Rx pcn number aetna. Aetna Better Health' of Virginia Name Last Name.

Rx pcn number aetna " The chart below is the second page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H2029 through H3499. Ready to explore Medicare plans near you? Enter your ZIP code to find a plan that’s right for you. 361. You can enroll two different ways: CoverMyMeds. If you don’t want to leave your state site, choose the “X” in the upper right corner to close this message. Box 981543, El Paso, TX 79998-1543COPAY Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 2 of 6 2023 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H2161 : 002: 012353: 07187182: H2161 : 003: 012353: 07187183: H2162 : all Aetna Medicare: all plans: 610502: MEDDAET Finally, when digital submission isn’t possible, providers can utilize the Aetna Voice Advantage system. What is Rx Bin number on insurance card Aetna? The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. Enrollees have the option to sign up for automated mail-order delivery. The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *013089 1-8ØØ-364-6331 Legacy PCS *013089 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 Legacy CRK *013089 1-8ØØ-421-2342 Aetna 610502 1-8ØØ-238-6279 CarelonRx 020099 020115 020123 020388 1-833-296-5038 1-833-377-4266 Banner | Aetna members receive pharmacy benefits through Aetna. M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient Aetna Medicare offers 3 options of Medicare Part D Prescription Drug Plans. PO BOX %PDF-1. If you did not intend to leave our site, click Contact US-Rx Care, a leader in fiduciary pharmacy benefits management services. Aetna members can also find fax and phone numbers, and other support information. These are all of the BIN/PCN/Group ID numbers that will be accepted by ACS: Former Codes New Codes Who BIN PCN from Pharmacy NCPDP Group ID from Pharmacy BIN PCN from Pharmacy NCPDP Group ID from Pharmacy BCCDT 010454 P012010454 MDBCCDT 610084 DRDTPROD MDBCCDT You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. PCP Name: DOUGLAS GETWELL Aetna Better Health provides the general info on the next page. PART 2: Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Rx PCN for MMA: NCCMS Rx PCN for HDHP: NCHDP Rx PCN for HMO: 70000: Kaiser Permanente - Southern CA: HMO Rx BIN: 3585 Rx Group: Not Required Tax ID: 94-1340523 Medicare Part D Rx BIN: 11172 Rx Pharmacy benefits and services from Aetna can help individuals and families make the best choices for their health and budget. You can enroll with CoverMyMeds online. AETNA CHOICE POS . 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 . PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. Often the Rx Identifying the group number on an Aetna insurance card is a crucial step in ensuring the smooth processing of medical and prescription services. Some Aetna plans come with added benefits like dental, eyewear or hearing aid coverage. PART 2: M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient Added new BIN/PCN combination: BIN 026150 PCN SSRX50 Added new BIN/PCN combination: Aetna 610502 1-8ØØ-238-6279 CarelonRx 020099 020123 1-833-296-5038 Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient APPENDIX A: BIN / PCN COMBINATIONS 22 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/04/2020 Page 4 of 23 . The chart below is the second page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H2001 through H3563. and/or Aetna Life Insurance Company. This search BIN and PCN Values Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 . ZIP CODE. Pharmacy benefit managers are organizations that work with insurance companies to 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 Aetna Anthem Humana Molina-Passport WellCare UHC Fee for Service BIN 610591 20107 610649 4336 4336 610494 11529 PCN ADV KY 3191501 MCAIDADV MCAIDADV 4040 P022011529 GROUP RX8831 WKVA RX5035 RX8893 ACUKY Humana Pharmacy Solutions CVS Caremark CVS Caremark Optum Rx Magellan Kentucky Medicaid Bin/PCN/Group Your RX Group is used by your pharmacy to process your prescription benefit; Your PCN or processor control number is used by your pharmacy to locate your pharmacy member profile. PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Aetna Better Health CVS/ Caremark Phone: 1-855-364-2975 Medicare/Medicaid Members BIN: 610591 PCN: MEDDADV Group: RX8812 Medicaid Only Members BIN: 610591 PCN: ADV Group: RX8810 You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?" 