Rx pcn number aetna.

Rx pcn number aetna Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , fourth page (H5163 - H6832) , fifth page (H6846 - H8998) , and sixth page (H9001 - X0001) . (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *012114 1-8ØØ-364-6331 Legacy PCS *012114 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 Legacy CRK *012114 1-8ØØ-421-2342 Legacy PHC 610468 1-8ØØ-777-1Ø23 Aetna 610502 1-8ØØ-238-6279 Aetna BIN/PCN Requirements RXBIN 610502 . We deliver what’s right for you by listening to you—and connecting you to creatively customized pharmacy benefit manager (PBM) plans to match. Meritain Health Pharmacy Solutions (MPS) knows great pharmacy coverage makes any health care plan complete. Health insurance cards in the U. I then called the pharmacy and they explained they still wouldn't be able to fill the prescriptions without a BIN number, PCN number, and Rx Group number. Box 981543, El Paso, TX 79998-1543 Provider Calls: 1-888-238-6277 Card Front 1. Jul 1, 2021 · Aetna Better Health of VA 1-866-386-7882 610591 ADV RX8837 Anthem HealthKeepers 1-855-323-4687 020107 FM WQWA Molina Complete Care 1-800-424-4524 016523 62282 VAMLTSS Optima Family Care 1-844-604-9165 003858 MA OHPMDCD UnitedHealthcare 1-855-873-3493 610494 4900 ACUVA . Your RX Group is used by your pharmacy to process your prescription benefit; Your BIN or bank identification number tells your pharmacy that you are covered by Blue Cross and Blue Shield of Vermont. Insured’s Identification Number. PCN: ADV. BOX 981543 El Paso, TX 79998-1543 ID#: 5000096564 RX USA Pharmacy Access This membership card is only valid to access Convenience Clinics in the U. Aetna will respond back to the pharmacy in the message text fields indicating any other coverage that may apply to Medicare Part D members. It includes Medicare Parts A and B (Original Medicare) plus Part D. Front of Pharmacy-only ID Card Requirements: 1. Processor Control Number on a Health Insurance Card (2025 Details Explained) | FreeAdvice • Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. Call one of our Aetna pharmacy customer service professionals. 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) . Box 7012 Downey, CA 90242: Rx PCN for MMA: SCCMS Rx PCN for HDHP: SCHP Rx PCN for HMO: 70000: MediExcel • Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. For pharmacy support, please reference the Pharmacy Help Desk phone number on the member’s ID card. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ -238-6279 08/04/2020 Page 4 of 24 Dec 24, 2022 · The chart below is the fifth page of the 2023 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H7245 through H9649. It indicates which processor will handle your claim. 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 Meridian Health Plan 003858 MA 2EPA Rx BIN Number PCN Rx BIN: 610502 Rx Group: Aetna PCN: 00670000 Rx BIN: 020099 PCN: IS Rx BIN: 004336 PCN: 77993333 RX BIN: 003585 RX PCN: ASPROD1 RX BIN: 003858 PCN: A4 * Rx BIN: 004336 PCN: HNET HMO: Rx BIN: 3585 Rx Group: Not Required Tax ID: 94-1340523 Medicare Part D: Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address: P. Your Customer Care Phone Number 4. To find a list of commonly covered drugs, you’ll need the pharmacy plan name. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 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 HMO: Rx BIN: 3585 Rx Group Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 32 Jan 26, 2025 · The chart below is the third page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3330 through H4694. If you have pharmacy benefits through Blue Cross, the back of your ID card will have VERMONT BLUE Rx printed on the bottom. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/04/2020 Page 4 of 23 We would like to show you a description here but the site won’t allow us. Look for a section displaying the pharmacy name, contact number, and the RxBIN as a part of this information. Easily fill out PDF blank, edit, and sign them. 