bin 610014 pcn peu

The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! 0000011029 00000 n MCAIDADV RX5443. RX Bin: 610014 . PDF NCPDP Version D.0 Payer Sheet - EpiphanyRx 2389 0 obj<> endobj 109-A9 Transaction count 1 to 4 M Up to 4 0000002073 00000 n 0000028672 00000 n 0000003982 00000 n 0000002069 00000 n Our Privacy Policy is now easier to read and better organized. 0000006589 00000 n For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), that insure or administer group HMO, dental HMO, and other products or services in your state). Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . PDF Medco Medicare Prescription Plan, and in support of a number of other Rx PCN: N/A PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. One piece of information is the name of the health plan/PBM. CO. OF NY, BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA, MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK, 001, 002, 003, 004, 005, 006, 007, 008, 009, 010, 011, 012, 014, 015, 016, 017, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 070, 105, 106, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 801, 802, 808. Those health plans that did not have a business reason for creating pharmacy benefit cards with a magnetic stripe were in need of a number, because they still needed to process electronic pharmacy claims. PDF Medco Version D.0 Medicare Part D Payer Sheet - BCBSM Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see PDF ATTACHMENT 2 PLAN CONTACT AND BILLING INFORMATION - New York State endstream endobj 75 0 obj <. PDF Group Health Plan Information for IRS/SSA/CMS Data Match D_j:i4 [lL@o?e}otGFsLH arXeq In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. Providers who do not contract with the plan are not required to see you except in an emergency. Highmark ID Cards | GuideStone 0000019345 00000 n 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. during the calendar year will owe a portion of the account deposit back to the plan. Rx Information: MEDCO 1-800-842-2038 . 3456 0 obj <>stream TTY users should call, 1-800-325-0778; or your state Medicaid Office. gcse.async = true; The current local time in Stockholm County is 2 minutes ahead of apparent solar time. 11-A1 BIN Number See BIN/PCN table, above M 12-A2 Version Release Number D=Version D.0 M 13-A3 Transaction Code B1=Billing M 14-A4 Processor Control Number As indicated above M 19-A9 Transaction Count 1=One Occurrence 2=Two Occurrences 3=Three Occurrences 4=Four Occurrences M (BIN 6156 only allows TRANS COUNT = 1). ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) *hE\gUk~4>nmSLz~d}ICbQ>9MGZ,*:1E[&{nM)mB5})vB^1+g< 'DgrKZEU @kTHP"8\P*:C (W PYa+B .@.&n9i O|i2G/Xy3|`(pn|`;&30ax a= LcqOb.g`a G5'00gd8gf)g]X)5iG@ P Hb```?@(AEs,Pp IG1~D&t DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". XLS Home - Centers for Medicare & Medicaid Services | CMS %%EOF We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 0000006324 00000 n 0000016714 00000 n Medicare MSA Plans do not cover prescription drugs. Links will appear for the application process. %PDF-1.4 % 0000028726 00000 n RX Group: UHEALTH . BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan - Massachusetts Op!> =bLxT_W\h%H,8)1mhT@(\ The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. The Privacy Policy has also been updated to better clarify what information we collect and how we use it. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). EmblemHealth (888 . Group ID will be ignored by the processor. %%EOF 0000007215 00000 n C. CPhT1969 New Member. JE?/=lx3Gi8>lp9.lHAT1m~&jcLTj}~`R$/#`Wret"XZ7;Dkts465e,sTXzI#Ve6\E`(&E^DXox._ C!ka7 0000013064 00000 n RX BIN: 610114, PCN: PV 8009333734 Pharmacy Help 8669509949 www.pharmavail.com PharmAvail 3380 Trickum Road Building 400, Unit 100 Woodstock, GA 30188 HCC Pharmacy Onsite Pharmacy and 90day/Mail Order Prescriptions 8668278975 9196788261 Fax: 9196788159 0000003136 00000 n 3=Three Occurrences . Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . PDF IMPORTANT PROVIDER NOTICE Medicare Part D Information - PBA Health Medicare MSA Plans do not cover prescription drugs. The plan deposits Leading zeroes in the NCPDP Processor BIN are significant. 