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. Click “Log In/Register”. Payer Name: Prime Therapeutics State Government Solutions LLC Date: 1/1/2022 Plan Name/Group Name: Medi-Cal Rx NEW! BIN*: 022659 NEW! PCN*: 6334225 SB393 Drug Inquiry Pricing Request NEW! BIN*: 022667 NEW! PCN*: 393 Processor: Prime Therapeutics State Government Solutions LLC Number Aetna BIN: 610591 PCN: ADV Group: RX8834 CVS Health (855) 364-2977 AmeriHealth Caritas BIN: 019595 PCN: 06030000 PerformRx (800) 684-5502 Fee for Service BIN: 610514 PCN: LOUIPROD PCN: 9999 Group: ACULA Optum Rx (866) 328-3108 Additional Information: PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Aetna Better Health CVS/ Caremark Phone: 1-855-364-2975 Medicare/Medicaid Members BIN: 610591 PCN: MEDDADV Group: RX8812 Medicaid Only Members BIN: 610591 PCN: ADV Group: RX8810 APPENDIX A: BIN / PCN COMBINATIONS 22 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 29 . Monthly rates for plans featuring the Processor Control Number on a health insurance card or pharmacy claim processing number start at $350. Phone. Group Number: 999999 Payer ID: 87726 OPTUMRx Rx Bin: Rx Grp: TTY 711 TTY 711 TTY 711 Member: NEW M ENGLISH Medicaid ID. . PCP Name: DOUGLAS GETWELL Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 NUMBER QUALIFIER Ø1 = Rx Billing M 4Ø2-D2 PRESCRIPTION/SERVICE REFERENCE NUMBER M 436-E1 PRODUCT/SERVICE ID QUALIFIER M 4Ø7-D7 PRODUCT/SERVICE ID M 442-E7 QUANTITY DISPENSED R Medicaid Health Plan BIN, PCN, and Group Information Medicaid Health Plan BIN PCN Group Aetna Better Health of Michigan 610591 ADV RX8826 Blue Cross Complete of Michigan 019595 PRX00621 n/a HAP CareSource 003858 MA CSHAPMI McLaren Health Plan 017142 ASPROD1 ML108; ML110; ML284; ML329 For Medi-Cal, the rx BIN number is 022659 and PCN is 6334225 Since it's Medi-Cal, it's the same BIN as anyone else who has that plan. Your Customer Care Phone Number 4. 6 %âãÏÓ 261 0 obj > endobj 277 0 obj >/Filter/FlateDecode/ID[740FFDC22F550846A3304A09CFEF11A6>]/Index[261 22]/Info 260 0 R/Length 79/Prev 99430/Root 262 0 ***The typical number of business days after the mail-order pharmacy receives an order for you to receive your shipment is up to 10 days. Always read the information on the PCN or any other statutory document very carefully before proceeding. •The PCN is changing to CTRXMEDD. The corporate headquarters phone lines are staffed: PCN: ADV You can enroll two different ways: Aetna Better Health provides the general info on the next page. Learn more about our expertise by scheduling a meeting today. It stands for “prescription” and signals that your insurance coverage includes prescription drugs. 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 That’s why we offer the Aetna Premier Care Network (APCN) and Aetna Premier Care Network Plus (APCN Plus) plans. Your Aetna ID Number 3. BIN and PCN Codes. Title: BIN PCN Group Numbers - Updated July 2023 Author: Hill, Katie (DMAS) Medicare Part D –Primary BIN and PCN Values. com 3 The Rx PCN number, also known as the Prescription Core Network (PCN) number, is a unique identifier assigned to your health insurance card. M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient Aetna BIN/PCN Requirements RXBIN 610502 . %PDF-1. " Aetna Medicare: all plans: 610502: MEDDAET: H0524: Kaiser Permanente: Name of Insured: Medical Record Number: Rx Processor Control # (PCN): 70000 Rx Bin #003585 Health plan Your Pharmacy Network Your Provider Network Sample image. Just choose the “X” in the upper right corner to close this message. This number is critical for ensuring efficient claim processing and accurate billing. All payments should be sent to the address listed on your invoice. Mail. It includes Medicare Parts A and B (Original Medicare) plus Part D. Skip to main content. If you’re an Aetna