These identify the institution that issued the card to the card holder. Medicare evaluates plans based on a 5-Star rating system. Copy and paste this code when prompted. 039, 040, 041, 042, 043, 046, 051, 054, 806, 808, 810, 812, 002, 003, 004, 005, 007, 008, 010, 012, 013, 014, 015, 019, 020, 021, 024, 025, 027, 031, 032, 036, 037, 038, 041, 049, 050, 052, 053, 054, 055, 056, 057, 058, 059, 060, 061, 062, 063, 064, 065, 066, 067, 069, 071, 072, 074, 081, 087, 088, 089, 090, 091, 093, 094, 095, 096, 097, 098, 099, 100, 802, 804, 805, 807, 808, 811, 013, 014, 015, 016, 022, 805, 807, 809, 810. Region BIN PCN/ Group Help Desk HealthTrans UNA Cash Discount-Free Drug Card HealthTrans National 009992 Gr HTAWEST01, HTAPORT01, USPG0023 866-257-1419 Health Xcellence (HBRx) SXC National Call h/desk 800/282-3232 Health Net Caremark/ PCS National 004336 ID Card 800/364-6331 Health Net of Arizona Regular update v 15.5: added/edited 9200+ records. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Minnesota Health Care Programs providers billing for prescriptions for members in managed care organizations (MCOs) need to use the MCO's identification bin and PCN information. GoodRx Gold ™ provides incredible savings for your family's prescriptions at pharmacies near you. We do not sell leads or share your personal information. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. money from Medicare into the account. BIN Lookup. SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC. WELLCARE HEALTH PLANS OF NEW JERSEY, INC. WELLCARE HEALTH INSURANCE COMPANY OF NEW HAMPSHIRE, 017, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 035, 036, 037, 038, 039, 042, 002, 006, 011, 014, 016, 040, 041, 801, 802. Can you obtain a BIN without having employees? 041, 042, 043, 044, 045, 046, 047, 048, 049, 064, 065, 066, We are not compensated for Medicare plan enrollments. Pharmacy Search With over 60,000 participating retail pharmacies in our network, it is easy to locate one near you. More than 140+ prescriptions for $10 or less, and it's so easy to use. COVENTRY HEALTH CARE OF WEST VIRGINIA, INC. Commercial and Medicaid BIN: 610494 PCN: 9999 COMMUNITY HEALTH BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 MedalistRx BIN: 016580 PCN: - A protection code will appear. The BIN, or bank identification number on your health insurance card, is a six-digit number that tells the computer database at the pharmacy which health insurance provider is to receive the claim for your prescription. Sign-up for our 2022 Medicare Part D Reminder Service, Sign-up for our Medicare Part D Newsletter, Have a question? Medicare has neither reviewed nor endorsed the information on our site. The SPAP/ADAP information contained in this spreadsheet was self-reported to NCPDP. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. 067, 068, 071, 074, 075, 076, 077, 078, 079, 080, 081, 082, pcn/jcc-bu This employee directory is provided as a resource to aid in conducting business with the State of Alaska. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. /INS: Specify a Name : Allows you to specify an insurance name instead of a bin group. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 038, 039, 040, 041, 042, 043, 044, 045, 046, 801, 804. gcse.type = 'text/javascript'; Please contact the plan for further details. This card is good for as Compare - … var s = document.getElementsByTagName('script')[0]; Search the BIN database for Visa, Mastercard and Amex BIN numbers.. 6 Questions About Fraudulent Transactions, Prevent Fraud For Merchant Account Holders. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. Regular update v 15.4: added/edited 26800+ records. Verify eligibility for Medicaid or LIS through the following means: • Medicaid ID card The above chart is the first page of the 2020 Medicare Part D pharmacy BIN and PCN list (E0654 - H2334). This card replaces your HFS medical card. Clarification of Unique BIN (or BIN/PCN) Requirements as of January 1, 2012 (v.11.12.10) (PDF) Home A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Find a 2021 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2021 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2021 Medicare Plans, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2021 Medicare Advantage Plans State Overview, 2021 Medicare Advantage Plan Benefit Details, Find a 2021 Medicare Advantage Plan by Drug Costs. The RxBIN, RxPCN, contact information must be the same data reported to CMS. Regular update v 15.6: added/edited 6200+ records. UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC. WELLCARE HEALTH INSURANCE COMPANY OF AMERICA, CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANY, 015, 017, 021, 026, 028, 029, 031, 037, 041, 042, 043, 044, 045, 803, 804, 002, 003, 015, 029, 034, 035, 036, 037, 805, 807, 809, 811, 008, 010, 013, 030, 031, 032, 033, 038, 1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D.0 M 1Ø3-A3 Transaction Code B1=Billing M 1Ø4-A4 Processor Control Number As indicated above M 1Ø9-A9 Transaction Count 1=One Occurrence 2=Two Occurrences 3=Three Occurrences 4=Four Occurrences M (BIN 61ØØ56 only allows TRANS COUNT = 1). Contact the Medicare plan for more information. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). Medicaid 1-866-935-8874. 