0000002289 00000 n 610014 MEDDPRIME BUCKEYE COMMUNITY HEALTH PLAN, INC. 001 012353 03200000 002 003 004 Humana Medicare Employer (HMO) CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Medicare Advantage (PPO) Care Improvement Plus 014 H0104 BLUE CROSS AND BLUE SHIELD OF ALABAMA 010 014897 MBG Blue Advantage (PPO) RPD 011 804 }|a3M3J=/`zy[X >]!/c 5'{ Xri endstream endobj 73 0 obj 336 endobj 47 0 obj << /Type /Page /Parent 42 0 R /Resources 48 0 R /Contents 56 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 >> endobj 48 0 obj << /ProcSet [ /PDF /Text /ImageC ] /Font << /TT2 53 0 R /TT4 52 0 R /TT6 51 0 R /TT8 57 0 R /TT10 60 0 R /TT12 61 0 R >> /XObject << /Im1 63 0 R >> /ExtGState << /GS1 66 0 R >> /ColorSpace << /Cs6 55 0 R >> >> endobj 49 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 0 /Descent -216 /Flags 34 /FontBBox [ -568 -307 2000 1007 ] /FontName /FHGHLD+TimesNewRoman /ItalicAngle 0 /StemV 0 /FontFile2 67 0 R >> endobj 50 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 0 /Descent -216 /Flags 34 /FontBBox [ -558 -307 2000 1026 ] /FontName /FHGHND+TimesNewRoman,Bold /ItalicAngle 0 /StemV 133 /FontFile2 68 0 R >> endobj 51 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 32 /Widths [ 250 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHND+TimesNewRoman,Bold /FontDescriptor 50 0 R >> endobj 52 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 49 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHLD+TimesNewRoman /FontDescriptor 49 0 R >> endobj 53 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 119 /Widths [ 352 0 0 0 0 0 0 0 0 0 0 0 364 0 364 454 636 636 0 0 636 0 0 636 0 0 0 0 0 0 0 0 0 0 0 0 771 0 575 0 751 421 455 0 557 843 748 0 603 0 0 684 0 0 0 0 0 0 0 0 0 0 0 0 0 601 0 521 623 596 0 0 633 274 0 592 274 973 633 607 623 0 427 521 394 633 592 818 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHKH+Verdana /FontDescriptor 54 0 R >> endobj 54 0 obj << /Type /FontDescriptor /Ascent 1005 /CapHeight 0 /Descent -209 /Flags 32 /FontBBox [ -50 -207 1447 1000 ] /FontName /FHGHKH+Verdana /ItalicAngle 0 /StemV 96 /FontFile2 65 0 R >> endobj 55 0 obj [ /ICCBased 64 0 R ] endobj 56 0 obj << /Length 1929 /Filter /FlateDecode >> stream Refer to above list or what is printed on ID card . 0000005086 00000 n 8254 0 obj <> endobj 0000001717 00000 n 0000033238 00000 n The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. NCPDP issues the Processor ID Number (BIN). 2. This electronic processing of pharmacy claims meant the health plan (or their Pharmacy Benefit Manager/processor/payer on their behalf) needed a number for the electronic routing of transactions. MARTIN'S POINT GENERATIONS ADVANTAGE, INC. BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK, CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY, ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT, HAWAII MEDICAL SERVICE ASSOCIATION (HMSA), BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA, 314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 332, 333, 334, 335, 336, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 347, 003, 008, 013, 018, 053, 068, 088, 103, 108, 113, 118, 123, 128, 133, 138, 143, 148, 153, 158, 163, 214, 215, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 246, 247, 248, 249, 250, 251, 252, 253, 254, 255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 287, 288, 289, 290, 291, 292, 293, 294, 295, 296, 297, 298, 299, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 801, 802, 805, 806, MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY, WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY, WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION, REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH, UNITEDHEALTHCARE INS. 0000002463 00000 n 0000006921 00000 n General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. Members may enroll in a Medicare Advantage plan only during specific times of the year. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. If the health plan uses theNCPDP Pharmacy ID and Combination Card Implementation Guidethat NCPDP members have created, the BIN/IIN is clearly shown on the card. 'https:' : 'http:') + 0000000016 00000 n The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. Your membership is expired. 0000011949 00000 n In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. 