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 LDI / CastiaRx BIN: 020321 BIN: 800010 PCN: COM PCN: LDI SavaScript Value Services BIN: 023153 PCN: HT We would like to show you a description here but the site won’t allow us. This ensures that the prescriptions are paid and processed correctly. Pharmacy Information: Another common place to find the RxBIN number is alongside the pharmacy contact information on the card. (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *012114 1-8ØØ-364-6331 Legacy PCS *012114 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 Legacy CRK *012114 1-8ØØ-421-2342 Legacy PHC 610468 1-8ØØ-777-1Ø23 Aetna 610502 1-8ØØ-238-6279 CarelonRx 020099 When a medication isn't on our formulary (drug list) or has a utilization management requirement, you’ll want to request pharmacy PA. Click here for the first page (E3014 - H1862) , second page (H1889 - H3329) , third page (H3330 - H4694) , fourth page (H4699 - H6079) , fifth page (H6080 - H8019) , and seventh page (H9998 At Aetna Better Health ® of Illinois, we make sure that you have all the right tools and technology to help our members. RxBin - the Bank Identification Number routes a claim towards the right insurance; RxPCN - the Processor Control Number further narrows the claim to the specific insurance; ID - the member's designated identification number Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. You can reach them toll-free at 1-800-238-6279 (TTY: 711) . 0 Claim Billing Or Re Bill D. They all work as a team to 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. The RxPCN (Processor Control Number) further refines the claim by routing it within the PBM system. FIRST LAStNAME 999-999-9999 PROV e: 9999999999 004336 Rx3892 Health Partners Plans KidzPartners Added BIN/PCN Combination BIN 020107 PCN IRXKS (Effective 1/1/2025) Aetna Better Health 610591 1-877-874-3317 M Rx Number 436-E1 Product/Service ID Qualifier Effective January 1, 2024, Centene Medicare will transition to Express Scripts as their pharmacy benefits manager. Other PCNs may be required as communicated or printed on card. Cigna, Aetna, Kaiser y Humana son algunos de los nombres de planes más comunes. Pharmacy Coverage. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 32 Dec 13, 2021 · Rx BIN stands for “Bank Identification Number” and acts as a numeric code that tells pharmacies which pharmacy benefit manager (PBM) to bill for a prescription. This is known as a Medicare Part C plan. S. The Aetna Whole Health SM network includes a group of doctors, hospitals and other health care providers. Or manage your CVS Pharmacy® refills. Some Aetna plans come with added benefits like dental, eyewear or hearing aid coverage. Feb 22, 2022 · 4. Make sure the transfer went through. What is RX bin Aetna? The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. Or choose “Go on” to move forward to Aetna. M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. Member Services | Phone: 1-866-246-4358 TTY: 711. REJECTS for Invalid BIN/PCN Submissions Will Begin Wednesday, March 28, 2012 . (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ -238-6279 08/04/2020 Page 4 of 24 Mar 30, 2022 · The PCN number, or Prescription Control Number, is located near the bottom of the Aetna insurance card. Nov 4, 2023 · A Bin number, also known as a Bank Identification Number, is a vital component of your insurance card. It serves as a unique identifier for your prescription drug plan. Medallion 4. Your Rx Information 5. Click here for the first page (E3014 - H1862) , second page (H1889 - H3329) , third page (H3330 - H4694) , fourth page (H4699 - H6079) , sixth page (H8026 - H9986) , and seventh page (H9998 Added new BIN/PCN combination: BIN 026150 PCN SSRX50 Added new BIN/PCN combination: BIN 027547 PCN SSRX42 *UPDATED* Added new BIN/PCN combination: BIN 027555 PCN SSRX42 *UPDATED* Added new BIN/PCN combination: BIN 027570 PCN SSRX42 *UPDATED* Removed sunset BINs/PCNs Removed BIN: 026696 Added back BIN 004336 PCN HNET Jan 26, 2025 · 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 on most of your Medicare plan's correspondences and printed information (such Aetna US Healthcare Aetna National 610502 00670000 800/238-6279 Aetna US Healthcare-APNA Aetna National 610502 670000 800-238-6279 Aetna Member's Plan Aetna National 610502 800-238-6279 