Rx pcn number aetna. Rx Bin: Rx Grp: Rx PCN: Colorado Doctors Plan HMO Network .
- Rx pcn number aetna They’ll let members know which of their medicines can be filled through the CVS Caremark Mail Service Pharmacy. 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). MOBILE NUMBER •Aetna Better Health of Illinois, a CVS Health company. 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 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 You may want medical plus prescription coverage. Your national network 6. 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 22 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 . Your Primary Network and Product 2. " 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. Rx ID: 012345678910 Rx Bin: 610014 Rx PCN: P. Hope that helps! Call us: 1-866-235-5660 (TTY: 711), 24 hours a day, seven days a week. Added benefits & services Back Added benefits. What number of digits does a PCN have? A unique 10-digit PCN number is assigned when a PCN is issued. 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 Medicare Part D –Primary BIN and PCN Values. Since this network is unique, we encourage you to carefully review the provider listing here. Click “Sign Up Now” if you don’t currently have an online account. AETNA MEDICARE . Go to www. Members may contact the health plans or Oklahoma Health Care Authority (OHCA) at 800-987-7767 for more information. Print and complete the prescription drug claim form. MAP/MAP BASIC Card That’s why we offer the Aetna Premier Care Network (APCN) and Aetna Premier Care Network Plus (APCN Plus) plans. Group ID 123456789012345. SoonerSelect health plans include Aetna Better Health of Oklahoma (Aetna), Humana Healthy Horizons in Oklahoma (Humana) and Oklahoma Complete Health. •These numbers are required for pharmacy claims processing. PCN: COBADV. First Name Medicaid/Member ID # 0000000000 PCP Last Name. When a PCN is issued it is assigned a unique 10-digit PCN number. list of phone numbers is available for providers to select from based on the specific transaction they are calling about. 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 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 APPENDIX A: BIN / PCN COMBINATIONS 22 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 . , a licensed pharmacy providing mail-order pharmacy services. 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 May 16, 2022 · BIN and PCN Values Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 24 . Plan name. PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID Dec 21, 2024 · PCN: ADV; Group: RX8801; Aetna® is part of the CVS Health family of companies. Click here for the first page (E0654 - H2235) , third page (H3962 - H5928) , fourth page (H5928 - H8634) and fifth page (H8634 - S9701) . Member ID Number. The corporate headquarters phone lines are staffed: 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 The Aetna ID number is also the pharmacy ID number. It contains information for health care professionals. •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 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 Rx PCN (Back) 923 WOWA . 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: 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 Medicare Part D –Primary BIN and PCN Values. PCN: ADV You can enroll two different ways: Aetna Better Health provides the general info on the next page. com. 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. A PCN number, or Pharmacy Benefit Manager Control Number, is a unique identifier that is assigned to a pharmacy benefit manager. Finally, when digital submission isn’t possible, providers can utilize the Aetna Voice Advantage system. GRP: RX8849 If member’s primary plan is a commercial plan: For general inquiries, reach our corporate headquarters at 1-888-US-AETNA (1-800-872-3862) ${tty}. 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 The Rx PCN number, also known as the Prescription Core Network (PCN) number, is a unique identifier assigned to your health insurance card. 31, 2024. Prescription drug BIN number. 4. P O BOX 981109 EL PASO TX 79998-1109 800-777-3240. 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) . 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. PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS. Pharmacy benefit managers are organizations that work with insurance companies to manage prescription drug benefits. The following is a summary of our new requirements. NCPDP Processor ID (BIN) Information pharmacy transactions. The policy number is usually 8 to 10 digits in length and is displayed in the card’s center. 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 Jan 10, 2024 · 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 (H9001 - X0001). Aetna’s negotiated charge with Aetna Rx Home Delivery may be higher than Aetna Rx Home Delivery’s cost of purchasing drugs and providing mail-order pharmacy services. Which is probably why it's not on your BIC card. Aetna Better Health' of Virginia Name Last Name. The policy number on your insurance card is a unique code associated with your insurance 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 . 092220 v44 800. 