Rxpcn number

1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1 M 1Ø4-A4 PROCESSOR CONTROL NUMBER Multiple M PCN’s listed in General Information Section 1Ø9-A9 TRANSACTION COUNT Ø1-Ø4 M Up to 4 transactions per B1 transmissions accepted 2Ø2-B2 SERVICE PROVIDER ID QUALIFIER Ø1-NPI M ...

An OPUS Health copay card is a prescription discount vehicle used to provide the patient with a savings on their prescription copay at the pharmacy. It is easily distinguished from a voucher (explained below) by the Rx Processor Control Number (RxPCN) of OHCP and from DebitRx cards by the absence of a 16 digit ID number on the front (as on any ...Medicaid cards look different for each state and will not contain an RxGroup, RxPCN, and RxBIN number, only a Member ID number. If you have a Medicaid managed care plan, then you should still be able to access pharmacy benefits information. For people with Medicaid coverage, many states will require you to switch to a managed care plan after …4RX DATA. The four data elements are used to process a pharmacy claim. In Medicare Part D, these four elements uniquely identify the Medicare Part D Sponsor for the …RxPCN: XXXXXXXX RxGRP: XXXXX Plan (80840) 9140461101 Member ID: Hxxxxxxxx MEMBER NAME CARD ISSUED: CUSTOMER SERVICE: Ifyou use TTY, call 711 Pharmacist]Physician Rx Inquiries: 1-800-281-6918 1-800-865-8715 Submit Rx Claims only to: Humana Claims, PO Box 14140, Lexington, KY 40512-4140 See pharmacy and drug list at Humana.com Med i carcBQCall a licensed agent at 1-855-335-1407 (TTY: 711) , Monday to Friday, 8 AM to 8 PM. Filling your Medicare prescriptions is easy with Aetna. Find a pharmacy in our network or get your prescriptions delivered directly by mail.Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 24 . PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS The following table lists the segments available in a Billing Transaction. Pharmacies are required to submit upper case values on B1/B2 transactions. The table also lists values as defined underRxPCN: XXXXXXXX RxGRP: XXXXX Plan (80840) 9140461101 Member ID: Hxxxxxxxx MEMBER NAME CARD ISSUED: CUSTOMER SERVICE: Ifyou use TTY, call 711 Pharmacist]Physician Rx Inquiries: 1-800-281-6918 1-800-865-8715 Submit Rx Claims only to: Humana Claims, PO Box 14140, Lexington, KY 40512-4140 See pharmacy and drug list at Humana.com Med i carcBQWe’re happy to answer any questions you may have. If you need immediate medical assistance, please dial 911 or go to the emergency room at your local hospital. 988 Suicide & Crisis Lifeline: Call or text 988. To chat online, …

non-SSN member identifier, the Rx BIN number, and PCN, all of which are mandatory fields needed for successful claims processing. For the clients listed below, Pharmacy must submit claims to Medco through the TelePAID® System using: • The RxBIN # 610014 • The RxPCN MEDDPRIME • The Rx Group number as listed belowPCN on an insurance card stands for Processor Control Number. It is a unique identifier assigned to a specific pharmacy benefit manager (PBM) or a third-party administrator (TPA) that processes prescription drug claims for a particular health plan. PBMs and TPAs are intermediaries that work with insurance companies, pharmacies, …Number) Rx PCN (Processor Control Number) Rx group. Tax Identification Number. Group health plan address. California (Northern CA) 11842 NCCMS: NC 94-1340523: P.O. Box 7012 : Downey, CA 90242: California (Southern CA) 11172: SCCMS SC: 94-1340523 P.O. Box 7012 : Downey, CA 90242: Colorado (Denver-Boulder) 11255: COCMS CO: 84 …GROUP NUMBER 0S228-ZX RxBIN RxPCN RX COVRG OFFICE COPAY 610455 PGIGN GOLD SELECT 15.00 CONTRACT YEAR 2008 BlueCross BlueShield 00 JOHN A SAMPLENAME GROUP NUMBER XX199-11 IN NETWORK ER COPAY OFFICE COPAY 75.00 10.00 Minnesota Advantage Health Plan • Managed care product for employees of theMutual of Omaha Rx (PDP) is a prescription drug plan with a Medicare contract. Enrollment in the Mutual of Omaha Rx plan depends on contract renewal. This information is not a complete description of benefits. Call 855-864-6797 /TTY: 800 …How to look up your Cigna Medicare Prescription Drug Plan Name. Find your 3-digit PBP code on your Cigna ID Card. Find your plan name by your 3-digit PBP code. 3-Digit Code. Cigna Plan. If your 3-digit code is between: 000-230.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 (4Ø7-D7) is zero (Ø) 442-E7 Quantity Dispensed R 4Ø3-D3 Fill Number R

Object moved to here. PCP Ph Number Effective Date Speöalist Visit $ Emergency $ BS Plan RxGrp RxBlN cov Eff Date 378/865 HMRKOOI 610014 xwxwxxxx <fÎidHMARK MEMBER FIRSTN M LASTNAME MEMBER 10 Blue PPO O Hear Dental PLAN (80840) Group ec,'BS RxPCN Rxcrp @PPO 9151014609 01784785 363/865 610014 MEDDPRIME SPBLUEI Office visit Visit Emergency Room CMS $65 H3916 001 Network pharmacies must confirm some information to OptumRx at least every 3 years (name, address, phone number, gender, languages spoken) for the directory. OptumRx reviews all this information at least every 3 years for credentialing. Language Language(s), other than English, that a pharmacy or staff can speak. This is reported by the ...MCO RxBIN and RxPCN Information. Minnesota Health Care Programs providers billing for prescriptions for members in managed care organizations (MCOs) need to use the …

