Webidentifier, the Rx BIN number, and PCN, all of which are mandatory fields needed for successful claims processing. For the clients listed below, Pharmacy must submit claims … WebCatamaran / Seniorscript Services BIN: 013170 PCN: Not Required Cigna Medicare Part-D BIN: 017010 PCN: CIHSCARE ... 1Ø4-A4 PROCESSOR CONTROL NUMBER See above M 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 M ...
OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND …
WebMar 22, 2024 · Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance ... BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 ... WebPCN: A4 Medicare Advantage with Prescription Drug (MAPD) Tax ID: 06‐1537522 Rx Bin: 01337 Rx Group: CN3A PCN: 0020080229 Harvard Pilgrim Health Care PO Box 699183 Quincy, MA 02269‐9183 Tax ID: 04‐2452600 RX Bin: 003585 RX Group: 35000 PCN (if applicable): 35000 UnitedHealthcare/Oxford ipswich hand surgery centre
Chart of 2024 BIN and PCN values for each Medicare Part D …
Web• BIN Number – 610084 1. You must use BIN number 610084 for all the above programs including Medicaid HealthChoice MCOs. 2. All new claims and reversals will go through … WebBIN: 610014 PCN: MEDDPRIME Claims Address: Express Scripts Claims: ATTN: Medicare Part D P.O. Box 14718 Lexington, KY 40512-4718. Contact Us. For Members. Plan Documents; Exceptions and Appeals; Out of Network Coverage Rules; Member Rights and Responsibilities; Cancel My Enrollment; Interoperability API; WebCommercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 ... 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 … ipswich hand therapy