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) . PCP Name: DOUGLAS GETWELL Contact US-Rx Care, a leader in fiduciary pharmacy benefits management services. Each line of business will have a designated payer sheet for reference when setting up Capital Rx BIN/PCN numbers into the pharmacy Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 4 of 6 (H5372 through H7220) 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 The presence of a member card does not guarantee coverage. The PCN number helps health care providers and Mar 30, 2022 · The PCN number, or Prescription Control Number, is located near the bottom of the Aetna insurance card. Your Rx Information 5. 3. Pharmacy providers should ask members for an MCO identification card to verify MCO enrollment in addition to the Medicaid card. Group Number: 999999 Payer ID: 87726 OPTUMRx Rx Bin: Rx Grp: TTY 711 TTY 711 TTY 711 Member: NEW M ENGLISH Medicaid ID. 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. If you want to stay on our site, choose the “X” in the upper right corner to close this message. You’re about 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 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 •The Rx BIN number on member ID cards is changing to 610011. Or choose “Go on” to move forward to the main Aetna® Medicaid BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 Group Number CVTYWVM THPWVMC WFWA . PCN: ADV GROUP: RX8826 If you’re an Aetna Better Health Premier Plan (Medicare-Medicaid Plan) member: You’ll want to switch to your plan’s home page. Rx BIN and PCN numbers are used by new members to pick up a new Jul 11, 2024 · What Does Rx PCN Mean? Rx PCN stands for ‘Processor Control Number. This is known as a Medicare Part C plan. ZIP CODE. Out-of-network care is only covered for emergency or urgent care. of the ID card. Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient 4 days ago · We cover a wide variety of prescription drugs and over the counter medications. 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. If you notice any Aug 10, 2022 · 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 Jan 10, 2024 · 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 X0001). The Rx PCN is an identification number used to route pharmaceutical We have a broad network of over 65,000 pharmacies, with more than 23,000 preferred pharmacies. Or choose “Go on” to move forward to the main Aetna® Medicaid 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 Universal Rx provides great service to plan members and pharmacy providers by listening to concerns and challenges and providing expedited solutions to every need. You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. Your Medical Mutual ID number 5. A BIN number identifies your insurance company. It typically appears on the back side of the card, below the member Aug 25, 2021 · The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. You can enroll two different ways: CoverMyMeds. This plan uses a health care provider network unique to Duke. Aetna Anthem Humana Molina-Passport WellCare UHC Fee for Service BIN 11529 PCN P022011529 GROUP KY Medicaid Single PBM Magellan Kentucky Medicaid Bin/PCN/Group Numbers Effective 7/1/2021 023880 KYPROD1 KYM01 MedImpact. 2024 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H6846: Aetna Medicare: all plans: 610502: MEDDAET: H7323: Dec 23, 2024 · Aetna. 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). 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 May 16, 2022 · APPENDIX A: BIN / PCN COMBINATIONS 22 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 . AETNA CHOICE POS . May 16, 2022 · APPENDIX A: BIN / PCN COMBINATIONS 23 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 32 . Box 981543, El Paso, TX 79998-1543 Provider Calls: 1-888-238-6277 Card Front 1. Author: jessica. 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). 5. 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. Rx BIN and PCN numbers are used by new members to pick up a new prescription PCN: KYM01 You can enroll This link will take you to the Aetna Better Health® of Kentucky provider website. 22 APPENDIX B: MEDICARE PART D Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 31 . 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. M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient 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. Learn how they can help you get the most out of your health care so you can reap the benefits. Or choose “Go on” to move forward to CVS. Aetna Better Health provides the general info on the next page. Continue to the provider site. Make sure your name is correct and the plan name that you enrolled in appears on your card. 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 . 