Bin 610494
Bin Number Additional Information Required for Pharmacy Claim Processing For eligibility information, plan policy and coverage questions ... Prescription Solutions (877) 305-8952 9999 610494 Group: ACUNY Univera Community Health, Inc. (800) 724-5033. MedImpact (800) 788-2949 74000 003585 MedImpact will provide plan profile sheet to all their …
SOUTH CAROLINA MEDICAID 5.1, BIN# 610494, PCN: 9999 . Added special coding for field 308. VA E-PHARMACY 5.1, BIN# 003650, PCN: 64 . Added field 430 Gross Amount Due to the Pricing Segment. WASHINGTON MEDICAID SXC 5.1, Bin# 610706, PCN: WAPROD. Changed reversal format to Claim Reversal 5.1 format.
银行识别号（"BIN"）或发卡机构识别号（"IIN"）是银行卡号或支付卡号的前六位数字。. 它是 ISO/IEC 7812 的一部分。. 它通常用于信用卡和借记卡，储值卡，礼品卡和其他类似卡。. …BIN: 610494 Effective Date: January 1, 2022 PCN: 4846 Group: ACUMN All members of UnitedHeathcare Community Plan of Minnesota Medical Assistance and MinnesotaCare plans will receive a new member identification (ID) card as shown below.2023 OptumRx BIN 610279 Payer Sheet. This document provides information on electronic claims processing, specific to NCPDP defined fields and requirements, for OptumRx BIN 610279 business. DOWNLOAD PDF. Top.Rx Bin: 610494 Rx Grp: ACUNY Rx PCN: 4800: UnitedHealthcare Community Plan for Kids Administered by UnitedHealthcare of New York, Inc. 001000006: NYCHP REISSUE A ENGLISH: 87726: In an emergency go to nearest emergency room or call 911. Printed: 10/30/19: This card does not guarantee coverage. For coordination of care call your PCP.OptumRx Provider Manual: 2016 2nd edition 4 The information contained in this document is proprietary and confidential to OptumRx. B. Images used in the PM Friendly FYI for our valued Network Pharmacy ProvidersJan 1, 2022 · (1 days ago) WebUnited Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 …
PCC Plan PBM BIN PCN Group Pharmacy Help Desk Primary Care Clinician (PCC) Plan Conduent 009555 MASSPROD MassHealth (866) 246-8503 ... 610494 9999 ACUMA (877) 889-6510Commercial and Medicaid BIN: 610494 PCN: 9999 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 ...United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 United Healthcare Community Plan of Virginia BIN: 610494 PCN 4900 UnitedHealthcare Community and State of MN BIN: 610494 PCN: 4846 UHCGP BIN: 610494 PCN: 2222 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst ...Medicaid Health Plan BIN PCN Group Aetna Better Health of Michigan 610591 ADV RX8826 Blue Cross Complete of Michigan 019595 PRX00621 n/a ... 610494 4242 ACUMI Upper ...2 Understanding your formulary What is a formulary? A formulary is a list of prescribed medications or other pharmacy care products, services or supplies chosen for theirand test strips. To process claims for Prodigy meters for Georgia DCH Medicaid meters, submit them to: NPS BIN#: 610494. GROUP #: PGY3. PCN#: 3333. ID ...