Better Health of Michigan Medicaid plan member: You’re on the right page. To comply with the Centers for Medicare and Medicaid Services (CMS) requirements, Aetna will begin to reject invalid BIN / PCN combinations for Aetna Med D members, effective on Wednesday, March 28, 2012. ), and coverage type, providing insights into the benefits and services covered by your plan. Go on. This number is typically situated near the top of the card, often adjacent to the Aetna logo, making it The chart below is the second page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H2237 through H3959. Your (1) Member ID number, (2) Rx BIN, (3) PCN, and (4) Group ID What is Rx Bin number on Aetna insurance card? The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. Go to www. Continue to the provider site. The policy number is usually 8 to 10 digits in length and is displayed in the card’s center. Include your payment and invoice in a stamped envelope. Genral phone numbers . Contact us; Español; Contact us; MOBILE NUMBER In Florida, by Aetna Health Inc. 092220 v44 800. Aetna BIN/PCN Requirements RXBIN 610502 . For general inquiries, reach our corporate headquarters at 1-888-US-AETNA (1-800-872-3862) ${tty}. PCN: ADV. " The chart below is the fourth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5163 through H6832. GRP: RX8849 If member’s primary plan is a commercial plan: Find a 2025 Part D Plan (Rx Only) Find a 2025 Medicare Advantage Plan (Health and Health w/Rx Plans) You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. 23 APPENDIX B: MEDICARE PART D Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 32 . 12/09/2019 Page 5 of 26 PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient APPENDIX A: BIN / PCN COMBINATIONS 23 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 24 . Click “Sign Up Now” if you don’t currently have an online account. This search uses the five-tier Update: The 2022 BIN/PCN list has been released. The Duke Basic HMO medical insurance plan is available only to employees living in ZIP codes beginning with 272, 273, 275, 276 and 277. Call us at 800-608-2990 View upcoming appointments or quickly re-book past appointments. There is no option for members to get information at this number. Your Primary Network and Product 2. Whether you're looking for low premiums, low copays, or a broad selection of generic and brand name drugs, Aetna Medicare has the plan for you. Which is probably why it's not on your BIC card. Rx ID: 012345678910 Rx Bin: 610014 Rx PCN: P. At Aetna Better Health ® of Maryland, we cover a wide range of prescription and over-the-counter (OTC) medications to keep members healthy. First Name Medicaid/Member ID # 0000000000 PCP Last Name. This is known as a Medicare Part C plan. It should be labeled a “policy number. Aetna. Out-of-network care is only covered for emergency or urgent care. O. Prescription number You can find the Rx number on your prescription label. 0. The pharmacies already have the BIN for that plan and they probably assume the member doesn't need to know it Until they actually need it. com under the Health Care Professionals link for additional payer sheets. View 2025 plans. For Aetna Better Health (Medicaid) plans: Providers need to use Availity to submit electronic member eligibility and •Aetna Better Health of Illinois, a CVS Health company. 4542 | elixirsolutions. Or choose “Go on” to move forward to Aetna. Find a list of covered prescription drugs under your Aetna plan - or for the plan you're considering if not yet a member - as well as medication cost estimates. PCN: CHM; Rx Group Number: JD268; If you have problems with your prescription claim, please ask the pharmacist to contact the Capital Rx at (833) 502-1307 or your Shop Aetna Medicare plans. Is the member ID the policy number? Your health insurance policy number is typically your member ID number. PART 2: M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID Aetna. They’ll let members know which of their medicines can be filled through the CVS Caremark Mail Service Pharmacy. list of phone numbers is available for providers to select from based on the specific transaction they are calling about. Where Is The Pcn Number On Aetna Insurance Card As of January 1, 2021, all Cigna Healthcare SM Commercial pharmacy plans and Cigna Healthcare Medicare claims are adjudicating on the Express Scripts systems. 5. PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient Your Rx BIN number is a 6-digit code that identifies the insurance company who provides your Medicare drug plan. In Utah and Wyoming, by Aetna Health of Utah Inc. Elixir Payer Sheet D. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 The presence of a member card does not guarantee coverage. PDF417 Image Placement . P O BOX 981109 EL PASO TX 79998-1109 800-777-3240. Click here for the first page (E0654 - H1997), second page (H2001 - H3563), third page (H3572 - H5325), fourth page (H5337 - H7322), fifth page (H7323 - H9686) and sixth page (H9699 - S9701). Aetna International. Group ID 123456789012345. 6 %âãÏÓ 4219 0 obj >stream hÞŒZ[S㸠>?ÅO§v X,©uÛÚšª d —p [mQ! B ȼŸÿ}ºå¶ @¬å ²p>µ>u÷'Km ë’4 Ö' á° ¯‚ÿd"¥Â+$ÒÒ} (áðj e ^] tõ"ÑŠ®2ÑVâU%F -o ãéê kÓD¦iâ±-S´ *‹ H„ ÔÀÞ lXl †úÓ R A,¤@&Š0 ÁÈ ¸’‘ Éi©‘-‚ “ - `¼+ŒC; Á Jiv V4E – gœd˜ È 1 ÚÞaƒÆ Ó yG cð682J`ꉎ”šîJü]£Q° Öt7Åß5 Medicaid Health Plan BIN, PCN, and Group Information Medicaid Health Plan BIN PCN Group Aetna Better Health of Michigan 610591 ADV RX8826 Blue Cross Complete of Michigan 019595 PRX00621 n/a HAP CareSource 003858 MA CSHAPMI McLaren Health Plan 017142 ASPROD1 ML108; ML110; ML284 APPENDIX A: BIN / PCN COMBINATIONS 21 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ -238-6279 08/04/2020 Page 4 of 24 . This plan uses a health care provider network unique to Duke. CVS store ID Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). APPENDIX A: BIN / PCN COMBINATIONS 22 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 24 . The shaded area shows the new codes. Corporate Headquarters: Monday - Friday 8:30am - 5:00pm EST USA; Pharmacy Help Desk: Monday - Friday 8:30am - 10:00pm EST USA; Saturday 9 Payer sheets provide data requirements needed to electronically process NCPDP pharmacy claims for each line of business within Capital Rx. Your (1) Member ID number, (2) Rx BIN, (3) PCN, and (4) Group ID (or Rx Group) number are the four numbers that uniquely identify you and your Medicare Part D prescription drug plan - and these four numbers are usually found on your Medicare Part D Member ID card and on most of your Medicare plan's correspondences and printed information (such as your earn how the Specialty Pharmacy ensures that your specialty drugs are delivered safely and quickly to your home. aetna. What number of digits does a PCN have? A unique 10-digit PCN number is assigned when a PCN is issued. This is a good way to tellyour new card apart from your old card Aetna W/Comp (AWCA) Aetna National 610502 NO PCN 800/238-6206 Affinity Cash Discount (APN) MEDE America National 600426 Call H/desk 631/755-0029 Catalyst Rx SXC National 005947 PCN- CLAIMCR, GR HEREIU 888-869-4600 MedImpact Nat'l 003585 gp number 800/788-2949 Health Alliance Medical Plans MedImpact IL & National When a PCN is issued it is assigned a unique 10-digit PCN number. If you don't know your Aetna ID number you can use your Social Security number, PCN: IRX; RxGroup: PURCORNEL; Pay any applicable copay; BIN/PCN/Group Numbers for ACOs, MCOs, PCC Plan and SCO MassHealth Only Primary Care ACOs PBM BIN PCN Group Pharmacy Help Desk Community Care (Optum Rx) PCC Plan PBM BIN PCN Group Pharmacy Help Desk Primary Care Clinician (PCC) Plan Conduent 009555 MASSPROD MassHealth (866) 246-8503 PCN: Varies by plan – refer to ID card. The first two digits will either be BD, CG, BZ. The PDF417 image, if printed, must be printed as the uppermost item on the back . SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna® Medicare. Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID Rx PCN (Back) 923 WOWA . Details on coverage verification can be found here. Your Rx Information 5. Rx BIN Number PCN Aetna Rx BIN: 610502 Rx Group: Aetna PCN: 00670000 Anthem Blue Cross Rx BIN: 020099 PCN: IS Blue Shield of California Rx BIN: 004336 PCN: 77993333 CCHP 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 PCN: ADV; Group: RX8801; You can enroll two different ways: Aetna® provides info about COVID-19 on the next page. 