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 You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. Go on. Aetna Global Benefits (Middle East) LLC. Aetna Rx Home Delivery refers to Aetna Rx Home Delivery, LLC, a subsidiary of Aetna Inc. The following table lists the Dec 30, 2011 · The payer sheet has been updated to indicate the correct BIN and PCN for Aetna’s Medicare Advantage Prescription Drug Plans (MAPD), Stand-alone Prescription Drug Plans May 16, 2022 · To prevent point of service disruption, the RxGroup must be submitted on all claims and reversals. Fax Number: 1-866-604-7092. Just enter your mobile number and we’ll text you a link to download the Aetna Health℠ app from the App Store or 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. Rx Bin: Rx Grp: Rx PCN: Colorado Doctors Plan HMO Network Rx Bin: Rx Grp: Rx PCN: Monument ONE HMO Network 610279 EXCCO PCP:$0 7777 DED INDV/FAM OOPM INDV/FAM Med INN $2600/$5200 . jump Created Date: Learn how Aetna’s pharmacy management tools, like electronic prescriptions, preferred drug lists and clinical policy bulletins can help you serve your patients. Preferred Drug List/Common Core Formulary ; Service Authorizations ; Aetna; Anthem; Molina; Optima; United Healthcare; Virginia Premier; Medallion 4. 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 prescription, Product/Service ID Group Number. 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. An Aetna representative will answer your call. Covered medications Prescription medications Health Plan Rx BIN and PCN Numbers ; Common Core Formulary and Fee-For-Service Preferred Drug List Information. PO BOX 981107 EL PASO TX 79998-1107 800-245-1206. 0. Call us at 800-608-2990 As of January 1, 2021, all Cigna Healthcare SM Commercial pharmacy plans and Cigna Healthcare Medicare claims are adjudicating on the Express Scripts systems. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner. Update: The 2022 BIN/PCN list has been released. Box 981543, El Paso, TX 79998-1543COPAY The Duke Basic HMO medical insurance plan is available only to employees living in ZIP codes beginning with 272, 273, 275, 276 and 277. Find a 2025 Part D Plan (Rx Only) Find a 2025 Medicare Advantage Plan (Health and Health w/Rx Plans) 2023 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: E0654 : all plans: 015574: ASPROD1: Aetna Medicare: all plans: 610502: MEDDAET: H0524: Kaiser Permanente: Aetna BIN/PCN Requirements RXBIN 610502 . ” The Rx symbol indicates if your insurance includes prescription coverage. There is no option for members to get information at this number. 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 6 days ago · Be sure to include your Aetna member ID number on each receipt. Providers and Stakeholders; Reports Expand sub 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 The Duke Select HMO medical insurance plan is available only to employees living in ZIP codes beginning with 272, 273, 275, 276 and 277. When you’re ready to switch, follow Member Services Phone Number: A direct line to Aetna’s customer service for any questions about your coverage, benefits, or claims. The items Jan 10, 2024 · 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. If you did not intend to leave our site, click or tap the "x" in the Identifying the group number on an Aetna insurance card is a crucial step in ensuring the smooth processing of medical and prescription services. Provider Network: Indicates the network of healthcare providers that you can access as part of your plan. Monthly rates for plans featuring the Processor Control Number on a health insurance card or pharmacy claim processing number start at $350. 2. Corporate Headquarters: Monday - Friday 8:30am - 5:00pm EST USA; Pharmacy Help Desk: Monday - Friday 8:30am - 10:00pm EST USA Name of Insured: Medical Record Number: Rx Processor Control # (PCN): 70000 Rx Bin #003585 Health plan Your Pharmacy Network Your Provider Network Sample image. " 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. Attention! If you live in the TRICARE West Region, or in a state or ZIP code moving to the West Region and you pay an enrollment fee or premium by recurring credit card, debit card, or electronic funds transfer, you must set up payment information with TriWest before Dec. Always read the information on the PCN or any other statutory document very carefully before proceeding. What do the BIN, PCN, and Rx Group numbers look like? Here is an example, of these three numbers for an older WellCare Medicare Part D prescription drug plan: BIN: 603286 PCN: 01410000 GROUP (or RxGroup): 788257 Your Rx BIN number is a 6-digit code that identifies the insurance company who provides your Medicare drug plan. Learn more about your prescription coverage. Log in for MA/MAPD Register my MA/MAPD Find the information you need to contact Aetna, including phone numbers, address, social networks, as well as customized options for members, employers, health care providers, and insurance agents and brokers. May 16, 2022 · To prevent point of service disruption, the RxGroup must be submitted on all claims and reversals. Details on coverage verification can be found here. Through your Aetna® member account you can manage claims, view plan details and more. You can enroll with CoverMyMeds online. 