Bin 011552 pbm. com/rx or contact Express Scripts at 1-833-715-0942 .
Bin 011552 pbm 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. MEDICARE PARTD NMHCRX 5. → Prime’s Medicare Part D payer specification sheets are available at: www. Please note, the data PBM Name: Prime Therapeutics BIN: 011552 PBM Name: Optum Rx BIN: 610494 Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME . Navitus . Box 34718 Seattle, WA 98124 Pharmacy Reimbursement Questions Added BIN/PCN Combination BIN 025771 PCN IRXCOBAP Added BIN/PCN Combination BIN 025771 PCN IRXCOMAP . • Customer Service Rating: 4 out of 5 Stars. You will need your member ID, 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. 5 NCPDP Version/Release #: D. com > Resources > 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 011552 ; 1217 . : Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME 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 Anthem partners with health care professionals to close gaps in care and improve members overall heath. M (BIN 61ØØ56 only 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: 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. Special Requirements or Limits. Please note, the data The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2024 Medicare Part D plan sponsor. September 30, 2014 . 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) . 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. 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. a Mutual Reserve Company. Get support managing high-cost specialty drugs. With 50% of Americans having at least one prescription 1, drug coverage is a vital benefit to your client's employees. 1, 2020, pharmacists can bill you for professional services (not for dispensing drugs). Members using a specialty drug to treat a complex or rare condition may need to follow the specialty pharmacy program requirements. 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) . 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. 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) . 7898. PrimeTherapeutics. 5 out of 5 Stars. MOLINA HEALTHCARE NM 5. 1, BIN# 001553 , PCN: SERVUTQC − Added patient’s last name • NEBRASKA MEDICAID FHEALTH 5. Covered Persons may not have received their new identification cards. BCBSIL members can still access pharmacy benefit support by calling the Boeing Member Services phone number (888-802-8776) and stating “pharmacy” when asked to provide the reason for your call. Currently, there are more than +365,460 unique BIN in our database. At Blue Cross and Blue Shield of Texas, we know it’s more important than ever to better manage pharmacy costs without Note: Not all employer groups retain Prime Therapeutics as their pharmacy benefits manager (PBM). BIN Number: 011552 PCN: ILCAID . BIN Checker tool is designed to check the existence of a Bank Identification Number (BIN) base on updated database. But when prescriptions alone account for nearly a third of total health care costs 2 employers struggle with how to best control costs. 610602 MCD EPF 877-908-6023 . Some drugs may have limits on how much medicine can be filled per prescription or in a given 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: 011552 TXCAID TXC1 855-457-0403 (CHIP Only) 855-457-0407 : 888-657-6061 . 1 claims. To obtain your new mail order prescription from Express Scripts, contact Customer Service at 1-800-521-2227 to obtain their pharmacy insurance 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. Effective January 1, 2024, Express Scripts will serve as Superior HealthPlan’s new Pharmacy Benefit Manager (PBM) and begin processing pharmacy claims. : TXJ1 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. 1 . 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. Please ensure this update is noted for your practice and staff. 277. > PCP Effective Date: Rx Group No. : Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME The BIN/IIN field will either be filled with the ISO/IEC 7812 IIN or the NCPDP Processor BIN, depending on which one the health plan has obtained. Click here for the second page (H2354 - H4093) , third page (H4094 - H6293) , fourth page (H6306 - H9431) and fifth page (H9438 - S9701) . Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fourth page (H5928 - H8634) . Ø 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing 1Ø9-A9 Transaction Count M Up to four billing reversal transactions (B2) per transmission MCO Name Program Service Area PBM Name BIN/PCN/Group; Aetna Better Health: CHIP : Bexar : CVS/Caremark : BIN: 610591 PCN: ADV Group: RX8801. For information or assistance with prescription claims, prior authorization, contracted network Specialty drug management. 1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D. O. Rightway's aligned PBM with high-touch pharmacy navigation drives every prescription to its true lowest net cost, reducing employer spend by over 15%. As your pharmacy benefit manager (PBM), Express Scripts helps you stress less and save more. com! You will need your member ID, group number, BIN (011552) and PCN (BCTX). Starting Jan. 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. 4=Four Occurrences. 1, 2021 must be submitted with the BIN/PCN outlined on the left for Covered Persons on the new plan. The contact is listed for any questions about the PBM listing. 