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Medicaid is a great program that can help people who otherwise wouldn't get any help with medical costs. If you use Medicaid, you probably see the benefits of the program. However,...It is an 8-character numeric or alphanumeric string. The Rx PCN is an identification number used to route pharmaceutical transactions. It indicates which processor will handle your claim. In addition, the PCN is connected to your insurance. It shows whether your insurance plan covers your prescription.The RxPCN, or processor control number, is analogous to the plus 4 part of a zip code, which gives a more precise destination. In the pharmacy industry, the BIN number may …Jan 10, 2024 · 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. In this particular example, these three numbers are the same for all WellCare Medicare Part D prescription drug plans (in this case, the WellCare Classic and WellCare Signature Part D ... The RxPCN, or processor control number, is analogous to the plus 4 part of a zip code, which gives a more precise destination. In the pharmacy industry, the BIN number may represent the address of a large computer and the processor control number may represent a subset system of the computer.A: Providers must request to see the identification card for the eligible person and examine the card to determine if the RXPCN information is available. Submit the RXPCN information as it appears on the identification card. If there is no RXPCN, submit the default number according to the banking identification number (RXBIN) as follows:

or account (not applicable to Medicare Advantage products). • Group number–Most often, this will be a number assigned to the group. Sometimes it will be an ...Call one of our Aetna pharmacy customer service professionals. You can reach them toll-free at 1-800-238-6279 (TTY: 711).. Our customer service professionals are available 24 hours a day, every day.1Ø1-A1 BIN Number 610502 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M NCPDP vD.Ø 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing 1Ø9-A9 Transaction Count M Up to four billing reversal transactions (B2) per transmissionWhat is TRICARE’s pharmacy PCN and BIN? The TRICARE PCN is A4. If you have Medicare Part D, your PCN is SC. The TRICARE pharmacy BIN is 003858.BIN: 015599 PCN: 05440000. Note: If you have additional questions, call the LI NET help desk at 800-783-1307 (TTY: 711), Monday – Friday, 8 a.m. – 7 p.m., Eastern time. Submit a receipt. If you’ve already paid out-of-pocket for prescriptions during eligible LI NET periods, you can submit your receipt for reimbursement.The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. The PCN is defined by the PBM/processor as this identifier is unique to their business needs.Vehicle identification numbers (VINs) apply to many types of vehicles: cars, trucks, RVs, motor homes, trailers, ATVs and motorcycles. You can purchase a Vehicle History Report usi... PCP Ph Number Effective Date Specialist Visit Emergency Room ES Plan RxGrp RxBlN Cov Eff Date 363/865 HMRKOOI 610014 XX/XX/XXXX IIGHMARK CHOICE COMPANY MEMBER NAME FIRSTNAME M LASTNAME MEMBER ID z PM xxxxxxxxxxxx PCP INFORWTION xxxxxxxxxx xxx xxx.xxx.xxxx Hear/Vision/DentaI PLAN pan RxPCN HMO 9151014609 xxxxxxxx 610014 MEODPRIME SPBLUE3 PCP Visit Prefix Medical Record Number Date of Birth Name: First M Last Prefix Medical Record Number Date of Birth Name: First M Last Name: Date of Birth XX/XXXX XXXXXXXX Medical Record Number: Deductible $1500 Out of Pocket Max $4000 RxPCN 1-800-464-4000/TTY 711 kp.org XXXXXXXXXXXX SCSF RxBin 610127 OV (Pri/Spec) $00/$004Ø3-d3 fill number r 4Ø5-d5 days supply r 4Ø6-d6 compound code r 4Ø8-d8 dispense as written (daw)/product selection code r 414-de date prescription written r 415-df number of refills authorized r 419-dj prescription origin code rw varies by plan 354-nx submission clarification code count maximum count of 3. o

RxPCN, which stands for Processor Control Number, is another unique identification the pharmacy uses to identify you. It is essential for the pharmacy to have this information in order to locate your insurance and obtain reimbursement for your medicines. ... The Rx BIN number is a six-digit number used to handle electronic pharmacy claims …