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 Blue Cross Blue Shield South Carolina BIN: 021692 PCN: CTRXMEDDWhat is Levemir ® (insulin detemir) injection 100 U/mL?. Levemir ® is a man-made insulin used to control high blood sugar in adults and children with diabetes mellitus.; Levemir ® is not for people with diabetic ketoacidosis (increased ketones in the blood or urine).; Levemir ® Important Safety Information. Do not share your Levemir ® FlexPen ® with other …610494 UnitedHealthcare Medicaid Supplemental Plan 9999 2222 COS COS Florida Share of Cost 610494 610097 610097 2222 9999 9999 COS PSR COS Pennsylvania Public School Employees’ Retirement System (PSERS) UnitedHealthcare MedicareDirect Rx (PFFS) AARP MedicareComplete insured through UnitedHealthcareJul 18, 2023 · BIN: 610494 PCN: 4444 RXGROUP: ACUNE Prior Authorization Requests. Phone: 800-310-6826 Fax: 866-940-7328 Website for Providers: UHCCommunityPlan.com W ELL C ARE OF N EBRASKA (Claims Processor - CVS Caremark) BIN: 004336 PCN: MCAIDADV RXGROUP: RX8896 Prior Authorization Requests.If you’re missing a nut or bolt or nut and bolt or faced with a bin at the store filled with various-sized nuts and bolts, there’s no need to scrap your project. There are ways to figure out the right nut or bolt and the right size for your...United Healthcare Community Plan of Iowa BIN: 610494 PCN: 4401 United Healthcare Community Plan of New Jersey BIN: 610494 PCN: 4343 United Healthcare Community Plan of Florida BIN: 610494 PCN: 4300 Health Plan of Nevada Medicaid BIN: 610494 PCN: 4700 United Healthcare Community Plan of Rhode Island BIN: 610494 PCN: 4201
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1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D.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 3=Three Occurrences 4=Four Occurrences M (BIN 61ØØ56 only allows …Rx Bin. Rx GRP. Rx PCN 610494 ACUVA 4900 phone: No Copays 0501 (717)851-6816 UnitedHealthcare Community Plan of Virainia - FAMIS Administered by UnitedHealthcare of the Mid-Atlantic, Inc. In an emergency go to nearest emergency room or call 911. Printed: 07/14/22 This card does not guarantee coverage. To verify benefits or to find a provider, visitOptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL … professionals.optumrx.com. NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Payer Name: OptumRx Date: 05/01/2021 Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 …please bill: healthy blue/cvs, use bin 020107, pcn fg, grp wkla, medicaid id or plan id, or call 1-833-236-6194 please bill: lhcc/cvs caremark use bin 004336, pcn mcaidadv, grp rx5444, mcaid or plan id or call 1-800-311-0543 please bill: uhc/optum rx, use bin 610494, pcn 9999, grp acula, medicaid id or plan id, or call 1-866-328-3108NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Payer Name: OptumRx Date: 05/01/2021 Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Indiana BIN: 610494 PCN: 4841 ... Rx Bin: 610494 Rx Grp: ACUFL Rx PCN: 4444 MMA Underwritten by UnitedHealthcare of Florida, Inc. Effective Date 9999999917 FLMMA NEW A ENGLISH 87726 06/01/2017 In an emergency go to nearest emergency room or call 911. Printed: 06/18/18 This card does not guarantee coverage. For coordination of care call your PCP. To verify benefits or to