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. • Leading zeroes in the NCPDP Processor BIN are significant. 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 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 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. This includes in-depth consultations. Visit Prime Therapeutics to: Search for prescription drugs; Find a pharmacy; Order mail service refills or new prescriptions online; View status of coverage for OptumRx is the current PBM contracted with the Veterans Health Administration Office of Community . 004915, 011552, 012833, 014897, 015905, 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 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 OptumRx Help Desk is available 24 hours per day and 365 days per year. TXC2 TXC3 TXC4 TXC5 TXC6 TXC7 TXS1 855-457-0405 : TXS2 (STAR Only) Christus* Plan PBM RxBIN PCN RxGRP Pharmacy Prior Authorization Member . This can be very useful for tracking your most profitable insurance payers or gathering data for upcoming audits. The pharmacy policies content only applies to those employer groups who retain Prime Therapeutics. These services would be covered under your medical benefits. For some drugs, you may need to meet certain criteria before your prescription drug coverage may be approved. 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. Care (VHA OCC) to electronically process CHAMPVA, Spina Bifida Health Care Benefits Program and Children of Women Vietnam Veterans (CWVV) Program pharmacy claims. Whether it’s family, friends or colleagues, they count on you to be there for Prime offices will be closed Tuesday, December 24th & Wednesday, December 25th, for Christmas. Members can create an account online at express-scripts. 1Ø1-A1 BIN Number 610502 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M NCPDP vD. 0038 ; MONLINA MEDICARE NM 5. BlueCross BlueShield of Texas A Division of Health Care Service Corporation. 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. An Independent of 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. 0. → If you have questions regarding claims processing, please contact Prime’s Pharmacy Help Desk at 877. 855-425-3247 (STAR/Hidalgo) El Paso First Premier . after Jan. 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) . Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fifth page (H8634 - S9701) . com/rx or contact Express Scripts at 1-833-715-0942 . Bin 011552 PCN: TXCAID. com to learn more about how we coordinate our medical and pharmacy benefits, review our drug lists, submit prior authorization requests, and more. Ø 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. 1 ; 610577 . 011552 ; TXCAID : TXC1, TXC2, TXC3, TXC4, TXC5, TXC6, TXC7 STAR Kids 011552 TXCAID 600D, 600N, 601D, 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. 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. 012189 ; 5037 . Prescription drugs are a vital part of your health care coverage. Dear Valued Provider, Effective October 1, 2014, Prime will begin processing claims for BCBS of Illinois’ new Medicaid program, Blue Cross Community FHP. 3=Three Occurrences . 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. 011552 and 610455 Groups: PDPTX PDPOK PDPIL PDPNM PDPMT Blue Cross Medicare Advantage Plans (HCSC: OK, IL, TX, NM): 011552 PCNs: MAPDTX MAPDOK MAPDIL MAPDNM MAPDMT RxGroup varies 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 . QuickSCRIP offers the ability filter and print claims by their insurance bin number. OptumRx processes over 4 million pharmacy 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. Superior members have been notified and received a new ID card, effective January 1, 2024, in advance of this change. 1, BIN# 013766, PCN: P063013766 − Modified prescription origin code for electronic and written scripts 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. We take care of you, so you can focus on what really matters. 1 • SERVU-IPA 5. : 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 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. 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 . It includes over 20 PBMs, such as CVS Caremark, Express Scripts, OptumRx, Prime Therapeutics, and others. Contact Information: Corporate Headquarters 999 Lake Drive Issaquah, WA 98027 Mailing Address P. Since 8-digit IINs are now being assigned, use the first 6 digits of the IIN as the BIN even if the first digit(s) is azero. Visit Anthem. Author: Leti Created Date: The document provides a list of contracted PBMs (pharmacy benefit managers), their contracted lines of business, BIN/PCN numbers, and help desk contact information. PBM Name: Prime Therapeutics BIN: 011552 PBM Name: Optum Rx BIN: 610494 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. National Network, Medicaid Networks, Perfect Pay Network (Copay Billing), Specialty Network, Vaccines 008019 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). Prime Therapeutics offers e-prescribing administered through SureScripts ® , which allows providers to: Submit prescriptions electronically; Verify Member IL 011552 ILSC 800-821-4795 BCBS of Kansas Prime Therapeutics National 610455 KSBCS 800/821-4795 BCBS of Massachusetts Express Scripts PBM/ Processor Region BIN PCN/ The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2023 Medicare Part D plan sponsor. zzje quwhf fjx alssw obz lospomes aquluvs laf gvypha gvix