Depending on your plan, you can select Member ID Card under Account in the main menu after you log in. If it's available, you can print your member ID card from there. Just click on the Download Card button to download and/or print your member ID Card. On the Express Scripts® Pharmacy mobile app. Tap the menu icon on the top-left corner of ...RxBIN 610014 RxPCN MEDDPRIME Issuer (80840) 9151014609. RxGrp ID No. Name _____ FirstYou will receive a letter of disapproval if your application MI Last. Member Customer Service: 1.866.477.5703. TTY Users: 1.800.716.3231. Web: Express-Scripts.com. This is a temporary card. Your permanent ID card will be ... +1.877.844.0280: 24/7 Customer Care number to call This card does not guarantee coverage. To verify benefits, view claims, or find a provider, visit the websites or call. For U.S. Providers: UHCprovider.com For Non-U.S. Providers: International Claim Fax: Medical Claims:UrgCare: $ PO Box 740111, Atlanta, GA 30374-0111 +1 877-844-0280 +1 763-274 ... What is TRICARE’s pharmacy PCN and BIN? The TRICARE PCN is A4. If you have Medicare Part D, your PCN is SC. The TRICARE pharmacy BIN is 003858.The RXPCN number on your card is the health insurance processor control number. This number identifies your coverage and how your claims should be processed. Using Your Insurance Card the Right WayRxPCN: 77993322 CMS ID: H5928-010 Member: FIRST M LAST Member ID: 000000000000 Copayments: PCP/SPC/ER $0/$0/$85 PCP: DENYSIAK, BARBARA (619) 294-6500 SCRIPPS PHYSICIANS MEDICAL ... It's easy to register at our Web site using your ID number, 0000000000000. If you have any questions about your coverage or …Object moved to here.The RXPCN number on your card is the health insurance processor control number. This number identifies your coverage and how your claims should be processed. Using Your Insurance Card the Right WayWhat is TriCare Rx Bin Number? RxBin is Express Scripts 003858 RxPCN A4. What is the full form of Rx BIN or Rx PCN? I am by no means a technical expert on the subject, but I will give the basic information that I have learned by working in numerous pharmacies. Rx "BIN" refers to Bank Identification Number, which basically routes …

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1Ø1-A1 BIN Number 610502 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M NCPDP vD.Ø 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing 1Ø9-A9 Transaction Count M Up to four billing reversal transactions (B2) per transmissionAetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 24 . PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS The following table lists the segments available in a Billing Transaction. Pharmacies are required to submit upper case values on B1/B2 transactions. The table also lists values as defined underDepending on your plan, you received either a prescription benefit ID card or a combined ID card for both your medical and prescription benefits. You can find your member ID number on this card. If you can’t find the answer to your question, please contact us. Millions trust Express Scripts for safety, care and convenience.It is an 8-character numeric or alphanumeric string. The Rx PCN is an identification number used to route pharmaceutical transactions. It indicates which processor will handle your claim. In addition, the PCN is connected to your insurance. It shows whether your insurance plan covers your prescription.If you have ever made electronic payments online, written a check or set up direct deposit, you have almost certainly used a bank routing number. As a large national bank, Wells Fa...Yes. If there is an RXPCN number on the member’s ID card it must be submitted exactly as it appears on the card. If there is no RXPCN, submit the default number according to the Banking Identification Number (RXBIN) listed in the appropriate Payer Sheet.Number M 436-E1 Product/Service ID Qualifier ØØ = Not specified* Ø3=National Drug Code M 4Ø7-D7 Product/Service ID M 442-E7 Quantity Dispensed R 4Ø3-D3 Fill Number Ø=Original Dispensing 1 to 99 = Refill number R 4Ø5-D5 Days Supply . R . 4Ø6-D6 Compound Code 1=Not a Compound 2=Compound* R . 4Ø8-D8 Dispense as WrittenNov 3, 2022 · RxBIN and RxPCN can be compared to a U.S. zip code plus four. The RxBIN, or BIN number, is comparable to a five-digit zip code and specifies the destination of the mail. The RxPCN, or processor control number, is comparable to the last four digits of a zip code, which provide a more specific destination. What is the PCN Rx? It is a secondary identification number that health care providers and financial providers use to route claims. A PCN number has third main purposes: RxBIN or RxPCN can be reflection of as a U.S. hurry code + 4. This RxBIN, or BIN number, is analogous to the 5-digit zips code and determines the routing ...Prefix Medical Record Number Date of Birth Name: First M Last Prefix Medical Record Number Date of Birth Name: First M Last Name: Date of Birth XX/XXXX XXXXXXXX Medical Record Number: Deductible $1500 Out of Pocket Max $4000 RxPCN 1-800-464-4000/TTY 711 kp.org XXXXXXXXXXXX SCSF RxBin 610127 OV (Pri/Spec) $00/$00 ….

