Managed Care in Alabama – Medicaid.gov. Shaun M . Kentucky Medicaid BIN/PCN and Group Numbers. Express Scripts: 1-844-367-6112. 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 Juvenile Justice. Georgia Families® Quick Reference Guide – Georgia Medicaid. 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… Can I use this service without a member number? 4 years ago. 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 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. A current list of the services that require authorization is available via the Provider Portal. 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. Source(s): https://shrink.im/a9Jno. Georgia Families® Quick Reference Guide – Georgia Medicaid. MCO Contact: Darlene L. DeMore. Amerigroup Community Care. Please enter Group Number (F14) when submitting claims. Aetna Life Insurance Company, located at 151 Farmington Avenue, Hartford, CT 06156, 1-877-698-4825 (TTY: 711), is the Discount Plan Organization. Member numbers are often made up of all numeric digits and are usually nine to 10 characters long. Harrisburg, PA 17111. The group plan number is the number your employer is given to identify their employee health insurance policy. Please enter Group Number (F26) when submitting claims. Location Exam Selected Location and Exam. PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 Group Number CVTYWVM THPWVMC WFWA . Lv 4. 1171. Payment Confirmation Number (PCN). 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. Reporting & Tracking Tools • Custom Tools Reports: Open Claims Pharmacy Analysis . N.W. 65085. Roofers & Employers Health & Security Trust Fund. Not all entities use a PCN. Aetna Better Health. aetnavitalsavings.com. The PCN is defined by the PBM as this identifier is unique to their business needs. • 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. 2021 Premier HSA Plan Member Reference Guide … 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. Express Scripts: 1-844-367-6112. Do not use the State PCN – for any POS transactions! Bin. You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?" Pcn Number. com. 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. 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. Learn More. 6 0. capel. 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. Additional Information Required for Pharmacy Claim … Express Scripts. COMMERCIAL. In most cases, your group number precedes your member number on your prescription benefit card. Check the back or the bottom of the card for telephone numbers or addresses, and write these down. As an employee, you are a part of that plan. Click here for the first page (E0654 - H2235), second page (H2237 - H3959), third page (H3962 - H5928) and … For claim submission, as of 12/1/2020. Juvenile Justice. 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 … 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 … Search for Important Phone Numbers. 2021 Salaried HRA Plan Member Reference Guide PDF; Salaried Premier HSA Plan Participants . Number. 2000 Market Street, Suite 850. Prescribers: For Prior Authorization call (800) 417-8164. 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 Scripts. How do I know if I am an Express Scripts member? 91136. Director, Regulatory Compliance. and . Phone: 717-829-2296. (See image below) Not all entities use a PCN. 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. • For technical support or assistance with your online account, please call 800.711.5672 About Your Prescription Plan. Billing & Claims Payment. Philadelphia, PA 1910. 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 … Aetna Better Health of Kansas requires prior authorization for select, acute outpatient services and planned hospital admissions. 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. through the Aetna Specialty Pharmacy Network. • HIC ID AETAZ0007 BIN (610502) PCN (VACLM) for Aetna Rx • DO NOT SEND PAPER! CMO Pharmacy Contact Information. Location Exam Contrast Additional Notes Action *History/Reason for … Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Start saving up to 87% on your prescription medication today. Please enter Group Number (F15) when submitting claims. Box 7012 Downey, CA 90242 Rx PCN … The telephone numbers and … Referral Information; Document Upload; Referral Information. BIN: 003858 | PCN: MA | Group: WKJA. Aetna Better Health. Prescription Drugs . What is the Express Scripts Phone Number? You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?." checking eligibility – HealthChoices – PA.gov. Number (PCN). … Amerigroup Community Care. 91136. Phone: 215-282-3539 cakee@aetna. CVS Caremark CVS Caremark CVS Caremark. Textile Processors. Enrollment in our plans depends on contract renewal. Salaried HRA Plan Participants . of Alabama (PCNA), in … 1172. The State PCN is reserved solely for Medicaid Subrogation transactions. Your group number is exactly what it sounds … Our SNPs also have contracts with State Medicaid programs. 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 … 9 years ago. 1173. • For general questions, please call our Patient Customer Service at the number on your member ID card or call 800.282.2881. Group numbers are often shorter and may contain both alpha and numeric characters. As an Aetna … CMO Pharmacy Contact Information. Lv 5. Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. This plan is available to anyone who has both Medical Assistance from the State and Medicare. COMMERCIAL. www.medicaid.gov. 17. Aetna … CVS Caremark Express. 0 1. Prescription drugs are often an important part of your health care. 3721 Tecport Drive. N.W. 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 […] What Is a Health Insurance Policy Number? Start saving immediately by submitting this card to the pharmacy with your prescription. Processor Control Number (PCN): secondary identifier that may be used in routing of pharmacy transactions. BIN: 003858 | PCN: MA | Group: WKJA. 2. Pharmacy providers should ask members for an MCO identification card to verify MCO enrollment in addition to the Medicaid card. 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