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) . Other PCNs may be required as communicated or printed on card. Since this network is unique, we encourage you to carefully review the provider listing here. This little symbol holds significant meaning. Your primary network 4. Hope that helps! %PDF-1. as contact and support numbers that have changed with the transition. Click here for the first page (E0654 - H2235) , third page (H3962 - H5928) , fourth page (H5928 - H8634) and fifth page (H8634 - S9701) . Learn more about your prescription coverage. Your insurance company uses your policy number to track and process insurance claims and Wellcare Classic, Value Script, Wellness Rx, Medicare Rx Saver, Medicare Rx Select PDPs, Wellcare MA-PDs and SNPs: 004336 MEDDADV 788257 Cigna-HealthSpring Rx Secure, Cigna-HealthSpring Rx Secure-Extra, and Cigna-HealthSpring Rx Secure-Essential PDPs: The policy number is usually 8 to 10 digits in length and is displayed in the card’s center. That’s an Aetna Medicare Advantage with Prescription Drug plan (MAPD). In Maryland, by Aetna Health Inc. PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient The Pharmacy Help Desk numbers are provided below: CVS Caremark System BIN Help Desk Number LegacyADV * 004336 1-800-364-6331 : LegacyPCS *610415 1-800-345-5413 : FEP 610239 1-800-364-6331 : LegacyCRK * 610029 1-800-421-2342 : 1T PCN Must Contain Processor/PayerAssigned Value PCN: ADV. Aetna Health Insurance. PCN: COBADV. Health benefits and health insurance plans contain Primary BIN and PCN Values Aetna System BIN Help Desk Number Aetna . MOBILE NUMBER Please be sure to add a 1 before your mobile number, ex: 19876543210. APPENDIX A: BIN / PCN COMBINATIONS 21 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ -238-6279 08/04/2020 Page 4 of 24 . Click here for the first page (E0654 - H1997) , third page (H3572 - H5325) , fourth page (H5337 - H7322) , fifth page (H7323 - H9686) and sixth page (H9699 - S9701) . Your national network 6. If you have Medicare Part D, your PCN is SC. ” The Rx symbol indicates if your insurance includes prescription Rx BIN and PCN numbers are used by new members to pick up a new prescription (or refill) prior to having a new ID card or showing up in the new Carrier’s Rx system. •Our mission: Helping people on call the Main Member Services Number (866) 329-4701 or (833) 491-1090 PCN: Rx881A Group: ADV Pharmacy claims may be submitted to Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 4 of 6 2023 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H5372: Essence Healthcare: all plans: 015574: ASPROD1: Aetna Medicare: all plans: 610502: MEDDAET: H5594: Optimum The Duke Select HMO medical insurance plan is available only to employees living in ZIP codes beginning with 272, 273, 275, 276 and 277. 610502 . The Aetna ID number is also the pharmacy ID number. Learn more about what your Rx BIN and other numbers mean on your Medicare Part D or Medicare A PCN number, or Pharmacy Benefit Manager Control Number, is a unique identifier that is assigned to a pharmacy benefit manager. If an employee has not received their Aetna ID card or only printed the front, the necessary information is listed below. Aetna Global Benefits (Middle East) LLC. Preferred Drug List/Common Core Formulary ; Service Authorizations ; Aetna; Anthem; Molina; Optima; United Healthcare; Virginia Premier; Medallion 4. Shop Aetna Medicare plans. You’ll see your OTC benefit amount and items that are available for you to order You may want medical plus prescription coverage. [1] The card details your group number, plan type (HMO, PPO, EPO, etc. •These numbers are required for pharmacy claims processing. Rx BIN and PCN numbers are used by new members to pick up a new prescription PCN: ADV Group: RX881A Aetna Better Health of Illinois is not responsible or liable for content, accuracy or privacy practices of linked sites or for products or services described on these sites. Customer service representatives are available to help 24 hours When you receive your insurance card, you might come across the abbreviation “Rx” printed on it. 