Michigan, le claims with: If you suspect fraud: 800-482-3787. Blue Care Network Mental health/substance P.O. Box 68710 abuse treatment: 800-482-5982. Grand Rapids, MI 49516-8710 Providers outside Michigan, le claims with Dental Servicing: 888-826-8152.RxPCN 9999 RxGRP COS Group Number: 82977 H1045-042-000 AARP Medicare Advantage from UHC FL-0012 (HMO-POS) With Dental PCP: PROVIDER PCP: 555-555-5555 PCP $0 Spec $20 Printed: 09-28-2023 Rewards j #9O[#9e k Card #: 12345 6789 0123 4567 Security Code: 1234 For Members: myAARPMedicare.comJul 7, 2022 · The RxPCN, or processor control number, is analogous to the plus 4 part of a zip code, which gives a more precise destination.In the pharmacy industry, the BIN number may represent the address of a large computer and the processor control number may represent a subset system of the computer. Group Number. 2. Member ID Number. 3. Plan name. 4. Indicates national coverage. 5. Prescription drug BIN number. Make sure your name is correct and the plan name that you enrolled in appears on your card. If you notice any errors, just call your Aetna advocate at 1-833-383-2650 (TTY: 711), Monday through Friday, 8 AM to 8 PM your local time.RxPCN MCAIDADV Rx Grp RX6421 Deductible $2500 Member Ser ices Phone umber 1-844-607-2829 or or 8 am to 8 pm, Monday th rough Friday IN-MMED-0174 o onto My .CareSource.com check for eligibility, and Primary Medical Provider (PMP) MCIS r merees a r eares or oeerec o a coa a a our ea ee o ereae a ou are o ure aou o o e ca e a CareSource ® or ePhone: 1-833-414-2228. Fax: 1-844-521-6938. Hours: 24 hours, 7 days a week. Claims processing or overrides. CarelonRx Medicaid Pharmacy Help Desk (Pharmacies Only) Phone Number: 1-833-409-1225. Hours: 24 hours, 7 days a week. Medical benefit (physician administered drugs) prior authorization request & status inquiries.If you have any questions about a network pharmacy, contact the pharmacy or call the phone number on your ID card. Demographic information Network pharmacies must confirm some information to OptumRx at least every 3 years (name, address, phone number, gender, languages spoken) for the directory.3. Your Member ID Number. Your BCBS ID card has your member number, and in some cases, your employer group number. Your member number, also known as your identification number, is listed directly below your name. You’ll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service …RxPCN is a unique identifier for the pharmacy benefit processor or pharmacy benefit manager of your health plan. It is located on the back of your …Number M 436-E1 Product/Service ID Qualifier ØØ = Not specified* Ø3=National Drug Code M 4Ø7-D7 Product/Service ID M 442-E7 Quantity Dispensed R 4Ø3-D3 Fill Number Ø=Original Dispensing 1 to 99 = Refill number R 4Ø5-D5 Days Supply . R . 4Ø6-D6 Compound Code 1=Not a Compound 2=Compound* R . 4Ø8-D8 Dispense as Written Rxpcn number, 011552 and 610455. Groups: PDPTX PDPOK PDPIL PDPNM PDPMT. Blue Cross Medicare Advantage Plans (HCSC: OK, IL, TX, NM): 011552. PCNs: MAPDTX MAPDOK MAPDIL MAPDNM MAPDMT. RxGroup varies. Blue Shield Medicare Basic and Enhanced (CA): 012353 03510000 RxGroup varies. . , MEMBER ID NUMBER YKU12345678 PCP: PHONE: OFFICE VISIT: SPECIALIST EMERGENCY ROOM: LAST NAME, FIRST NAME $0 $0 $0 EFFECTIVE DATE BC/BS PLAN CODE ISSUER (80840) RxBIN 016499 RxPCN DSNPPRI RxGrp RXHRZN RxID 12345678 CMS-H8298-001 01/01/2017 S 280/780 Member Services: Pharmacy …, 888-370-1699. CHAMPVA Call Center. 800-733-8387. Contact CHAMPVA directly for any questions regarding eligibility, or to update insurance information (including pharmacy coverage) on file with CHAMPVA. Spina Bifida Call Center. 