020, 021, 023, 024, 029, 030, 031, 032, 035, 036, 037, 039, The first 6 or 8 digits of a payment card number (credit cards, debit cards, etc.) Keep your KHC Client ID ready when calling. SEARCH BIN DATABASE | BIN LOOKUP | BIN CHECKER. VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC. GOOD SAMARITAN INSURANCE PLAN OF SOUTH DAKOTA, INC. COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC. HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC. 013, 024, 028, 032, 033, 034, 038, 039, 041, 044, 047, 048, 049, 801, 807, THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION, KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES, 001, 002, 004, 006, 008, 009, 010, 801, 803, 804, 001, 002, 010, 011, 013, 016, 017, 018, 019, 029, 030, 031, 032, 033, 034, 035, 036, Limitations, copayments, and restrictions may apply. Bin List /BIN: Specify a Bin : Allows you to specify an individual bin number instead of a bin group. 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, var gcse = document.createElement('script'); The tool is provided for informational purposes only. BIN Number: Please search: Brand: Type: Prepaid? If the E1 query does not return plan enrollment data, go to Step 3. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. This information must be reviewed yearly or whenever data is updated. Texas Drug … •If you are a Limited Liability Company (LLC) filing with the IRS as a corporation, you are required to have a BIN to report corporate officer compensation. Star Ratings are calculated each year and may change from one year to the next. They're mostly good for figuring out who issued a card, where it's from, and what type of card it is. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Enrollment in Empire BlueCross BlueShield depends on contract renewal. 832, 833, 834, 835, TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK, ALLIANCE HEALTH AND LIFE INSURANCE COMPANY. About BIN Checker Tool. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 7500 Security Boulevard, Baltimore, MD 21244 /BINA: AmWINS : 011289, 013492, 013527, 014848, 015178, 015185, 016341 /BINB: Argus '//cse.google.com/cse.js?cx=' + cx; Pharmacy Help Desk Pharmacy Claims Online Drug Search; PerformRx. Providers who do not contract with the plan are not required to see you except in an emergency. s.parentNode.insertBefore(gcse, s); Quick BIN Lookup. Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). (function() { Contact Center P.O. In certain situations, you can. Copyright 2008-2021 BinBase.com, Ltd. All Rights Reserved. MODOT/MSHP MEDICAL AND LIFE INSURANCE PLAN, 001, 004, 007, 011, 013, 014, 015, 016, 017, We therefore urge employers to use the online resource, or the PCN Verifier smartphone app. 3=Three Occurrences . BIN Checker tool is designed to check the existence of a Bank Identification Number (BIN) base on updated database. MARTIN'S POINT GENERATIONS ADVANTAGE, INC. UNITEDHEALTHCARE COMMUNITY PLAN OF CALIFORNIA, INC, BRIGHT HEALTH INSURANCE COMPANY OF TENNESSEE. - Enter the card’s BIN number in the search field below. Contact the plan provider for additional information. The benefit information provided is a brief summary, not a complete description of benefits. BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan The three tables below shows the correct combinations effective March 1, 2018, for pharmacies to use when submitting MassHealth ACO/MCO/FFS pharmacy claims. Browse 2021 Medicare Part D prescription drug plans Browse 2021 Medicare Advantage plans (MAPD) 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 most of you Medicare plan correspondence or printed information (such as your plan's Welcome letter and Evidence of Coverage … Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY. For more information contact the plan. 083, 084, 085, 086, 805, 808, 809, 811, 812, 813, 814, 816, The TrOOP Facilitator uses these transactions to attempt to generate N transactions, which are used by Part D plans to adjust beneficiaries’ TrOOP balances. Search: Search. gcse.async = true; If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. 'https:' : 'http:') + PBM BINs Help Desk 4D Management Systems, Inc. 600428 800-522-7487 Agelity, Inc. 009265, 610198, 012965 800-837-0581 Applied Underwriters, Inc 13329 877-234-4420 To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). BIN number refers to the first six digits of any card. Click here for the second page (H2354 - H4093), third page (H4094 - H6293), fourth page (H6306 - H9431) and fifth page (H9438 - S9701). •A sole proprietor or Limited Liability Company (LLC) operating without employees doesn’t need a BIN, but they may choose to get one. Use the form below to search for PCN certified NDT practitioners. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 1Ø1-A1 Bin Number Ø14179 M Y int 6 1Ø2-A2 Version/Release Number M NCPDP version D.Ø Y enum 2 1Ø3-A3 Transaction Code B1 M Billing Transaction Y enum 2 1Ø4-A4 Processor Control Number 9743 M Y string 1Ø 1Ø9-A9 Transaction Count 1, 2, 3 or 4 M Up to 4 per transmission Y int 1 You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. })(); Chart of 2020 BIN and PCN values for each Medicare Part D prescription drug plan Part 1 of 5 (E0654 through H2334). For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. See http://ncpdp.org/Resources/SPAP-ADAP-BIN-PCN for instructional documents and other information. area. The online certificate verification facility at www.bindt.org/pcn continues to be updated on a regular basis. Plan PBM Phone BIN PCN Group OHA (Fee-for-Service or “Open Card”) 888-202-2126 014203 ORDHSFFS Advanced Health 800-788-2949 003585 38900 AllCare 800 -788 2949 003585 38060 Cascade Health Alliance 800-788-2949 003585 38960 Columbia Pacific CCO 866-843-5126 610011 IRX CORMCAID Eastern Oregon CCO There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Copy and paste this code when prompted. Empire BlueCross BlueShield is an HMO plan with a Medicare contract. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. Select a network pharmacy to fill your workers’ compensation prescriptions, to ensure a fast, easy and hassle free experience. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2020 Medicare Part D plan sponsor. BIN number refers to the first six digits of any card. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Country: Bank: Website: Phone # Credit card BIN/IINs (Bank/Issuer Identification Numbers) identify several things about a credit card. Box 489 Buckeystown, MD 21717 Headquarters 20440 Century Blvd., Suite 250 Germantown, MD 20874 Hours: M-F 9am-5pm EST Phone: (800) 675-8416 Fax: (800) 282-7692 Email Us. Medicare MSA Plans do not cover prescription drugs. 1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D.0 M 1Ø3-A3 Transaction Code B1=Billing M 1Ø4-A4 Processor Control Number As indicated above 1=One Occurrence 2=Two Occurrences 3=Three Occurrences M 1Ø9-A9 Transaction Count : 4=Four Occurrences. Click here to let us know. - Click “Search”. 1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D.0 M 1Ø3-A3 Transaction Code B1=Billing M 1Ø4-A4 Processor Control Number As indicated above M 1Ø9-A9 Transaction Count 1=One Occurrence 2=Two Occurrences . For KHC drug claims, the BIN is 610084, the PCN is DRTXPRODKH and the Group is KHC. What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? Currently, there are more than 300,000 unique BIN in our database. Please note, the data below is Part 1 of 5 (E0654 - H2334) with links to Parts 2 through 5. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. For questions regarding claims, call 800-222-3986. Our. We are an independent education, research, and technology company. Historical NCPDP SPAP ADAP BIN PCN Spreadsheet. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. The above chart is the first page of the 2020 Medicare Part D pharmacy BIN and PCN list (E0654 - H2334). 4=Four Occurrences. Medicare 1-866-935-6681: 2021; Medicaid BIN # 019595; Medicaid PCN 6180000 817, 819, 820, 821, 823, 824, 825, 826, 827, 828, 829, 831, How to use our BIN Search: - Enter the card’s BIN number in the search field below. Those who disenroll HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO, COVENTRY HEALTH AND LIFE INSURANCE COMPANY. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. The Supplemental Payer Routing BIN/PCN table is used by switches to determine which transactions are routed to the TrOOP Facilitator and to identify, transmit and process B transactions through the coordination of benefits (COB) process. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. 1Ø1-A1 BIN Number 013089, 610468 006144, 004245 610449, 610474 603604, 007093 610473, 601475 012189, 013303 014046, 610130 610477, 610239 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing The plan deposits Inflation Calculator. Empire HealthChoice HMO, Inc. (Empire) is the legal entity that has contracted with the Centers for Medicare & Medicaid Services (CMS) … Put in any part of the name or PCN number of the practitioner if you know it. » Answers to Your Medication Questions, Free! NCPDP maintained an SPAP/ADAP list prior to the publishing of the CMS list in April 2019. - Enter the captcha code. are known as the Issuer Identification Numbers (IIN), previously known as Bank Identification Number (BIN). SUPERIOR HEALTHPLAN COMMUNITY SOLUTIONS, INC. WELLCARE HEALTH INSURANCE OF NEW YORK, INC. BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN. gcse.src = (document.location.protocol == 'https:' ? Added Bin 020123 and Helpdesk number Added PCN IRXCOMAP Added field 46Ø-ET Quantity Prescribed (Effective 09/21/2020) Moved BIN 610502 to Payer Sheet (no changes were made to current setups) o Added PCNs 00670000 o Added Helpdesk number 1-8ØØ-238-6279 Added Bin 020388 and Helpdesk number Public users are responsible for using this directory and the communications systems in an efficient, effective, ethical and lawful manner. Kindly take note that, the database is accurate but not perfect. 3. during the calendar year will owe a portion of the account deposit back to the plan. - A protection code will appear. • BIN/PCN: submit the claim to the plan indicated • Contract ID number and help desk number : contact the plan for 4Rx data . 1Ø1-A1 BIN Number 610415, 004336 610029, 610468 006144, 004245 610449, 610474 603604, 007093 610473, 601475 012189, 013303 014046, 600042 610130, 610477 610239, 021007 610084, 610591 021338, 020099 020123, 610502 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD.Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction RX Bin#: BIN4 RX PCN#: PCN4 RX Group: RxGroup4 Primary Care Provider Phone: (004) 004-0004 This is a really long PCP name to test for wrapping of the PCP name 4 should have received a Molina Healthcare member ID card in the mail.