0000019138 00000 n 0000028275 00000 n 0000003944 00000 n 0000001465 00000 n As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. Medicare has neither reviewed nor endorsed the information on our site. 0000007679 00000 n 11-a1 bin number (see above) m 12-a2 version/releasenumber d m 13-a3 transaction code b1, b3 m 14-a4 processor control number m . The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 0000005958 00000 n hb```>>S~1A\pDKu;sH(1mA~>bN 0000006026 00000 n 0000010641 00000 n 0000002648 00000 n However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000002215 00000 n The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. '//cse.google.com/cse.js?cx=' + cx; Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 45 0 obj << /Linearized 1 /O 47 /H [ 1020 449 ] /L 172513 /E 107663 /N 8 /T 171495 >> endobj xref 45 29 0000000016 00000 n 0000021734 00000 n Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 0000000975 00000 n Updated Privacy Policy, Documents | Guides and Templates | Informational. Contact the Medicare plan for more information. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Mid-season real-time estimates of seasonal influenza vaccine (function() { Medicare evaluates plans based on a 5-Star rating system. 01. These numbers commonly begin with "61" as in "610014". If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). There is a fee to obtain a number. Rx BIN: 019059 Rx PCN: 07570000 Rx Group: HTH ID number - the pharmacy will need to submit the CURRENT ID number used for 2021 in January 2022 Customer Service/Pharmacy Help Desk: 844-373-0970 Self-Funded Group - Renown Health - HometownRx powered by Maxor Rx BIN: 019059 Rx PCN: 07570000 Rx Group: HTH You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. s.parentNode.insertBefore(gcse, s); If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name BIN: PCN: Plan Name/Group Name: BIN: PCN: Plan Name/Group Name: BIN: PCN: Processor: TelePAID System Effective as of: 12/08/2011 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 07/01/2007 NCPDP External Code List Version Date: 10/01/2009 0000001647 00000 n 0000009281 00000 n Your Dental Benefits 0000006077 00000 n Express Scripts NCPDP Version D.0 Payer Sheet Department of : Fill PDF Michigan NCPDP D.0 Payer Specifications - Magellan Rx Management We do not sell leads or share your personal information. BIN# 610014 BCBS 430 Date Printed 12/22/2014. endstream endobj startxref PDF Pharmacy Reference Guide BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . 4=Four Occurrences. startxref Anthem Blue Cross Rx BIN: 020099 PCN: IS Blue Shield of California Rx BIN: 004336 PCN: 77993333 Chinese Community Health Plan RX BIN: 003585 RX PCN: ASPROD1 Cigna + Oscar RX BIN: 003858 PCN: A4 Health Net* Rx BIN: 004336 PCN: HNET Kaiser Permanente-Northern CA Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address: P.O. 0000016122 00000 n The benefit information provided is a brief summary, not a complete description of benefits. 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. Our. Star Ratings are calculated each year and may change from one year to the next. BCBS of MI BIN: 610011 PCN: Varies - Never "IRX" AARP BIN: 610652 PCN: Varies - refer to ID card OptumRx BIN: 610127 PCN: 02330000 01960000 01990000 02330088 COSF GASF MASF PCN: NCCSI NCSF NWSF SCCSI SCSF OHSF 04000013 LDI / CastiaRx BIN: 020321 BIN: 800010 PCN: COM PCN: LDI SavaScript Value . money from Medicare into the account. Details. Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). 0000016527 00000 n Instructions for setting up RPMS POS for Blue Cross/Blue Shield Federal %%EOF 3440 0 obj <>/Filter/FlateDecode/ID[<83A1511E809EEA4884A369FF9F7C8102>]/Index[3424 33]/Info 3423 0 R/Length 84/Prev 249481/Root 3425 0 R/Size 3457/Type/XRef/W[1 2 1]>>stream There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. 610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y Some health plans decided to use magnetic stripe cards, some did not. 0000029756 00000 n 0000002685 00000 n You can position the text box anywhere in the document. NCPDP - NCPDP Processor ID (BIN) Once new versions of the standards are adopted, truncation will no longer be necessary. 0000003018 00000 n HWr+S&M,N&H MRRgRIsin9ad_%^!c/$I &juN$WfOT^nvZd%w-17/0P}2EdN/[xnEZgcEir7x!