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 … 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 …
EFFECTIVE 07.27.2015 Subject to Change BIN Type Network
Web1Ø1-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 … WebDec 16, 2024 · PBM BIN PCN Group Pharmacy Help Desk Be Healthy Partnership (HNE) OptumRx 610593 MHP HNEMH (800) 918-7545 (Optum Rx) Berkshire Fallon Health … phoenix sheffield menu
Chart of 2024 BIN and PCN values for each Medicare Part D …
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 WebBIN and PCN Codes. 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 Number). Please do not turn the customer away if you receive a rejected claim. Have them call the phone number on the back of their Cigna ID card. WebDec 1, 2024 · Medicare Part B – BIN and PCN Values..... 23 APPENDIX B: MEDICARE PART D..... 24 Medicare Part D – Patient Residence 24 ... 1Ø4-A4 Processor Control Number : M; Use value as printed on ID card, as communicated by CVS Caremark® or as stated in Appendix A 1Ø9-A9 Transaction Count : how do you get a new birth certificate in mn