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 Pharmacy Help Desk. If you only have a medical insurance card and need to find your pharmacy benefits information, you can contact your insurance for this information. Box 7012 Please contact Costco Health Solutions Customer Care toll-free at the number listed on your pharmacy benefit member ID card. Or choose “Go on” to move forward to the main Aetna® Medicaid website. May 6, 2025 · 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 Group: SC Tax ID: 94-1340523 COB Address P. Aetna Better Health provides the general info on the next page. Health benefits and health insurance plans contain exclusions and limitations. El nombre del plan se refiere al nombre del plan o cobertura que tiene de su proveedor de seguro médico. You may also get a special network of doctors working together for you. 24-Hour Nurse Advice Line | Phone: 1-866-246-4358. This information is to be located at the top of the card. The Rx bin number serves as a six-digit identifier that uniquely identifies the claims processor or pharmacy benefit manager (PBM). Click here for the second page (H2001 - H3563) , third page (H3572 - H5325) , fourth page (H5337 - H7322) , fifth page (H7323 - H9686) and sixth page (H9699 - S9701) . (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 24 In the pharmacy industry, the BIN number may represent the address of a large computer and the PCN 1234567890 . Mail / Specialty Pharmacies or Retail Pharmacies submitting claims, with Sales Tax, are required to submit the values detailed below. Read more on this in our section on using an out-of-network pharmacy. Apr 1, 2025 · Pharmacy Benefit Administrator, BIN, 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 Mar 7, 2022 · The chart below is the first page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H1997. You can see if your drugs are covered. Card Issuer Name or Logo. What happens if my pharmacy doesn’t have the medicine I need? You’ll be able to get a 72-hour supply of medicine from a different pharmacy. Click here for the first page (E0654 - H2235) , third page (H3962 - H5928) , fourth page (H5928 - H8634) and fifth page (H8634 - S9701) . Enrollees have the option to sign up for automated mail-order delivery. Jan 26, 2025 · The chart below is the sixth page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H8026 through H9986. 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 (PDP), and Stand-alone Medicare See full list on ncesc. [1] The card details your group number, plan type (HMO, PPO, EPO, etc. " "All prescriptions submitted to Aetna for online adjudication must use BIN code 610502 . That’s why we’ve partnered with CoverMyMeds ® and Surescripts to provide you with a new way to request a pharmacy prior authorization with our ePA program. Plan name. Buckeye Health Plan. Does your Aetna® plan cover your medical care and prescriptions (Medicare Parts C and D)? Aug 23, 2023 · And one of those is your Rx BIN number. Jan 1, 2021 · 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/Group Feb 22, 2025 · The RxBIN (Bank Identification Number) directs the claim to the appropriate pharmacy benefits manager (PBM). (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 29 Oct 23, 2021 · Aparte de BIN, RX, RXGRP y PCN, hay otra información importante en su tarjeta de seguro. 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 Dec 29, 2022 · MCOs** PBM BIN PCN Group Pharmacy Help Desk WellSense Health Plan Express Scripts 003858 MA MAHLTH (877) 401-2069 (ESI) Tufts Health Together OptumRx 610011 IRX RXMCDMA (866) 828-6668 (Optum Rx) PCC Plan PBM BIN PCN Group Pharmacy Help Desk Primary Care Clinician (PCC) Plan Conduent 009555 MASSPROD MassHealth (866) 246-8503 Pharmacy Help Desk Information The Pharmacy Help Desk number is provided below: System BIN Help Desk Number Legacy ADV *004336 012114 013089 1-8ØØ-364-6331 CVS Caremark® 610591 As communicated by plan or refer to member ID card. Box 981543, El Paso, TX 79998-1543COPAY Aetna ID Number Aetna ID Number: 012345678 PPO/NAPAetna Group Number Apr 1, 2023 · Pharmacy Benefit Administrator, BIN, 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 