%? s.parentNode.insertBefore(gcse, s); Beyond the initial assigning of the BIN, NCPDP does not formally or informally track the history of the number. What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? 0000000016 00000 n 0 PDF Meet your family's health partner - Premera Blue Cross 0000009977 00000 n 0000046944 00000 n If using IE11, please consider using an alternative browser. PDF Ohio Medicaid - Pharmacy Billing Reference Guide 0000008854 00000 n Pharmacy Management and Credentialing | Cigna Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Use the Drawing Tools tab to change the formatting of the pull quote text box.] var gcse = document.createElement('script'); 3424 0 obj <> endobj Click here to let us know, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA, Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York, BlueCross BlueShield: Empire, Excellus, WNY & NENY, Health Alliance Medicare Prescription Plan, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of IL, NM, OK, TX, Blue Cross and Blue Shield of Kansas or Blue KC, Regence BlueShield of Idaho and Regence BC BS Utah, Horizon Blue Cross Blue Shield of New Jersey, 001-012, 014-034, 070, 105, 106, 121-137, 801, 802, 808. 0000000016 00000 n 0000007450 00000 n 0000070373 00000 n You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 var s = document.getElementsByTagName('script')[0]; %PDF-1.3 % BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. Ut JJ`&PXIIaAAq0. trailer 0000011626 00000 n All calls are toll-free. 0000028633 00000 n 0000007096 00000 n 0 If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. In certain situations, you can. 0000004285 00000 n If you forget if you need a group number or not, use the third party inquiry. PDF Rx BIN Number PCN We do not sell leads or share your personal information. endstream endobj 249 0 obj <>stream 0000021562 00000 n 0000002333 00000 n However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. xb```b``bl,@0fAgXE#$3V(a (jt m=a(%sdA`i78*Lj7 MN 14000 0000008305 00000 n Pharmacies can also check a member's enrollment with a West Virginia Medicaid MCO by calling 888-483-0793 . To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Chart of 2022 BIN and PCN values for each Medicare Part D prescription 2389 38 In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. The application and registration procedures are identified in ISO/IEC 7812-2. MedImpact (Includes: Excellus/ FLRx) 0000002034 00000 n Pharmacist Resource Center trailer In addition to their Minnesota Health Care Programs (MHCP) ID cards, members enrolled in a managed care organization (MCO) also receive ID cards directly from their MCOs. 0000005026 00000 n 610014 003858 MA . CDPHP (800) 388-2994. Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. '//cse.google.com/cse.js?cx=' + cx; Those who disenroll 0000001745 00000 n })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). 0000002851 00000 n 0000038251 00000 n BIN PCN RxGrp 610011 CTRXMEDD MDCMEDD [Type a quote from the document or the summary of an interesting point. 0000001040 00000 n PDF Navitus Health Solutions LLC Pharmacy Network Development 0000006462 00000 n enrolled in and submit the claim using the BIN/PCN/GroupRx information listed above. This document is available with NCPDP membership. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service It refers to a six-digit number that is assigned to banks for electronic routing of transactions. Not a Member? })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). 0000023131 00000 n hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 0000010872 00000 n Medicare has neither reviewed nor endorsed the information on our site. 11-A1 BIN Number See BIN/PCN table, above M 12-A2 Version Release Number D=Version D.0 M 13-A3 Transaction Code B1=Billing M 14-A4 Processor Control Number As indicated above M 19-A9 Transaction Count 1=One Occurrence 2=Two Occurrences . 0000003516 00000 n Medco Version D.0 Claim Reversal and Response Payer Sheet - YUMPU Limitations, copayments, and restrictions may apply. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. %PDF-1.5 % Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS).

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