Feb 23, 2023 · United Healthcare Community Plan of Indiana BIN: 610494 PCN: 4841 United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare …Feb 24, 2021 · 610494 4900 ACUVA Virginia Premier 1-855-872-0005 009893 ROIRX On card Medallion 4.0 Health Plans RxBIN RxPCN RxGRP Aetna Better Health of Virginia 610591 ADV RX8837 Anthem HealthKeepers Plus 020107 FM WQWA Magellan Complete Care 016523 63348286 MCCVARX Optima Health Family Care 610011 OHPMCAID n/a ...The following Medical Assistance (MA) Bulletin applies to 340B covered entities that bill the MA Fee-for-Service (FFS) program and/or a MA Program managed care organization (MCO) for drugs purchased under the 340B Drug Pricing Program and dispensed to MA program beneficiaries: MAB 99-13-08: 340B Drug Pricing Program Provider Requirements and ...Louisiana Medicaid FFS and MCO BIN, PCN, and group numbers for pharmacy claims: Plan Name PBM Name BIN PCN Group AETNA CVS Health 610591 ADV RX8834 AMERIHEALTH CARITAS LA PerformRx 019595 06030000 n/a HEALTHY BLUE CVS 020107 FG WKLA LA HEALTHCARE CONNECTIONS CVS Caremark 004336 …610127, 610494, 015243, 012874, 014848, 011875, 610097 800-788-7871 Paramount Rx Inc 610210 800-928-4301 PBM Plus, Inc. 610106 800-263-2178 PerformRx (Includes: LA Medicaid and Keystone Mercy) 012353, 600428 800-684-5502 Pharmacy BenefitDirect-PDMI 610020, 014955 800-800-7364 Prime Therapeutics 610455, 004915, 012833, 011552, 015905, 014897 ... Bank Identification Number ("BIN") or Issuer identification number ("IIN") is the first six digits of a bank card number or payment card number. It is part of ISO/IEC 7812. It is commonly used in credit cards and debit cards, stored-value cards, gift cards, and other similar cards.Jul 12, 2021 · AmeriHealth Caritas member: Bill to AMHC BIN 019595 PCN PRX00801 ; Carolina Complete member: Bill to CCHE BIN 004336 PCN MCAIDADV GRP RX5480 ; Healthy Blue member: Bill to BCBS BIN 020107 PCN NC GRP 8473 ; United Healthcare member: Bill to UNHC BIN 610494 PCN 4949 GRP ACUNC ; WellCare member: Bill to WCHP BIN 004336 PCN MCAIDADV GRP RX8904 United Healthcare Community Plan (Acute, CRS, DD, LTC) 610494 4100 ACUAZ OptumRx 877-305-8952 OptumRx Part-D and MAPD Plans BIN: 610097 PCN: 9999 Part-D WRAP Plans BIN: 610097 PCN: 8888 PCN: 8500 OptumRx (This represents former informedRx) BIN: Ø1Ø868 61Ø593 PCN: CTRXMEDD PHPMEDD SXCFLH MPD OptumRx (This represents former informedRx) BIN: 61ØØ11 PCN: 987Ø2 CORMCARE COTROOP CTRXMEDD ECN FRH NMHCPDP
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OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND … professionals.optumrx.com. payer usage payer situation 331-cx patient id qualifier o 332-cy patient id o 3Ø4-c4 date of birth o 3Ø5-c5 patient gender code o 31Ø-ca patient first name o 311-cb patient last name o 322-cm patient street address o 323-cn patient city address o …FOR BIN 610279 – PLEASE REFER TO UHC PAYER SHEET Payer Name: OptumRx Date: 05/18/2015 Commercial and Medicaid COMMUNITY HEALTH Maryland Medicaid ProAct FlexScripts/ProAct MedalistRx Legacy Innoviant Commercial BIN: 610494 BIN 610613 BIN: 610084 BIN 017366 BIN 018141 BIN 016580 BIN: 610127 PCN: 9999 PCN: 2417 PCN RXSOLPRD PCN: 9999 PCN: 9999AHCCCS Health Plans BIN PCN Group Number PBM Phone Number AHCCCS FFS 001553 AZM OptumRx 855-577-6310 AHCCCS FFS – Secondary to ... 