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 . No label for the PDF417 image is necessary. If 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 System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 31 . If you've already booked with us, Log in » You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. May 16, 2022 · APPENDIX A: BIN / PCN COMBINATIONS 22 Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 . REJECTS for Invalid BIN/PCN Submissions Will Begin Wednesday, March 28, 2012 . Close. Members can call the CVS Caremark toll-free number at 1-855-271-6603 (TTY: 711), 24 hours a day, 7 days a week. It includes Medicare Parts A and B (Original Medicare) plus Part D. GRP: RX8849 If Medicare Part B or Part D is the member’s primary plan: BIN#: 012114. " 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. Click “Log In/Register”. This number is typically situated near the top of the card, often adjacent to the Aetna logo, making it Aetna ID Number: 012345678 PPO/NAP Aetna Group Number: 0863970-040-00200 Aetna Claims Submission Electronic Claims Payer ID: 60054 P. PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient May 16, 2022 · APPENDIX A: BIN / PCN COMBINATIONS Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 31 . . Genral phone numbers . Click here for Mar 30, 2022 · The PCN number, or Prescription Control Number, is located near the bottom of the Aetna insurance card. Click here for May 16, 2022 · BIN and PCN Values Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 . PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID May 16, 2022 · BIN and PCN Values Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/04/2020 Page 4 of 23 . Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID 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. 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) . 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. If you don’t want to leave your state site, choose the “X” in the upper right corner to close this message. 0 Expand sub pages Medallion 4. You’re now leaving Aetna Better Health® of Texas. Group #: URX22 BIN #: 610020 PCN #: URX001. 361. Our mission is to change the way prescriptions are priced and patients are cared for to deliver enduring social change. Is the member ID the policy number? Your health insurance policy number is typically your member ID number. PO BOX When you are an Aetna member, your prescription drug benefits through your employer-sponsored health insurance plan features convenient tools and personal support to help make it easier to manage your medicine needs and stay your healthiest. " 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. This includes HMO, PPO or HMO-POS plans. 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 . The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 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 items Mar 7, 2022 · The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2022 Medicare Part D plan sponsor. 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. aetna. 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 Primary BIN and PCN Values Aetna System BIN Help Desk Number Aetna . If you don't know your Aetna ID number you can use your Social Security number, PCN: IRX; RxGroup: PURCORNEL; Pay any applicable copay; PCN: Varies by plan – refer to ID card. Aetna B,M ,W 888-632-3862 Aetna HMO 800-624-0756. " The chart below is the third page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3517 through H5141. 2024 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers: Contract ID: Contract Name: Plan ID: BIN: PCN: H2029: Humana: all Aetna Medicare: all May 16, 2022 · 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 . Or choose “Go on” to move forward to the main Aetna® Medicaid website. Enrollees have the option to sign up for automated mail-order delivery. View upcoming appointments or quickly re-book past appointments. Learn more about our expertise by scheduling a meeting today. Health benefits and health insurance plans contain exclusions and limitations. This number is critical for ensuring efficient claim processing and accurate billing. 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 Aetna Health Insurance. ***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. Your insurance company uses your policy number to track and process insurance claims and 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?. 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 . Providers are responsible for verifying active coverage prior to rendering services. That’s an Aetna Medicare Advantage with Prescription Drug plan (MAPD). PCN: NMSPAP Plan Name/Group Name: Tria BIN: 019074 PCN: N/A Processor: ELIXIR . PO BOX 6380 Dubai, UAE. Your Aetna ID Number 3. Some Aetna plans come with added benefits like dental, eyewear or hearing aid coverage. SilverScript is a Prescription Drug Plan with a Medicare contract marketed through Aetna® Medicare. Meet any added requirements (for some medications) Get a prescription from your provider Plan Name/Group Name: USA Rx BIN: 610306 PCN: DCAE1 Plan Name/Group Name: Exemplar Health U50 BIN: 610748 PCN: PRORX Group Number. Elixir Payer Sheet D. " Aetna Medicare: all plans: 610502: MEDDAET: H0524: Kaiser Permanente: 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 Shop Aetna Medicare plans. Number M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient as contact and support numbers that have changed with the transition. “Rx” is another way to refer to a prescription. Your Medicaid or CHIP pharmacy benefits cover a wide range of prescription and over-the-counter medications. 