7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. 0000012195 00000 n 0000011550 00000 n 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. 0000004285 00000 n However, it is highly encouraged that the Group ID is submitted for all Part D claims. s.parentNode.insertBefore(gcse, s); BIN number See above M Pages 1 and 2 for BIN/PCN : 102-A2 : Version/Release number D.0 M : 103-A3 : Transaction code B1, B3 M : 104-A4 : Processor control number : M . 0000006324 00000 n 0000003383 00000 n 0000003518 00000 n The ISO/IEC 7812 IIN is a number used throughout electronic routing. 0000003982 00000 n We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 8289 0 obj <>stream Please enter the information that appears on the Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. PDF Group Health Plan Information for IRS/SSA/CMS Data Match PDF Ohio Medicaid - Pharmacy Billing Reference Guide endstream endobj 249 0 obj <>stream %PDF-1.6 % What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. PDF EFFECTIVE 07.27.2015 Subject to Change BIN Type Network - RxHope To obtain an IIN, please contact the American National Standards Institute (ANSI) at www.ansi.org. endstream endobj startxref 2. Share your form with others Send it via email, link, or fax. Medicare has neither reviewed nor endorsed the information on our site. When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. One piece of information is the name of the health plan/PBM. (function() { 0000002463 00000 n during the calendar year will owe a portion of the account deposit back to the plan. Have them call the phone number on the back of their Cigna ID card. 01 M/I BIN 101-A1 04 M/I PCN 104 -A4 06 M/I GROUP NUMBER 301 -C1 07 M/I CARDHOLDER ID 301 -C2 Additional messaging will provide the correct BIN and PCN to use. 0 0000004526 00000 n 0000046944 00000 n 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). 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 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. 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. 0 There is a fee to obtain a number. PDF Commercial Payer Sheet - BCBSM TTY users should call, 1-800-325-0778; or your state Medicaid Office. PDF New ID cards are being distributed for 2022 See below for important 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 . 0000011949 00000 n 0000004577 00000 n PDF NYS Medicaid Managed Care Plan Contact and Billing Information 2015 In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. Our. Express Scripts NCPDP Version D.0 Payer Sheet Department of : Fill Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 Joined Feb 3, 2010 Messages 2 . 0000005086 00000 n We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. 0000007443 00000 n 0000005253 00000 n Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. gcse.async = true; I was doing an amox script for a dude who shows up with nothing but his wife's military ID and know they go through express scripts so I searched for plans by using BIN 610014 and entering the SSN but no matter what I tried it just would not go through. 0000008305 00000 n 0000006462 00000 n We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 0000007555 00000 n 0000038251 00000 n Your membership is expired. 'https:' : 'http:') + 0000029834 00000 n hb```>>S~1A\pDKu;sH(1mA~>bN The application and registration procedures are identified in ISO/IEC 7812-2. BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP, LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION. RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. 0000003547 00000 n Refer to above list or what is printed on ID card . The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Plan Name/Group Name: MI01/MIMEDICAID BIN:009737 PCN: P008009737 Processor: Processor/Fiscal Intermediary Effective as of: 01/01/2012 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 10/2017 NCPDP External Code List Version Date: 10/2017 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. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 0000001415 00000 n startxref Those that use magnetic stripe cards apply through ANSI for an IIN. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 0000001469 00000 n All calls are toll-free. 0000008238 00000 n trailer << /Size 74 /Info 43 0 R /Root 46 0 R /Prev 171485 /ID[<37aecaa143068a95479ba03747276abf><049f79498583002e530f12be65619304>] >> startxref 0 %%EOF 46 0 obj << /Type /Catalog /Pages 42 0 R /Metadata 44 0 R /PageLabels 41 0 R >> endobj 72 0 obj << /S 297 /L 404 /Filter /FlateDecode /Length 73 0 R >> stream Below are some tips to help you get the most out of your benefits and save money. Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. 0000022896 00000 n All the information you need to properly process prescription claims with Cigna. 0000019287 00000 n 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). a listing of the legal entities Providers who do not contract with the plan are not required to see you except in an emergency. On the ANSI web page, enter "IIN" in the Search box. Providers who do not contract with the plan are not required to see you except in an emergency. 0000006077 00000 n Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . 0000001020 00000 n 0000006259 00000 n 0000009977 00000 n 610014 800-824-0898 Integrated Prescription Management (IPM) 014658 877-860-8846 LDI Integrated Pharmacy Services 800010 800-652-9550 Magellan Health Services (Includes: Kentucky Passport) 015053, 016523 800-790-1631 McKesson Specialty 610524 800-657-7613 *Independently Contracted. Puget Sound High Value Network (UMP Plus-PSHVN) UW Medicine Accountable . Medco Version D.0 Claim Reversal and Response Payer Sheet - YUMPU For more information contact the plan. Box 7012 Downey, CA . 0000028275 00000 n %%EOF 0000002330 00000 n The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 74 0 obj <> endobj Limitations, copayments, and restrictions may apply. The PCN, like the BIN/IIN appears on the pharmacy ID card, in accordance with the rules defined in theNCPDP Pharmacy ID and Combination Card Implementation Guide. 0000033238 00000 n For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. var s = document.getElementsByTagName('script')[0]; Sunrise: 07:50AM. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 0000100252 00000 n Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. 0000011626 00000 n Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. The Privacy Policy has also been updated to better clarify what information we collect and how we use it. 0000006248 00000 n 0000009092 00000 n 0000003632 00000 n 0000002073 00000 n The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Members are instructed to show both ID cards before receiving health care services. 0000032773 00000 n Credit/debit cards that are involved in banking transactions contain a BIN on magnetic stripe. HWYkH+( !8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb 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. Group number: Make sure the group number is populated on page 4 in RPMS Patient . 0000029111 00000 n 0000006026 00000 n startxref Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . Medicare MSA Plans do not cover prescription drugs. 0 The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying members of the enhanced Without these codes, 0000006921 00000 n We do not sell leads or share your personal information. Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . 0000001040 00000 n 3456 0 obj <>stream Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs, Sign-up for our Medicare Part D Newsletter, Have a question? <<5F4BCB39515F55479546A7F5DAE5B678>]>> Both in Stockholm and Finland, an e 0000002648 00000 n Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 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). The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. PDF Certified Payors - McKesson BIN 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). A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 0000032580 00000 n Managed care pharmacy identification. Systems for register-based monitoring of vaccine effectiveness (VE) against laboratory-confirmed influenza (LCI) in real time were set up in Stockholm County, Sweden, and Finland, before start of the 2016/17 influenza season, using population-based cohort studies. var gcse = document.createElement('script'); We do not reuse numbers. 0000019345 00000 n 3850 0 obj <>stream The plan deposits Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. *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 Not a Member? 0000002706 00000 n 0000016714 00000 n However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). PDF NCPDP Version D.0 Payer Sheet - EpiphanyRx These standards are developed by theInternational Organization for Standardization / International Electrotechnical Commission(ISO/IEC) Joint Technical Committee (JTC) 1,Information Technology, Subcommittee (SC) 17,Cards and personal identification, Working Group (WG) 5. 0000030450 00000 n 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. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. RX Bin for GuideStone Health Plans Except for Secure Health (No PCN Number required) 610014; Rx Bin for Secure Health TM Plans 003858 ; PCN Number for Secure Health TM Plans A4; You can also visit GuideStoneHealth.org and create an account to print a temporary ID card on or after your health plan effective date. 0 | Renew memberhip. UMP Plus (SEBB) 2021 Quick Start Guide. PDF Medco Medicare Prescription Plan, and in support of a number of other In certain situations, you can. 0000008854 00000 n The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying 0000001081 00000 n Health insurance can seem complicated, especially if you're new to the plan. As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. Medicare evaluates plans based on a 5-Star rating system. PDF Medco manages the prescription drug benefit for many of your customers 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 (function() { 0000002333 00000 n Plug . 0000001711 00000 n 0000000975 00000 n cyU>]s#~e{0Bb'Su[4E(/0PS_5]bmE k!Nb%Lx@b,/c7RL Xg29jA8Ruk1 fRBYoD0F9%e=E>e?-"{wQD ?c['l|S_R "qQKMF4B6B] o)/+jtqGOfPN-H ni;9uE%[7 aX4wve.