001553 AZM OptumRx 855-577-6310 United Healthcare Community Plan (Acute, CRS, DD, LTC) 610494 4100 ACUAZ OptumRx 877-305-8952 Care1st 004336 MCAIDADV RX8897 CVS …Rx Bin. Rx Grp: 610494 ACUNY 4800 by of N. United Healthcare Dual Complete 91 1-87726-04 Member ID: Group Number: NYCARE Payer ID: 87726 NIedicareRx Preseriplion Rx Bin. 610097 Rx Grp: MPDCSP Rx PCN: 9999 Member: : NEW ENGLISH Medicaid ID. PCP Name: : DOUGLAS GETWELL PCP Phone: 1-13387-013 9999999261 UnitedHealthcare Dual Complete ONE (HMO D-SNP)BIN Help Desk Number Legacy ADV *004336 1-8ØØ-364-6331 Legacy PCS *610415 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 ProAct 021007 1-877-635-9545 Envolve 021338 As communicated by plan or refer to ID card Legacy CRK *610029 1-8ØØ-421-2342 Legacy PHC 610468, 006144 004245, 610449 610474, 603604 1-8ØØ-777-10231Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D.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 . 3=Three Occurrences . 4=Four Occurrences. M (BIN 61ØØ56 only ...610494 UnitedHealthcare Medicaid Supplemental Plan 9999 2222 COS COS Florida Share of Cost 610494 610097 610097 2222 9999 9999 COS PSR COS Pennsylvania Public School Employees’ Retirement System (PSERS) UnitedHealthcare MedicareDirect Rx (PFFS) AARP MedicareComplete insured through UnitedHealthcare Rx Bin: 610494 Rx Grp: ACUFL Rx PCN: 4444 MMA Underwritten by UnitedHealthcare of Florida, Inc. Effective Date 9999999917 FLMMA NEW A ENGLISH 87726 06/01/2017 In an emergency go to nearest emergency room or call 911. Printed: 06/18/18 This card does not guarantee coverage. For coordination of care call your PCP. To verify benefits or toRx Bin: 610494 Rx Grp: ACULA Pharmacy Claims: Rx Prior Auth: OptumRx, PO Box 650334, Dallas, TX 75265-0334. PCP Clinic Name TTY 711. Your plan ID number Your member ID number. Member Services phone number. Name of your . Primary Care Provider. Your member ID card holds a lot of important information. It gives you access to your covered benefits.
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OptumRx NCPDP Version D.0 Payer Sheet ***COMMERCIAL AND MEDICAID*** Payer Name: OptumRx Date: 1/01/2019 Commercial and Medicaid BIN: 610494 PCN: 9999 COMMUNITY HEALTH BIN…OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL … professionals.optumrx.com. NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Payer Name: OptumRx Date: 05/01/2021 Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Indiana BIN: 610494 PCN: 4841 ... Commercial and Medicaid BIN: 610494 PCN: 9999 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 ... 1Ø1-a1 bin number 610494 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 1Ø9-a9 transaction count up to 4 m 2Ø2-b2 service provider id qualifier 01 m npi only 2Ø1-b1 service provider id 10 digit npi number mRx Bin: 610494 Rx GRP: ACUWA Rx PCN: 4600 . Apple Health - Family Coverage Administered by UnitedHealthcare of Washington, Inc. 0000000000 : WAHLOP MEMBER NAME State ID: Jul 15, 2011 · Rx Bin: 610494 Rx Grp: AMNJ Rx PCN: 4343. NJ FamilyCare A Underwritten by AmeriChoice of New Jersey, Inc. 999999999. SUBSCRIBER BROWN. 86047. …Oct 19, 2022 · Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: …NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Payer Name: OptumRx Date: 11/1/2020 Commercial and Medicaid BIN: 610494 PCN: 9999 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 ...BIN: 610494 PCN: 4848 United Healthcare Community Plan - Virginia Medallion BIN: 610494 PCN 4900 United Healthcare Community Plan of New York BIN: 610494 PCN: 4800 United Healthcare Community Plan of Mississippi BIN: 610494 PCN: 4646 PCN: 4747 United Healthcare Community Plan of Pennsylvania BIN: 610494 PCN: 4200 ….