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 fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H8634 through S9701. It should be labeled a “policy number. Where Is The Pcn Number On Aetna Insurance Card Founded in 2017, Capital Rx has become the fastest growing healthtech company in America. Indicates national coverage. PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient 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. If you don’t take action, you’ll risk getting disenrolled. The items highlighted in the payer sheet illustrate the updated processing rules. By Clicking Submit I Agree To The Learn how the CVS Caremark mail service pharmacy ensures that your regular maintenance drugs are delivered safety and quickly to your home, job or doctor’s office. The PDF417 image, if printed, must be printed as the uppermost item on the back . Your Aetna ID number 2. 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 OTC medications You can get coverage for these OTC medications in the preferred drug list (formulary) when you:. This search uses The Processor Control Number (PCN) is a secondary identifier that may be used in routing of . The first two digits will either be BD, CG, BZ. Your Customer Care Phone Number 4. Aetna International. Mar 20, 2024 · Rx stands for “prescription”; BIN stands for “bank identification number”; PCN stands for “processor control number”; and GRP stands for “group number. •The PCN is changing to CTRXMEDD. Use our “Member Log In” for more information or download our search tools or pharmacy guides. MOBILE NUMBER Please be sure to add a 1 before your mobile number, ex: 19876543210. ” Your insurance company will gladly assist you if you have any questions. Sep 15, 2022 · 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 May 16, 2022 · 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 . Provider’s first and last name and phone number; List of allergies and other health conditions; Aetna Better Health provides the general info on the next page. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. Learn more about what your Rx BIN and other numbers mean on your Medicare Part D or Medicare The PCN number, or Prescription Control Number, is located near the bottom of the Aetna insurance card. 4542 | elixirsolutions. PDF417 Image Placement . 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. The PCNis defined by the PBM/processor as this identifier is 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 Banner | Aetna members receive pharmacy benefits through Aetna. Browse added Medicare benefits Dental, vision & hearing Over-the-counter (OTC) benefit 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 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 control number, is analogous to the plus 4 part of a zip code, which gives a more precise destination. Staying within this network usually means lower out-of-pocket costs. What is an example of quantity limits? A member needs Imitrex. Ready to explore Medicare plans near you? Enter your ZIP code to find a plan that’s right for you. PCN: ADV Group: RX881A Aetna® is part of the CVS Health family of companies. Members with Aetna Medicare Advantage (MA) and Aetna Medicare Advantage with Prescription Drug (MAPD) plans can log in or register for an account below. Aetna Better Health of Maryland is not responsible or liable for content, accuracy or privacy practices of linked sites or for products or services described on these sites. If an employee has not received their Aetna ID card or only printed the front, the necessary information is listed below. At Aetna Better Health ® of Maryland, we cover a wide range of prescription and over-the-counter (OTC) medications to keep members healthy. 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 You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. ’ Similar to Rx BIN and Rx Grp, PCN serves as an additional identifier utilized by insurance companies to determine which processor will handle your May 16, 2022 · To prevent point of service disruption, the RxGroup must be submitted on all claims and reversals. What Is PCN on an Insurance Card? The meaning of Rx PCN is Processor Control Number. Often the Rx If Aetna Better Health® is the member’s primary plan: BIN#: 610591. 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 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. PCN: ADV. Aetna claims submission address 3. PCN 1234567890 . Check our drug pricing tool once in a while to confirm if this is the best option for you. View 2025 plans. It typically appears on the back side of the card, below the member ID number and usually has either a 9 or 11 digit numeric code printed next to it. com 3 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) Member ID: 000100001 Group Number: COXXXX Member: REISSUE 6T M ENGLISH Payer ID: 87726 CO-DOI-508 Underwritten by Rocky Mountain HMO, Inc. Aetna members can also find contact information to order medicine and get support. It is an 8-character numeric or alphanumeric string. BIN and PCN Codes. 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. Please note, the data Jan 10, 2024 · The chart below is the first page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E3014 through H2001. 610502 . O. Quantity limits over time: Limits prescription coverage to a specific number of units over a specific amount of time. For Aetna Better Health (Medicaid) plans: Providers need to use Availity to submit electronic member eligibility and Your primary network 4. ntmavro lddyn rgphub lzvwq yuwsw qkrevbj owm yngdup ltlbbcsr ayjgs