alpha Prefix: ZGE Subscriber ID: <SBSB 'CHIP Perinate PCP: N/A CHIP ID Number: <CHIP ID No. For questions, call Boeing Member Services at 888 You will need your member ID, group number, BIN (011552) and PCN (BCTX). For example, structure of black PBM 5x5 looks like this: P1 # This is a comment 5 5 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 So as you see it is simple: white is 0, black is 1. Thank you for taking the time to provide these customers with savings on The chart below is the third page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3962 through H5928. 004915, 011552, 012833, 014897, 015905, BIN: 011552 PCN: PDPTX See BIN/PCNs for all plans: Plan Type (Reach): Regional Plan: Number of Members enrolled in this plan in Texas: 17,656 members (CMS Region 22) Number of Members enrolled in this plan nationally: 57,707 members: Plan’s Summary Star Rating: 4 out of 5 Stars. BIN: -----011552. Prime is not a health insurer, nor does Prime provide health insurance policies, plans or employee benefit plans. Currently, there are more than +365,460 unique BIN in our database. Click here for the second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , fifth page (H6846 - H8998) , and sixth page (H9001 - X0001) . This section describes our prescription drug list, how to fill your prescriptions and more. Please note, the data PBM: IngenioRx Amerigroup - Pharmacy Enrollment STAR, CHIP, STAR+PLUS, STAR+PLUS MMP, STAR Kids phone: 866-488-4708 Program Claim BIN Claim PCN Claim Group STAR 011552 TXCAID TXS1, TXS2 CHIP . Key Terms 4 3. Their PBM model offers transparent pricing and personalized pharmacy navigation, guiding employees to high-quality, cost-effective medications. Internal features, such as adjustable space bars and internal deflector plates, ensure the correct and efficient containment of Added BIN/PCN Combination BIN 020107 PCN IRXKS (Effective 1/1/2025) Added BIN/PCN Combination BIN 020107 PCN NY (Effective 1/1/2025) 11/01/2024 Page 4 of 22 PART 1: GENERAL INFORMATION Payer/Processor Name: CVS Caremark® Plan Name/Group Name: All Effective as of: Jan 2Ø25 Payer Sheet Version: 2. The chart below is the first page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E3014 through H2001. BIN Number: 011552 PCN: ILCAID . 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) . 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 Contact Information: Corporate Headquarters 999 Lake Drive Issaquah, WA 98027 Mailing Address P. 7898. IL 011552 ILSC 800-821-4795<br /> National 610455 KSBCS 800/821-4795<br /> MA/CT/VT 003858 gp- ESI 800/892-5120<br /> Med Impact National 003585 use gp # 800/748-6277<br /> PBM/<br /> Processor<br /> Region BIN<br /> PCN/<br /> Group<br /> Help Desk<br /> MedImpact National 003585 58150 800-788-2949<br /> BIN: 011552 PCN: TXCAID 24ho urs a day 7 days a week Prior Authorization Voice: STAR: 866-533-7008 CHIP: 866-472-2095 FAX (both programs) 800-357-9577 BIN (Plan ID): 003858 Monday – Saturday 6a m. Click here for the first page (E0654 - H1997) , second page (H2001 - H3563) , third page (H3572 - H5325) , fourth page (H5337 - H7322) and sixth page (H9699 - S9701) . after Jan. Superior members have been notified and received a new ID card, effective January 1, 2024, in advance of this change. After-Hours Care AFTER-HOURS ACCESS . Benefit information is available through a secure member portal a. Do you provide API for developers? Sure, we provide API as service for developers to integrate it with their web apps or any platform they working with. 4=Four Occurrences. Please note, the data Note: MCO has unique requirements regarding coverage of family planning products. Dear Valued Provider, Effective October 1, 2014, Prime will begin processing claims for BCBS of Illinois’ new Medicaid program, Blue Cross Community FHP. 869. Medi-Cal Rx Provider Portal. For information or assistance with prescription claims, prior authorization, contracted network 011552 ; 1217 . Surescripts® for providers to check eligibility, review medication history, and review Formulary information. Click here for the first page (E0654 - H2334) , second page (H2354 - H4093) , third page (H4094 - H6293) and fourth page (H6306 - H9431) . 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. Please ensure this update is noted for your practice and staff. 0 M 1Ø3-A3 Transaction Code B1=Billing M 1Ø4-A4 Processor Control Number As indicated above M 1Ø9-A9 Transaction Count 1=One Occurrence 2=Two Occurrences . CHAPTER 5 MEMBER ELIGIBILITY |91 Member Name: PCP: MARY LAMB <F_NAME M_INIT L_NAME> 877-800-5555 Alpha Prefix: ZGC Subscriber ID: <SBSB_ID> CHIP ID No: Office Visit/ 123456789 Visitas al consultorio: $20 Non-Emergency ER/ No emergencias en la ER: $75 PCP Effective Date: 03/01/2017 Hospital per admit/ por hospital admiten: $75 Rx Group No. Rx Bin: 011552 Rx PCN: BCTX 800-521-2227 PREAUTHORIZATION* 800-441-9188 DIABETIC SUPPLIES Miracle Medical 866-969-9596 or SIG 554-0028 Notes* All institutional care must be preauthorized. The prescription drug list is a list of medications covered If your health plan includes Blue Cross and Blue Shield of Texas (BCBSTX) prescription drug benefits, these are administered by Prime Therapeutics, the pharmacy benefit manager (PBM). Get a quote Billions In Your Generic Drugs, Steven R. 225. Central Time Prior Authorization Utilization 877-560-8055 Monday – Friday and Referrals – Management Fax: 855-879-7180 8 am. At Blue Cross and Blue Shield of Illinois, we know it’s more important than ever to better manage pharmacy costs without Pharmacy resources for providers from Humana including pharmacy tools, electronic prescribing , manuals, forms and clinical practice guidelines. 