888-820-1756. Contact the Spina Bifida Health Care Benefits Program directly for any questions regarding eligibility., This number is located on the back of the card at the top, next to the date of birth. The DBN (or the sponsor’s SSN) must be used to verify TRICARE eligibility and when submitting TRICARE claims. • DoD ID Number – a 10-digit number found on the front of the ID card. The DoD ID number, It is an 8-character numeric or alphanumeric string. The Rx PCN is an identification number used to route pharmaceutical transactions. It indicates which processor will handle your claim. In addition, the PCN is connected to your insurance. It shows whether your insurance plan covers your prescription., We've been very excited about Google Voice ever since we gave it a closer look, but our biggest cause for hesitation (and the biggest complaint of many of our readers) is that you ..., PRIOR AUTHORIZATION NUMBER SUBMITTED RW : 354-NX SUBMISSION CLARIFICATION CODE COUNT RW : Page 4 Prescriber Segment - Required 111-AM 03. M 466-EZ 01. M 411-D8 M 427-DR. O 498-PM O Pricing Segment - Mandatory 111-AM. 11 M 409-D9. R 426-DQ R 430-DU. R 423-DN RW SEGMENT IDENTIFICATION Prescriber …, RxPCN, which stands for Processor Control Number, is another unique identification the pharmacy uses to identify you. It is essential for the pharmacy to have this information in order to locate your insurance and obtain reimbursement for your medicines. ... The Rx BIN number is a six-digit number used to handle electronic pharmacy claims …, This brochure will help you know about the different ID cards you may see in your practice from members who have Blue Cross coverage. All Blue Cross Blue Shield of Michigan …, PCP Ph Number Effective Date Speöalist Visit $ Emergency $ BS Plan RxGrp RxBlN cov Eff Date 378/865 HMRKOOI 610014 xwxwxxxx <fÎidHMARK MEMBER FIRSTN M LASTNAME MEMBER 10 Blue PPO O Hear Dental PLAN (80840) Group ec,'BS RxPCN Rxcrp @PPO 9151014609 01784785 363/865 610014 MEDDPRIME SPBLUEI Office visit …, 011552 and 610455. Groups: PDPTX PDPOK PDPIL PDPNM PDPMT. Blue Cross Medicare Advantage Plans (HCSC: OK, IL, TX, NM): 011552. PCNs: MAPDTX MAPDOK MAPDIL MAPDNM MAPDMT. RxGroup varies. Blue Shield Medicare Basic and Enhanced (CA): 012353 03510000 RxGroup varies. ., 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 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H6846 through H8998., SilverScript number on the back of this letter to discuss your situation if you think you might be enrolled in a different Medicare Part D Prescription Drug plan or a Medicare Advantage (MA) plan. HealthSelect Medicare Rx is a Medicare Part D drug plan and is in addition to your coverage under Medicare Part A and Part B., PRIOR AUTHORIZATION NUMBER SUBMITTED RW : 354-NX SUBMISSION CLARIFICATION CODE COUNT RW : Page 4 Prescriber Segment - Required 111-AM 03. M 466-EZ 01. M 411-D8 M 427-DR. O 498-PM O Pricing Segment - Mandatory 111-AM. 11 M 409-D9. R 426-DQ R 430-DU. R 423-DN RW SEGMENT IDENTIFICATION Prescriber …, The standardized label for the process control numbers data element is "RxPCN ... number and the processor control number may be printed on the same line;. (3) ..., 3. Your Member ID Number. Your BCBS ID card has your member number, and in some cases, your employer group number. Your member number, also known as your identification number, is listed directly below your name. You’ll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service …, RxPCN: HXXXX XXX MEDDPRIME RxGrp: BCNRXPD RxID: Plan XXXXXXXXXXX Health Plan (80840) 9101000021 FIRST M LASTNAME JR Enrollee Name XYK888888888 Enrollee ID XXXXXXXX Group Number bcbsm.com Blue Care Network of Michigan A nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association Customer Service: 800-662-6667, To find what percentage one number is of another; divide the first number by the other number and multiply by 100. For example, four is 50 percent of eight because four divided by ..., The total amount of a medicine you take in a 24-hour day. You’ll need to know this number in order to