Prior authorization is required for some medications. (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *004336 1-8ØØ-364-6331 CVS Caremark® 610591 As communicated by plan or refer to ID card Aetna 610502 1-8ØØ-238-6279 CarelonRx 020115 020388 1-833-377-4266 The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe. ” The Rx symbol indicates if your insurance includes prescription coverage. Take a minute to review our current guidelines. • Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. Click here for the first page (E3014 - H1862) , third page (H3330 - H4694) , fourth page (H4699 - H6079) , fifth page (H6080 - H8019) , sixth page (H8026 - H9986) , and seventh page (H9998 Express Scripts resources for pharmacists. New members can utilize Rx BIN and PCN numbers, even before obtaining a new ID card, to collect new Aetna ID Number: 012345678 PPO/NAP Aetna Group Number: 0863970-040-00200 Aetna Claims Submission Electronic Claims Payer ID: 60054 P. If you don’t want to leave our site, choose the “X” in the upper right corner to close this message. Jan 10, 2024 · 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. 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 Feb 18, 2025 · You may want medical plus prescription coverage. 610502 . Pharmacy benefit managers are organizations that work with insurance companies to manage prescription drug benefits. (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *012114 1-8ØØ-364-6331 Legacy PCS *012114 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 Legacy CRK *012114 1-8ØØ-421-2342 Legacy PHC 610468 1-8ØØ-777-1Ø23 Aetna 610502 1-8ØØ-238-6279 CarelonRx 020099 Mar 7, 2022 · 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. Your Aetna ID Number 3. Rx GRP. I decided I was still interested with going ahead with CVS. Aug 1, 2020 · 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. The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. The Rx PCN is an identification number used to route pharmaceutical transactions. A BIN number identifies your insurance company. 0 Health Plans RxBIN RxPCN RxGRP Pharmacy Help Desk. Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fifth page (H8634 - S9701) . BIN/PCN Table . For any other services, including hospitalizations, please call 1-855-276-VUMI (8864) or +1-214-276-6376 or email notify@vumigroup. Should you need to fill any medications before your ID card arrives, please provide your pharmacist with the following information: BIN – 004336; PCN BIN_PCN BIN_PCN E0654 IBT VOLUNTARY EMPLOYEE BENEFITS TRUST 801 IBT Voluntary Employee Benefits Trust (Employer PDP) 610097 Aetna Medicare Rx Plan (PDP) S5820 S5877 To fill out the RX PCN number for Aetna, you need to enter the PCN number in the appropriate field on the pharmacy claim form, typically alongside other required information, such as patient details and prescription information. Apr 29, 2025 · Make the most of your pharmacy benefits. The Bin number is an essential element in the pharmacy billing process, allowing healthcare providers to verify your coverage and submit claims to your insurance company. What is the Pharmacy Lock-in program? This program helps to prevent potential abuse or misuse of medical or pharmacy benefits. PCN: COMSEGADV. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number Nov 17, 2023 · A PCN number, or Pharmacy Benefit Manager Control Number, is a unique identifier that is assigned to a pharmacy benefit manager. If you don’t want to leave your state site, choose the “X” in the upper right corner to close this message. Community Plan 911-87726-04 Member ID: 999999999 Member: Subscriber Brown PCP Name: Provider Brown PCP Phone: (999) 999-9999 copay CIER by payer 10. Not sure of the plan name? If you’re an Aetna member: You can find your pharmacy plan name in your Summary of Benefits and Coverage (SBC Learn how Aetna’s pharmacy management tools, like electronic prescriptions, preferred drug lists and clinical policy bulletins can help you serve your patients Nov 16, 2023 · Scan the card for a section labeled with these terms and look for a six-digit number identified as the RxBIN. Use our “Member Log In” for more information or download our search tools or pharmacy guides. Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. Nombre del plan. Our customer service professionals are available 24 hours a day, every day. You can also learn about our pharmacy PA guidelines. 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. (24 hours a day) 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 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 Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. Display Rx BIN numbers, with examples including 610502 for OptumRx and 003858 for Express Scripts, as informed by YourInsurance. Jan 26, 2025 · The chart below is the fourth page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H4699 through H6079. Your Primary Network and Product 2. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 29 If Aetna Better Health® is the member’s primary plan: BIN#: 610591. Banner | Aetna members receive pharmacy benefits through Aetna. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/04/2020 Page 4 of 23 Aetna® provides info about COVID-19 on the next page. Log in to your secure member website to start now. 0 Health Plans Medallion 4. Member ID Number. The PCN number helps health care providers and Jan 26, 2025 · The chart below is the fifth page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H6080 through H8019. info . 3. 0 Payer Specifications ; DMAS 340B Frequently Asked Questions ; Pharmacy and Therapeutics Committee ; Drug Utilization Review Program ; Pharmacy Provider Manual ; Health Plan Rx BIN and PCN Numbers Pharmacy Benefit Rx Bin: 024251 Rx PCN: OHRXPROD Phone: 833-491-0344 Use Member ID for Billing Aetna Better Health® of Ohio Phone: 833-711-0773 Member Name <JaneHasVeryLongName> <Verylooooonglastname> Member ID Number <000000000000> Plan ID Number Primary Care Provider <Dr. Click here for the first page (E0654 - H2134) , second page (H2161 - H3655) , third page (H3660 - H5355) , fourth page (H5372 - H7220) , and sixth page (H9662 - S9854) . You or your doctor can call the Aetna Pharmacy Precertification Unit at 1-800-414-2386 ${tty}. Without the Rx BIN, PCN, and Group number, the pharmacy can’t bill their insurance right away, which could delay the patient’s medication. For example, Aetna cards sometimes only have a Member ID number and a RxBIN number. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 24 May 20, 2022 · What Is PCN on an Insurance Card? The meaning of Rx PCN is Processor Control Number. Sep 25, 2023 · LA Medicaid Pharmacy Single PBM for MCOs September 25, 2023 Page 2 BILLING THROUGH OCTOBER 27, 2023 Healthcare Provider Billing Pharmacy Help Desk Pharmacy Help Desk Phone Number Aetna BIN: 610591 PCN: ADV Group: RX8834 CVS Health (855) 364-2977 AmeriHealth Caritas BIN: 019595 PCN: 06030000 PerformRx (800) 684-5502 Pharmacy Help Desk. In some cases, Medicare lets you use an out-of-network pharmacy. Oct 1, 2022 · Pharmacy Benefit Administrator, BIN, 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 Apr 28, 2025 · Check for the last pharmacy that filled each of them. Plan Name/Group Name BIN PCN Legacy ESI Commercial ØØ3858 A4 (or as assigned by ESI) SC (When secondary to Medicare Part D only) But they should be personalized to adapt to your specific needs. View your prescriptions and more. UnitedHealthcare Community Plan BIN: 610494 PCN • Member name, ID number, DOB • Aetna Better Health of Illinois Logo / website • PCP name and phone number • Effective date of eligibility • Payer ID and claims address • Rx Bin Number & PCN number • CVS Caremark® number (for pharmacists use only) Presentation of an Aetna Better Health of Illinois ID card is not 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). 