2015 AmWINS Rx 015185: BIN: 011552 PCN: BCTX Dear Valued Provider, Participating Pharmacies may be experiencing claim rejections when trying to process claims for Covered Persons of Blue Cross and Blue Shield of Texas (BCBSTX). If you have any questions regarding this process or any concerns, please let us know so we can address them. 1, 2020, pharmacists can bill you for professional services (not for dispensing drugs). ” 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 Payer Sheets. Created Date: 3/26 PCA Rx is a full-service pharmacy benefit manager (PBM) – A third-party administrator of prescription drug programs for end-payers, such as private insurers. The BIN used today is a 5 digit number that tells a pharmacist which company will reimburse them for the cost of the prescription and Have a mySaintLuke's account? Use your mySaintLuke's credentials to schedule this appointment for yourself or someone you have access to. 011552 ; TXCAID : TXC1, TXC2, TXC3, TXC4, TXC5, TXC6, TXC7 STAR Kids 011552 TXCAID 600D, 600N, 601D, If you’re a merchant who deals with credit card processing, it’s hard to know what type of card someone has without understanding the bank identification number. 4 Bank Identification Number (BIN) 5 3. PBM/Payor Plan Name/Contract Name BIN . 1, BIN# 013766, PCN: P063013766 − Modified prescription origin code for electronic and written scripts BIN Checker tool is designed to check the existence of a Bank Identification Number (BIN) base on updated database. Apologies, and thank you for your support over the years. Click here for the first page (E0654 - H1997) , second page (H2001 - H3563) , third page (H3572 - H5325) , fourth page (H5337 - H7322) and fifth page (H7323 - H9686) . Visit Anthem. 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. • Customer Service Rating: 4 out of 5 Stars. BIN: 011552 PCN: TXCAID THSTEPS CHECKUPS Newly enrolled members must have their THSteps Check up within the first 90 days of joining the plan. 0038 ; MONLINA MEDICARE NM 5. Call us at 800. 1, BIN# 011552, PCN: 1217 − Added patient relationship field • BENESCRIPT STD 5. 21 Northern California 800. Anthem partners with health care professionals to close gaps in care and improve members overall heath. Members using a specialty drug to treat a complex or rare condition may need to follow the specialty pharmacy program requirements. With a design platform that affords flexibility across a number of key areas, metroSTOR PBM Bin Housings accommodate 4 wheeled bin containers as standard, with capacities from 660L to 1280L stored in an open position. - Enter the captcha code. 1 claims since no longer supported Test system is no longer available MCO Name Program Service Area PBM Name BIN/PCN/Group; Aetna Better Health: CHIP : Bexar : CVS/Caremark : BIN: 610591 PCN: ADV Group: RX8801 The bin number is a six-digit number that identifies the pharmacy benefit manager (PBM) responsible for processing prescription drug claims for your insurance plan. QuickSCRIP offers the ability filter and print claims by their insurance bin number. Care (VHA OCC) to electronically process CHAMPVA, Spina Bifida Health Care Benefits Program and Children of Women Vietnam Veterans (CWVV) Program pharmacy claims. Entering NDC with dashes (example 00012-3456-78 instead of 00012345678). 9673 | Inland Empire 877. Rightway's aligned PBM with high-touch pharmacy navigation drives every prescription to its true lowest net cost, reducing employer spend by over 15%. Quimby, MD “Danny Toth, RPh, of VeracityRx describes the (PBM and pharmacy) drug-pricing game whose inner workings were million times bigger and more expensive than the games of the pharma bad actors. GA. 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) . The chart below is the third page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3517 through H5141. will need your member ID, group number, BIN (011552) and PCN (BCTX). 5 out of 5 Stars. PCN: 07960000 . Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , fourth page (H5163 - H6832) , fifth page (H6846 - H8998) , and sixth page (H9001 - X0001) . Ø As of January 1, 2021, all Cigna Healthcare SM Commercial pharmacy plans and Cigna Healthcare Medicare claims are adjudicating on the Express Scripts systems. 855-425-3247 (STAR/Hidalgo) El Paso First Premier . 1, BIN# 001553 , PCN: SERVUTQC − Added patient’s last name • NEBRASKA MEDICAID FHEALTH 5. These services would be covered under your medical benefits. It helps merchants track transactions. jvaj iyx suvtt ytik qommab ucjel lne dsngsn votxx gzktun