get pricing details for your medicine using our Price a Medication tool. To calculate your total daily dose, multiply the amount of medicine by the number of times you take it every day. Example. You take 2 tablets 4 times per day., If you’re trying to find someone’s phone number, you might have a hard time if you don’t know where to look. Back in the day, many people would list their phone numbers in the Whit..., This brochure will help you know about the different ID cards you may see in your practice from members who have Blue Cross coverage. All Blue Cross Blue Shield of Michigan …, , Step 2 Enter RxPCN: A4 Step 3 Enter RxGrp: TRRX Step 4 Enter Cardholder ID Step 5 Enter Date of Birth Step 6 Enter Prescriber’s DEA Number Page 1 of 3 Other Helpful Phone Numbers: DoD TRRx Prior Authorization fax number 866-684-4477 DoD TRRx Prior Authorization direct physician line 866-684-4488 ESI Fraud Tip Hotline: ..., RXPCN (Processor Control Number) 1Ø4-A4 *Please reference end of document RXGRP 3Ø1-C1 *Please reference end of document Date of Service 4Ø1-D1 Date of Service: MM/DD/YYYY Service Provider ID 2Ø1-B1 Pharmacy National Provider ID Patient Name 31Ø-CA, 311-CB Member First, Last Name Date of Birth 3Ø4-C4 Member Date of Birth: …, This card will include new information needed to use your coverage at the pharmacy. You’ll need to begin using this new card on Jan. 1, 2023, for your prescription medicine to be covered correctly. You can also use your digital ID card, which is always up to date in the BCBSM mobile app. Don’t use this card before Jan. 1, 2023 and destroy ... , The person code for the card holder is the -00 at the end of the id# but don't put that into the id#, it will make it harder to add dependents later on. Cardholder is -00, spouse -01, oldest child -02 ,etc. If the person has Priority Medicare though, you DO put the -00 in the cardholder ID but not in the person code. Their group is PHMEDCR., Depending on your plan, you received either a prescription benefit ID card or a combined ID card for both your medical and prescription benefits. You can find your member ID number on this card. If you can’t find the answer to your question, please contact us. Millions trust Express Scripts for safety, care and convenience. , What is TriCare Rx Bin Number? RxBin is Express Scripts 003858 RxPCN A4. What is the full form of Rx BIN or Rx PCN? I am by no means a technical expert on the subject, but I will give the basic information that I have learned by working in numerous pharmacies. Rx "BIN" refers to Bank Identification Number, which basically routes …, RxPCN: ADV RxGRP: RX7316 Issuer (80840): 9151014609 ID: _____ NAME: _____ Present this card at any participating retail pharmacyto obtain your short-term supply of medicine. For additional pharmacies go to www.caremark.com or contact a Customer Care representative. Customer Care: 1-888-202-1654 Submit paper claims to:, non-SSN member identifier, the Rx BIN number, and PCN, all of which are mandatory fields needed for successful claims processing. For the clients listed below, Pharmacy must submit claims to Medco through the TelePAID® System using: • The RxBIN # 610014 • The RxPCN MEDDPRIME • The Rx Group number as listed below, It is an 8-character numeric or alphanumeric string. The Rx PCN is an identification number used to route pharmaceutical transactions. It indicates which processor will handle your claim. In addition, the PCN is connected to your insurance. It shows whether your insurance plan covers your prescription., Pharmacy Facts, Number 190 Page 2 of 2 Please direct any questions or comments (or to be removed from this fax distribution) to [email protected]. 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 Cooperative (C3), 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 (4Ø7-D7) is zero (Ø) 442-E7 Quantity Dispensed R 4Ø3-D3 Fill Number R