www.medicaid.gov. The State PCN is reserved solely for Medicaid Subrogation transactions. Roofers & Employers Health & Security Trust Fund. and . Rx BIN Number PCN Aetna Rx BIN: 610502 Rx Group: Aetna PCN: 00670000 Anthem Blue Cross Rx BIN: 020099 PNC: IS Blue Shield of California Rx BIN: 600428 PCN: 191000 Chinese Community Health Plan RX BIN: 003585 RX PCN: ASPROD1 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. Check the back or the bottom of the card for telephone numbers or addresses, and write these down. A current list of the services that require authorization is available via the Provider Portal. 6 0. capel. Do not use the State PCN – for any POS transactions! Click here for the second page (H2354 - H4093), third page (H4094 - H6293), fourth page (H6306 - H9431) … Aetna Better Health of MI members may use the following information along with the ID number to process prescriptions at network pharmacies: BIN: 610591; PCN: ADV; GROUP: RX8826; Pharmacy providers may go to CVS/Caremark for payer sheets and additional network or processing information. Express Scripts: 1-844-367-6112. • For general questions, please call our Patient Customer Service at the number on your member ID card or call 800.282.2881. Number. Lv 4. Aetna Better Health of Kansas requires prior authorization for select, acute outpatient services and planned hospital admissions. Please enter Group Number (F14) when submitting claims. As an employee, you are a part of that plan. Can I use this service without a member number? Please enter Group Number (F15) when submitting claims. Aetna … CVS Caremark Express. PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 Group Number CVTYWVM THPWVMC WFWA . Your group number is exactly what it sounds … This plan is available to anyone who has both Medical Assistance from the State and Medicare. BIN: 003858 | PCN: MA | Group: WKJA. Referral Information; Document Upload; Referral Information. 2. The group plan number is the number your employer is given to identify their employee health insurance policy. Phone: 717-829-2296. Director, Regulatory Compliance. Pharmacy providers should ask members for an MCO identification card to verify MCO enrollment in addition to the Medicaid card. Amerigroup Community Care. Juvenile Justice. of Alabama (PCNA), in … Billing & Claims Payment. 2021 Salaried HRA Plan Member Reference Guide PDF; Salaried Premier HSA Plan Participants . Aetna Open Choice® PPO Network is a Preferred Provider Organization (PPO), or network of doctors and healthcare facilities that agree to provide services at a pre-negotiated, reduced rate. Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. • Rx Bin Number & PCN Number • CVS Caremark Number (for pharmacists use only) Presentation of an Aetna Better Health of Illinois ID card is not a guarantee of eligibility or reimbursement. Not all entities use a PCN. COMMERCIAL. CMO Pharmacy Contact Information. Payment Confirmation Number (PCN). Georgia Families® Quick Reference Guide – Georgia Medicaid. Aetna Better Health. 1171. Plan Name/Group Name: Medicare Advantage Only (Part B Only) BIN: 61Ø5Ø2 PCN: PARTBAET Processor: Aetna Pharmacy Management Effective as of: 1/1/2013 NCPDP Telecommunication Standard Version/Release #: D. Ø. NCPDP Data Dictionary Version Date: October 2011 NCPDP External Code List Version Date: October 2011 Contact/Information Source: NCPDPD.0Questions@aetna.com Provider … Group numbers are often shorter and may contain both alpha and numeric characters. Shaun M . 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 KY Medicaid PBM CVS Caremark IngenioRx Humana Pharmacy Solutions CVS Caremark CVS Caremark Optum Rx Magellan Kentucky Medicaid Bin/PCN… com. Prior authorization is not required for emergency services. Aetna Life Insurance Company, located at 151 Farmington Avenue, Hartford, CT 06156, 1-877-698-4825 (TTY: 711), is the Discount Plan Organization. If you would like to talk to your insurance provider about your health insurance information, or if you're having trouble finding some information, the contact information of some major health insurance providers is located below. The chart below is the fourth page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5928 through H8634. 2000 Market Street, Suite 850. The FREE RxCut® prescription savings card provides cardholders the absolute lowest price on their generic prescriptions; whether it’s the RxCut® discounted price, your insurance copayment or the pharmacy cash price. 2021 Premier HSA Plan Member Reference Guide … As an Aetna … Number Qualifier 1 M 1 –Rx Billing 4Ø2-D2 Prescription/Service Reference 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) is zero (ØØ) 4Ø7-D7 Product/Service ID M If billing for a multi-ingredient prescription, Product/Service ID Philadelphia, PA 1910. BIN: 003858 | PCN: MA | Group: WKJA. Georgia Families® Quick Reference Guide – Georgia Medicaid. checking eligibility – HealthChoices – PA.gov. Enrollment in our plans depends on contract renewal. Juvenile Justice. 