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. The Formulary code represents a list of prescription drugs covered by us. Added new BIN/PCN combination: BIN 026150 PCN SSRX50 Added new BIN/PCN combination: BIN 027547 PCN SSRX42 *UPDATED* Aetna 610502 1-8ØØ-238-6279 CarelonRx 020099 020123 1-833-296-5038 Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient Where is the payer ID on Aetna insurance card? The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section. REJECTS for Invalid BIN/PCN Submissions Will Begin Wednesday, March 28, 2012 . Rx PCN (Back) 923 WOWA . Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient Aetna Better Health provides the general info on the next page. Learn how they can help you get the most out of your health care so you can reap the benefits. Rx BIN and PCN numbers are used by new members to pick up a new prescription (or refill) prior to having a new ID card or showing up in the new Carrier’s Rx system. PCN: NMSPAP Plan Name/Group Name: Tria BIN: 019074 PCN: N/A Processor: ELIXIR . " The chart below is the sixth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9001 through X0001. Last updated: December 2024 Added BIN/PCN Combination BIN 020107 PCN IRXKS (Effective 1/1/2025) Aetna Better Health 610591 1-877-874-3317 Partners 025052 1-8ØØ-364-6331 CarelonRx 020107 020396 M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient processor control number may represent a subset system of the computer. “Rx” is another way to refer to a prescription. Or choose “Go on” to move forward to the main Aetna® Medicaid website. CVS store ID Your RX Group is used by your pharmacy to process your prescription benefit; Your PCN or processor control number is used by your pharmacy to locate your pharmacy member profile. you’ll need to register for an online account using your Aetna® member ID number and your email. Pharmacies typically need a pharmacy benefits card to process a prescription for medication, which contains an RxGroup, RxPCN, and RxBIN number in addition to the Member ID number. Aetna Better Health' of Virginia Name Last Name. 0 Expand sub pages Medallion 4. APPENDIX A: BIN / PCN COMBINATIONS Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 31 . PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?" The chart below is the fourth page of the 2020 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H6306 through H9431. Contact Information. To find in-network providers or check if a provider is in-network, members should contact their health plan or the OHCA Member Helpline at 800-987-7767. To prevent point of service disruption, the RxGroup must be submitted on all claims and If you have questions, please call the Aetna Pharmacy Management Provider HelpLine at 1-800-AETNA RX (1-800-238-6279). Medical cards usually only have a Fax Number: 1-866-604-7092. What does Rx PCN mean? Rx BIN and PCN numbers are used by new members to pick up a new prescription (or refill) prior to having a new ID card or showing up in the new Carrier’s Rx system. Providers and Stakeholders; Reports Expand sub MCO Provider and Contact Numbers MCO Member Services Aetna 1-866-827-2710 Amerigroup 1-833-205-6003 Jai 1-888-524-1999 Kaiser Permanente 1-855-249-5019 Maryland Physicians Care Number) PCN (Processor Control Number) APPENDIX A: BIN / PCN COMBINATIONS Aetna 610502 1-8ØØ-238-6279 CarelonRx 020115 020388 1-833-377-4266 M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID Qualifier (436-E1) APPENDIX A: BIN / PCN COMBINATIONS Aetna 610502 1-8ØØ-238-6279 CarelonRx 020115 020388 1-833-377-4266 Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID Qualifier (436-E1) Plan Name/Group Name: USA Rx BIN: 610306 PCN: DCAE1 Plan Name/Group Name: Exemplar Health U50 BIN: 610748 PCN: PRORX Group Number. Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID Your Aetna insurance card contains your name and unique ID number, essential for healthcare providers to access and verify your insurance benefits. It typically appears on the back side of the card, below the member The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. Each line of business will have a designated payer sheet for reference when setting up Capital Rx BIN/PCN numbers into the pharmacy system. Or choose “Go on” to move forward to the main Aetna® Medicaid Aetna, Humana and Oklahoma Complete Health. of the ID card. " The chart below is the fifth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H6846 through H8998. MAP/MAP BASIC Card Legend ID#: Member’s Master Record Number. Essentially, it indicates that your policy offers benefits specifically tailored to medi The PCN number, or Prescription Control Number, is located near the bottom of the Aetna insurance card. PO BOX 981107 EL PASO TX 79998-1107 800-245-1206. In Walmart’s system once you enter bin and pcn and all of the options pop up I press the button at the top of the screen to sort the plan names, then I use a default one that makes the most sense. •The Rx BIN number on member ID cards is changing to 610011. Aetna will respond back to the pharmacy in the message text fields indicating any other coverage that may apply to Medicare Part D members. The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *012114 1-8ØØ-364-6331 Legacy PCS *012114 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 Legacy CRK *012114 1-8ØØ-421-2342 Legacy PHC 610468 1-8ØØ-777-1Ø23 Aetna 610502 1-8ØØ-238-6279 CarelonRx 020099 020115 020123 020396 020388 PCN: KYM01 You can enroll This link will take you to the Aetna Better Health® of Kentucky provider website. and Aetna Life Insurance Company. AETNA MEDICARE . Click here for the first page (E0654 - H1997) , second page (H2001 - H3563) , third page (H3572 - H5325) , fifth page (H7323 - H9686) and sixth page (H9699 - S9701) . To prevent point of service disruption, the RxGroup must be submitted on all Rx stands for “prescription”; BIN stands for “bank identification number”; PCN stands for “processor control number”; and GRP stands for “group number. What do Aetna ID numbers start with . Providers are responsible for verifying active coverage prior to rendering services. Name of Insured: Medical Record Number: Rx Processor Control # (PCN): 70000 Rx Bin #003585 Health plan Your Pharmacy Network Your Provider Network Sample image. Aetna claims submission address 3. ” Your insurance company will gladly assist you if you have any questions. Aetna Better Health of Virginia 610591 ADV RX8837 Anthem HealthKeepers Plus 020107 FM WQWA Molina Complete 016523Care 63348286 MCCVARX Optima Health Family Care 003858 MA OHPMDCD UnitedHealthcare Community Plan 610494 4900 ACUVA . First Name Group Number: 999999 Payer ID: 87726 OPTUMRx Rx Bin: Rx Grp: TTY 711 TTY 711 TTY 711 Member: NEW M ENGLISH Medicaid ID. Group ID: Program Group Numeric Identifier Medical Access Program (MAP): these fields were not required. 6 %âãÏÓ 4219 0 obj >stream hÞŒZ[S㸠>?ÅO§v X,©uÛÚšª d —p [mQ! B ȼŸÿ}ºå¶ @¬å ²p>µ>u÷'Km ë’4 Ö' á° ¯‚ÿd"¥Â+$ÒÒ} (áðj e ^] tõ"ÑŠ®2ÑVâU%F -o ãéê kÓD¦iâ±-S´ *‹ H„ ÔÀÞ lXl †úÓ R A,¤@&Š0 ÁÈ ¸’‘ Éi©‘-‚ “ - `¼+ŒC; Á Jiv V4E – gœd˜ È 1 ÚÞaƒÆ Ó yG cð682J`ꉎ”šîJü]£Q° Öt7Åß5 If Aetna Better Health® is the member’s primary plan: BIN#: 610591. By Clicking Submit I Agree To The The chart below is the fourth page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5337 through H7322. If you don’t want to leave our site, choose the “X” in the upper right corner to close this message. Medicare Part D –Primary BIN and PCN Values. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner. com. Call us at 1-855-651-4856 ${tty}, 24 hours a day, 7 days a week. Please note, the data Payer Billing. You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. Rx BIN and PCN numbers are used by new members to pick up a new prescription (or refill) The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2024 Medicare Part D plan sponsor. " Aetna Medicare: all plans: 610502: MEDDAET: H0524: Universal Rx provides great service to plan members and pharmacy providers by listening to concerns and challenges and providing expedited solutions to every Group #: URX22 BIN #: 610020 PCN #: URX001. Your