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. Click here for the second page (H2001 - H3563) , third page (H3572 - H5325) , fourth page (H5337 - H7322) , fifth page (H7323 - H9686) and sixth page (H9699 - S9701) .Oct 10, 2023 · The claim requires the BIN, PCN, and Group number for each specific MCO for correct processing. Possible previous billing codes are not listed. Please contact specific MCO for past billing codes. ... 610494: 9999: ACUKS: Other Primary - Dual Complete (H5322-029) United Healthcare Community Plan of Kansas: 610097: 9999: MPDCSKS: …VDOMDHTMLad>. 301 Moved Permanently. 301 Moved Permanently. Microsoft-Azure-Application-Gateway/v2.United Healthcare Community Plan of Iowa BIN: 610494 PCN: 4401 United Healthcare Community Plan of New Jersey BIN: 610494 PCN: 4343 United Healthcare Community Plan of Florida BIN: 610494 PCN: 4300 Health Plan of Nevada Medicaid BIN: 610494 PCN: 4700 United Healthcare Community Plan of Rhode Island BIN: 610494 PCN: 4201NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Payer Name: OptumRx Date: 11/1/2020 Commercial and Medicaid BIN: 610494 PCN: 9999 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 ...Managed Care Organization (MCO) The claim requires the BIN, PCN, and Group number for each specific MCO for correct processing. Possible previous billing codes are not listed. Please contact specific MCO for past billing codes. For possible changes since this posting, please reach out to each MCO.InvestorPlace - Stock Market News, Stock Advice & Trading Tips While technology offers some of the most compelling investment opportunities, t... InvestorPlace - Stock Market News, Stock Advice & Trading Tips While technology offers som...United Healthcare Community Plan (Acute, CRS, DD, LTC) 610494 4100 ACUAZ OptumRx 877-305-8952 Bank Identification Number (BIN) 610494 Processor Control Number (PCN) 4800 Submitted Group (Group) ACUNY To help reduce processing errors, please confirm the information on the member’s health plan ID card before submitting a claim. If you have questions, please contact the OptumRx Help Desk, 24 hours a day, 7 days a week. Thank you. Bin 610494, A drug for which coverage is available under Part A or Part B, as it is being “prescribed and dispensed or administered” with respect to the individual, is excluded from the definition of a Part D drug and, therefore, cannot be included in Part D basic, 610494 4900 ACUVA Magellan Complete Care 1-800-424-4524 016523 62282 VAMLTSS Optima Family Care 1-866-244-9113 610011 OHPMCAID n/a VA Premier 1-844-838-0711 009893 ROIRX n/a Pharmacy Claims Billing Information Medallion 4.0 Health Plans can process claims under either the member's Medicaid ID or the Health Plan ID number. , 7 Sep 2021 ... BIN: 610494 o. PCN: 9999 o. Group: ACULA. For fee-for-service pharmacy inquiries, please call the pharmacy benefit management help desk at 1 ..., Dec 24, 2022 · The chart below is the fourth page of the 2023 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5372 through H7220. Click here for the first page (E0654 - H2134), second page (H2161 - H3655), third page (H3660 - H5355), fifth page (H7245 - H9649), and sixth page (H9662 - S9854). , Rx Bin: 610494 Rx Grp: ACUNE Rx PCN: 4444. Medicaid Number: 99999999999. In an emergency go to nearest emergency room or call 911. Printed:99/99/99. For Members/Para Miembros: 800-641-1902 TTY 711. For Providers: www.uhccommunityplan.com. 866-331-2243 Claims: PO Box 31365, Salt Lake City, UT 84131, Apr 1, 2021 · AHCCCS Health Plans BIN PCN Group Number PBM AHCCCS