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. 0 1. Scripts. The PCN is defined by the PBM as this identifier is unique to their business needs. Click here for the first page (E0654 - H2235), second page (H2237 - H3959), third page (H3962 - H5928) and … 9 years ago. Reporting & Tracking Tools • Custom Tools Reports: Open Claims Pharmacy Analysis . 17. 1173. Phone: 215-282-3539 cakee@aetna. Pharmacy Benefit Administrator, BIN, PCN, and Group Specialty Pharmacy name and telephone number Website address for pharmacy information Aetna Better Health CVS/ Caremark 1-855‐364‐2975 Medicare/Medicaid Members BIN: 610591 PCN: MEDDADV Group: RX8812 Medicaid Only Members BIN: 610591 PCN: ADV Group: RX 8810 If members do not have their MCO card available, ask the member which MCO he or she is enrolled in and submit the claim using the BIN/PCN/GroupRx … 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 Agelity Prescription Plans Agelity National 009265 AG 800-847-7147 Allied Benefits WHI/WHP IL & National 603286 gp 514694 800/207-2568 Allied International Union Med Impact NY 003585 31905 800/788-2949 Alpha Barnes MaxorPlus TX 005377 … Kentucky Medicaid BIN/PCN and Group Numbers. Please enter Group Number (F26) when submitting claims. Amerigroup Community Care. (See image below) Not all entities use a PCN. You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?" Our SNPs also have contracts with State Medicaid programs. MCO Contact: Darlene L. DeMore. Textile Processors. A Processor Control Number (PCN) is a secondary number on a health insurance card that is used to route pharmacy claim transactions for health insurers. Prescription drugs are often an important part of your health care. Salaried HRA Plan Participants . aetnavitalsavings.com. Prescription Drugs . • HIC ID AETAZ0007 BIN (610502) PCN (VACLM) for Aetna Rx • DO NOT SEND PAPER! For claim submission, as of 12/1/2020. Additional Information Required for Pharmacy Claim … Express Scripts. Prescribers: For Prior Authorization call (800) 417-8164. What Is a Health Insurance Policy Number? Submitting Claims with Correct BIN and PCN Effective Date: February 11, 2019 When submitting a point-of-sale (POS) claim for members, use the BIN and PCN numbers located on the member’s ID card. Pcn Number. Bin. Member numbers are often made up of all numeric digits and are usually nine to 10 characters long. Managed Care in Alabama – Medicaid.gov. 3721 Tecport Drive. CVS Caremark CVS Caremark CVS Caremark. N.W. 91136. CMO Pharmacy Contact Information. The telephone numbers and … Oklahoma form numbers for discount programs: GR-96402-04 6-13. … Aetna Better Health. What is the Express Scripts Phone Number? 4 years ago. Lv 5. ... Kee. Aetna Member with Issues - Have the Member Call Member Services - 1-855-242-0802; Claims/Billing Issues - Call CVS Health - 1-855-364-2977; Pharmacy Billing Information BIN: 610591 ; PCN:ADV; Group: RX8834; AmeriHealth Caritas. Express Scripts: 1-844-367-6112. Start saving immediately by submitting this card to the pharmacy with your prescription. Containing more than 850,000 participating physicians and ancillary providers and 6,900 hospitals, Aetna’s network provides services with strong, negotiated rates, helping you to save on the cost […] • For technical support or assistance with your online account, please call 800.711.5672 About Your Prescription Plan. Location Exam Contrast Additional Notes Action *History/Reason for … Location Exam Selected Location and Exam. Number (PCN). Learn More. In most cases, your group number precedes your member number on your prescription benefit card. 1172. COMMERCIAL. Start saving up to 87% on your prescription medication today. Processor Control Number (PCN): secondary identifier that may be used in routing of pharmacy transactions. N.W. 65085. How do I know if I am an Express Scripts member? Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 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 have outpatient surgery Facility fee (e.g., ambulatory surgery center) 10% coinsurance 30% coinsurance None Physician/surgeon fees 10% coinsurance 30% coinsurance None If you need immediate medical attention Emergency room care $50 copay/visit, deductible doesn't apply $50 copay/visit, deductible doesn't apply No coverage for non … If you don't see your PCN on your health insurance card, you can also give your health insurance a call to double check your number. Source(s): https://shrink.im/a9Jno. An authorization number is required on all MRI, CT, Nuclear Medicine, BD, and PET scan ordered, prior to scheduling. 91136. Harrisburg, PA 17111. Search for Important Phone Numbers. Box 7012 Downey, CA 90242 Rx PCN … through the Aetna Specialty Pharmacy Network. An important part of that plan addresses, and write these down numbers for discount:! 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