\FPDvY '}Aj(bsgZJLi|]&:{|r2+>p#+Y31D|nGPrtqp\R]oMDl${mI15R/,;$5#]_zK>%,u$xwO@B,UlCt MOkd?X?. Region BIN PCN/ Group Help Desk Fiserv Health Plans Innoviant National 610127 01960000 877-559-2955 Fishing Partnership Health Plan MedImpact MA 003585 Grp 35026 800-788-2949 FlexScripts WHI/WHP TX/FL 603286 01410000, GP 513274 800/207-2568 FLRx FLRx National 610475 See Card 585-327-7530 PDF OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). 0000007215 00000 n Contact the Medicare plan for more information. How to bill retail rx to Tricare? : r/pharmacy - reddit It refers to a six-digit number that is assigned to banks for electronic routing of transactions. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Not all entities use the PCN to differentiate plans. trailer Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Contact the plan provider for additional information. Cigna may not control the content or links of non-Cigna websites. 0000033095 00000 n 0000014560 00000 n You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. We do not sell leads or share your personal information. Verify member eligibility and the MCO enrollment . BIN# 610014 BCBS 430 Date Printed 12/22/2014. PCN: Varies by plan - refer to ID card. CDPHP (800) 388-2994. D_j:i4 [lL@o?e}otGFsLH arXeq r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE `9G5.#3HK&X:?3f a= +. Members may enroll in a Medicare Advantage plan only during specific times of the year. that insure or administer group HMO, dental HMO, and other products or services in your state). %PDF-1.4 % At home, across the country, and around the worldthe power of Blue is with you. These standards are developed by theInternational Organization for Standardization / International Electrotechnical Commission (https://www.iso.org/home.html) (ISO/IEC) Joint Technical Committee (JTC) 1,Information Technology, Subcommittee (SC) 17,Cards and personal identification, Working Group (WG) 5. wG4jZG5\s.Wu=]qjLH Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs. PDF UMP Plus (SEBB) 2021 Quick Start Guide - hca.wa.gov 0000010471 00000 n 2389 0 obj<> endobj 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). PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. endstream endobj 75 0 obj <. Contact the Medicare plan for more information. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 0000014626 00000 n 0000003018 00000 n Rx BIN#: 400023 Rx PCN#: 0020050403 Issuer#: (80840) CMS#:H3330-037-000 Plan Name Network: VIP Prime Comprehensive Dental X327934200116X 3 2 7 9 3 4 2 0 0 1 1 6 MEMBERS AND PROVIDERS: Network providers must provide or arrange nonemergency care. 0000002034 00000 n 0000005422 00000 n Highmark ID Cards | GuideStone EmblemHealth (888 . In approximately 1989 the pharmacy services sector began using electronic processing for pharmacy claims. 0000003944 00000 n The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe. 0000007096 00000 n 0000023131 00000 n Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. 0000005387 00000 n 'https:' : 'http:') + Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan - Massachusetts x1 04HKl\GMyC. Y fz Y!t|n^JFR0=eS(72H;F^2Myb hIaR:6Y\VO%\":l`v-?y-D[WsF'L"6[C(# )j$\R3 !krl[lp3#u40T534k0ElJQzsC0GKi;}c-Bd9(pU!8;wj0~8@^DUt1Th~;rB] qySULJk(!T&*BTEo0k 6Q4c)![8U/^:y} 0000016616 00000 n NCPDP issues the Processor ID Number (BIN). The PCN is defined by the PBM/processor as this identifier is unique to their business needs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Group ID will be ignored by the processor. 02. If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. NCPDP provides a service to those health plans that do not use magnetic stripe cards. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Those who disenroll 0000009281 00000 n 0000001465 00000 n If you continue to browse or use this website, you agree to this updated Privacy Policy. Medicare MSA Plans do not cover prescription drugs. 0000007679 00000 n Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. trailer 106 0 obj <>stream 0000029756 00000 n Sunset: 04:14PM. Contact the plan provider for additional information. 0000005958 00000 n International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. 8254 0 obj <> endobj TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC. HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC. WELLCARE HEALTH INSURANCE OF TENNESSEE, INC. FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY, BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK, COMPCARE HEALTH SERVICES INSURANCE CORPORATION, BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY, CENTRAL VALLEY MEDICAL SERVICES CORPORATION, CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC, WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA. Managed care pharmacy identification - Minnesota Department of Human MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 info@meridianrx.com . 0000011095 00000 n %PDF-1.4 % 0000004799 00000 n 0000001448 00000 n DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". 0000007028 00000 n 0000008161 00000 n plan name/group name: all plans bin: 020040 pcn: *n/a *for community health network only use pcn: ae7271 plan name/group name: all test claims bin: 020040 pcn: n/a . Details. Have them call the phone number on the back of their Cigna ID card. 0000002830 00000 n Our Privacy Policy is now easier to read and better organized.