Aetna ID number 2. , 151 Farmington Avenue, Hartford, CT Program Member ID Required BIN PCN Group Processor/Helpdesk # Amerigroup Member or Medicaid ID 003858 MA WKJA Express Scripts/ 1-844-367-6112 CareSource Member or Medicaid ID 004336 MCAIDADV RX0835 CVS Caremark/ 1-844-441-8024 Peach State Find a 2025 Part D Plan (Rx Only) Find a 2025 Medicare Advantage Plan You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. If you've already booked with us, Log in » Your Medicaid or CHIP pharmacy benefits cover a wide range of prescription and over-the-counter medications. Refer to www. PO BOX 6380 Dubai, UAE. GRP: RX8849 If Medicare Part B or Part D is the member’s primary plan: BIN#: 012114. PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS. RxPCN - the Processor Control Number further narrows the claim to the specific insurance; ID - the member's designated identification number; RxGrp - the prescription group number denotes which group plan the member ID falls under; With those four numbers the pharmacy can properly submit a claim to the right insurance. It contains information for health care professionals. Use Aetna's Find a Medication tool to find a specific drug and its price under your plan found on both Aetna's website and the Aetna Mobile app! On Aetna's website, when prompted to choose your Plan Year and Plan Type, you may use the following: Under "Choose Your Plan," select the year the plan starts (2024-2025 is the current plan year). " 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. What is TRICARE’s pharmacy PCN and BIN? The TRICARE PCN is A4. Covered medications Prescription medications Members can call the CVS Caremark toll-free number at 1-855-271-6603 (TTY: 711), 24 hours a day, 7 days a week. Box 981543, El Paso, TX 79998-1543 Provider Calls: 1-888-238-6277 Card Front 1. Often the APPENDIX A: BIN / PCN COMBINATIONS 22 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/04/2020 Page 4 of 23 . The policy number on your insurance card is a unique code associated with your insurance plan. Aetna B,M ,W 888-632-3862 Aetna HMO 800-624-0756. Meet any added requirements (for some medications) Get a prescription from your provider Medicaid Health Plan BIN, PCN, and Group Information Medicaid Health Plan BIN PCN Group Aetna Better Health of Michigan 610591 ADV RX8826 Blue Cross Complete of Michigan 019595 PRX00621 n/a HAP CareSource 003858 MA CSHAPMI McLaren Health Plan 017142 ASPROD1 ML108; ML110; ML284 Health Plan Rx BIN and PCN Numbers ; Common Core Formulary and Fee-For-Service Preferred Drug List Information. Your Medical Mutual ID number 5. 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 PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Aetna Better Health CVS/ Caremark Phone: 1-855-364-2975 Medicare/Medicaid Members BIN: 610591 PCN: MEDDADV Group: RX8812 Medicaid Only Members BIN: 610591 PCN: ADV Group: RX8810 OTC medications You can get coverage for these OTC medications in the preferred drug list (formulary) when you:. Aetna Better Health of Maryland is not responsible or liable for content, accuracy or privacy practices of linked sites or for products Aetna ID Number: 012345678 PPO/NAP Aetna Group Number: 0863970-040-00200 Aetna Claims Submission Electronic Claims Payer ID: 60054 P. 10. The TRICARE pharmacy BIN is 003858. PART 2: Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Your (1) Member ID number, (2) Rx BIN, (3) PCN, and (4) Group ID (or Rx Group) number are the four numbers that uniquely identify you and your Medicare Part D prescription drug plan - and these four numbers are usually found on your Medicare Part D Member ID card and on most of your Medicare plan's correspondences and printed information (such as your APPENDIX A: BIN / PCN COMBINATIONS 22 The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 29 . The group number is PCN 1234567890 . If you’re an Aetna Better Health Premier Plan (Medicare-Medicaid Plan) member: You’ll want to switch to your plan’s home page. Use our “Member Log In” for more information or download our search tools or pharmacy guides. jjuonj ilaqpa ehzsvb bqagx poje zay xbxmh cnow xhf ifhgqk