Fee-For-Service 001553 AZM OptumRx AHCCCS FFS – Secondary to Commercial ... (Acute, CRS, DD, LTC) 610494: 4100; ACUAZ OptumRx Care1st 004336 MCAIDADV. RX8897. CVS-Caremark Mercy Care DCS CHP (formerly CMDP) Effective 4/1/21 610591. ADV RX8805 …, Oct 19, 2022 · FOR BIN 610279 – PLEASE REFER TO UHC PAYER SHEET Payer Name: OptumRx Date: 05/18/2015 Commercial and Medicaid COMMUNITY HEALTH Maryland Medicaid ProAct FlexScripts/ProAct MedalistRx Legacy Innoviant Commercial BIN: 610494 BIN 610613 BIN: 610084 BIN 017366 BIN 018141 BIN 016580 BIN: 610127 PCN: 9999 …, VDOMDHTMLad>. 301 Moved Permanently. 301 Moved Permanently. Microsoft-Azure-Application-Gateway/v2., 610494 4646 ACUMS AMCMS4 SPP-MS . CHIP. Molina Healthcare – CHIP CVS Caremark 1-800-364-6331 Local Number: 1-844-826-4335 (Pharmacy should state they’ve called the . CVS Caremark. Help Desk without resolution.) 1 -844 826 4335. PA Fax: 1-844-312-6371 004336 MCAIDMSCP RX6949 MCAIDMSCP United Healthcare – CHIP OptumRx 1-877-305-8952 Local ... , • Rx Bin: 610494 • Rx PCN: 9999 • Rx GRP: COHRX • Member ID – obtained by contacting OptumRx. o For members: 1-888-543-1369 o For Pharmacists – 800-788 ... , Program Claim BIN Claim PCN Claim Group STAR 020107 CS WKEA CHIP 020107 CS WKEA STAR+PLUS 020107 CS WKEA STAR+PLUS MMP 020115 IS WKUA STAR Kids 020107 CS WKEA Blue Cross Blu e Shield of Texas PBM: Prime Therapeutics Blue Cross Blue Shield of Texas - Pharmacy Enrollment STAR, CHIP, STAR Kids phone: 888-277-5510, Health Plan of Nevada Medicaid BIN: 610494 PCN: 4700 United Healthcare Community Plan of Rhode Island BIN: 610494 PCN: 4201 Maryland Medicaid BIN: 610084 PCN RXSOLPRD Processor: OptumRx Effective as of: 12/1/2017 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: October 2016 …, Fill Bin 017366, Edit online. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller Instantly. ... COMMUNITY HEALTH Maryland Medicaid ProAct FlexScripts/ProAct MedalistRx Legacy Innoviant Commercial Date 05/18/2015 BIN 610494 BIN 610613 BIN 610084 BIN 017366 BIN 018141 BIN 016580 BIN 610127 PCN 9999 PCN 2417 PCN …, 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 Blue Cross Blue Shield South Carolina BIN: 021692 PCN: CTRXMEDD, Ever boarded a plane and found the overhead bins frustratingly full of emergency equipment and service items? Here are two solutions to free up that bin space. Most frequent travelers have been there: You board an aircraft early, ready to s..., BIN: 610494 PCN: 4848 United Healthcare Community Plan - Virginia Medallion BIN: 610494 PCN 4900 United Healthcare Community Plan of New York BIN: 610494 PCN: 4800 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 United Healthcare Community Plan of Mississippi BIN: 610494 PCN: 4646 PCN: 4747 , It makes emptying—and cleaning—a whole lot easier. Nobody likes emptying the compost bin. If you’re unlucky, something sticks to the bottom, forcing you to hover over a heap of stinky, rotting organic matter while you try to coax the conten..., United Healthcare Community Plan (Acute, CRS, DD, LTC) 610494 4100 ACUAZ OptumRx 877-305-8952 , For KHC drug claims, the BIN is 610084, the PCN is DRTXPRODKH and the Group is KHC. For questions regarding claims, call 800-222-3986. Keep your KHC Client ID ready when calling. Texas Drug Code Formulary. On the Vendor Drug Program webpage you can search the Texas Drug Code Formulary, contracted KHC pharmacies, learn about claims …, Oct 4, 2023 · Plan Info BIN: 004336 PCN: MCAIDADV RxGroup: RX5459, RX 5460 – CHIP599 Unborn Eligibility Line BIN: 610494, PCN: 4444, RxGroup: ACUNE (ACUNEUB – CHIP599 Unborn) BIN: 020107 PCN: NE RXGroup: RX8474 1 -844 385 2192 866 331 2243 1-833-388-1406 Help Desk # 1-888-321-2351 1-877-231-0131 1-833-388-1406 Prior …, Plan Info BIN: 004336 PCN: MCAIDADV RxGroup: RX5459, RX 5460 – CHIP599 Unborn Eligibility Line BIN: 610494, PCN: 4444, RxGroup: ACUNE (ACUNEUB – CHIP599 Unborn) BIN: 020107 PCN: NE RXGroup: RX8474 1 -844 385 2192 866 331 2243 1-833-388-1406 Help Desk # 1-888-321-2351 1-877-231-0131 1-833-388-1406 Prior Authorizations, UnitedHealthcare Community and State of MN BIN: 610494 PCN: 4846 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx and HealthTrans BIN: 004428 005947 009992 011297 011867 012353 004469 006524 008985 010553 011321 012155 012502 004919 007110 009117 010876 011677 001553 021684 003452 BIN: 012163 012882 …, BIN/PCN/Group Numbers for ACOs, MCOs, PCC Plan, and SCO MassHealth -Only ... 610494 9999 ACUMA (877)-889-6510 NaviCare Optum Rx 610011 IRX FCHPSCOND (844) 368-8734, 610494 4900 ACUVA 844-284-0149 855-873-3493 VAP ... This shall include the use of a unique BIN/PCN combination to distinguish Medicaid, Dec 12, 2022 · The BIN and PCN are the same as FFS billing, but with the addition of HUMANA as a group ID. ... USE BIN 610494, PCN 9999, GRP ACULA, MEDICAID ID OR PLAN ID, OR CALL 1-866-328-3108 e-MEVS The Medicaid Eligibility Verification System (MEVS) is an electronic system used to verify recipient, See Appendix A and B for BIN/PCN. M – Mandatory as defined by NCPDP R – Required as defined by the Processor RW –Situational as defined by Plan. Transaction Header Segment: Mandatory . Field # NCPDP Field Name Value Req Comment 1Ø1-A1 BIN Number 004336, 610591 610084, 021007 020107, 020396 025052 M, Medicaid Health Plan BIN PCN Group Aetna Better Health of Michigan 610591 ADV RX8826 Blue Cross Complete of Michigan 019595 PRX00621 n/a ... 610494 4242 ACUMI Upper ..., Feb 13, 2020 · 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. 004336 MCAIDADV RX5435 Molina coordination of benefits (COB) members 013089 COMESEGADV Group per Molina plans listed below Molina: MOLINA WA - AHFAM/IMC , BIN: 610494 PCN: 4848 United Healthcare Community Plan - Virginia Medallion BIN: 610494 PCN 4900 United Healthcare Community Plan of New York BIN: 610494 PCN: 4800 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 United Healthcare Community Plan of Mississippi BIN: 610494 PCN: 4646 PCN: 4747, Rx Bin: 610494 Rx Grp: ACUFL Rx PCN: 4444 MMA Underwritten by UnitedHealthcare of Florida, Inc. Effective Date 9999999917 FLMMA NEW A ENGLISH 87726 06/01/2017 In an emergency go to nearest emergency room or call 911. Printed: 06/18/18 This card does not guarantee coverage. For coordination of care call your PCP. To verify benefits or to, How often have you pulled out the deli ham from the fridge only to find that it’s past the “best by” date? Do you take a chance on it anyway, or do you toss it in the garbage? If you go for the waste bin, you might not be taking full advant..., Louisiana Medicaid FFS and MCO BIN, PCN, and group numbers for pharmacy claims: Plan Name PBM Name BIN PCN Group AETNA CVS Health 610591 ADV RX8834 AMERIHEALTH CARITAS LA PerformRx 019595 06030000 n/a HEALTHY BLUE CVS 020107 FG WKLA LA HEALTHCARE CONNECTIONS CVS Caremark 004336 …, See Appendix A and B for BIN/PCN. M – Mandatory as defined by NCPDP R – Required as defined by the Processor RW –Situational as defined by Plan. Transaction Header Segment: Mandatory . Field # NCPDP Field Name Value Req Comment 1Ø1-A1 BIN Number 004336, 610591 610084, 021007 020107, 020396 025052 M