0 Health Plan & PBM Help Desk Phone Number RxBIN RxPCN Group Aetna Better Health of VA 1-855-270-2365 610591 ADV RX8837 Anthem HealthKeepers Plus 1-800-824-0898 003858 A4 WQWA UnitedHealthcare 1-844-284-0149 610494 4900 ACUVA Magellan Complete Care 1-800-424-4518 Posted by u/Zestyclose-Repeat761 - 1 vote and 2 comments NO ohiorise without CSP. 87726 OPTUMRx- ACUPA Rx PCN: 9999 Health Partners O LASTNAME 9999999999 99/99/9999 DR. Click here for the first page (E3014 - H1862) , third page (H3330 - H4694) , fourth page (H4699 - H6079) , fifth page (H6080 - H8019) , sixth page (H8026 - H9986) , and seventh page (H9998 Jan 26, 2025 · The chart below is the second page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H1889 through H3329. Click here for the first page (E3014 - H1862) , second page (H1889 - H3329) , fourth page (H4699 - H6079) , fifth page (H6080 - H8019) , sixth page (H8026 - H9986) , and seventh page (H9998 The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe. Rx ID: 012345678910 Rx Bin: 610014 Rx PCN: P. Group ID 123456789012345. Pharmacy-only ID cards are used solely to provide information about pharmacy benefits. BIN: 023286 | PCN: VRX | RXGRP: VMI Aetna prescription plans cover thousands of drugs. Check back with your new pharmacy. 2. O. Prescription drug BIN number. GRP: RX8849 APPENDIX A: BIN / PCN COMBINATIONS Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 . How are you supposed to process a prescription without the Bank Identification Number (BIN) and Processor Control Number (PCN)? This is the 1970's right? Reply reply 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. Pharmacy Help Desk. AETNA: P. Click here for the first page (E0654 - H2134) , second page (H2161 - H3655) , third page (H3660 - H5355) , fifth page (H7245 - H9649) , and sixth page (H9662 - S9854) . Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number Aug 1, 2020 · 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. The name or logo of the benefit administrator issuing the identification card. 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. What Is an Rx BIN Number On An Insurance Card and What Does It Stand For? Rx BIN number, consisting of 6 digits, is employed by health plans to facilitate the processing of electronic pharmacy claims. Indicates national coverage. ), and coverage type, providing insights into the benefits and services covered by your plan. 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. With ePA, you can look forward to saving time with: Regardless of the insurance company, the pharmacy is looking for four pieces of necessary information. GRP: RX8849 If member’s primary plan is a commercial plan: BIN#: 013089. Member Name • Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. Make sure your name is correct and the plan name that you enrolled in appears on your card. Rx PCN 610494 Jul 2, 2024 · PCN: SUPP NJ; GROUP: there is no Group DMAHS (Fee For Service) Aetna Better Health of New Jersey BIN: 10591; PCN: ADV; GROUP: RX8829 Aetna Better Health of New Jersey Fidelis Care BIN: 003858 PCN: MA GROUP: 2GDA Fidelis Care Horizon NJ Health BIN: 610606 PCN: HMC GROUP: HORIZON: Horizon NJ Health. 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. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 08/06/2020 Page 4 of 24 Cigna Extra Rx, Cigna Saver Rx, and Cigna Secure Rx (PDP): 017010 CIMCARE CIGPDPRX Cigna-HealthSpring Rx Secure, Cigna-HealthSpring Rx Secure-Extra, and Cigna-HealthSpring Rx Secure-Essential PDPs: 017010 CIMCARE CIGPDPRX Apr 1, 2025 · Rx stands for “prescription”; BIN stands for “bank identification number”; PCN stands for “processor control number”; and GRP stands for “group number. Learn how to request prior authorization here. This Rx Rx PCN. Then, they can start the transfer. 5. 4. Pharmacy PA guidelines • Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. Pharmacy Billing Information for Medallion 4. Call your new pharmacy to give them this list. Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , and sixth page (H9001 - X0001) . My parent said that they've presented the health insurance card at Walgreens to fill . Aetna Better Health 610591 1-877-874-3317 Partners 025052 1-8ØØ-364-6331 CarelonRx 020107 020396 When members take their prescription to an in-network pharmacy, they can show their member ID card along with this information: BIN: 610591; PCN: ADV; GROUP: RX8826; For payer sheets and other network or processing information, just visit the CVS Caremark® website. Nov 20, 2021 · On an Aetna card, this information is provided through the use of Rx bin numbers. Feb 13, 2024 · Your Aetna insurance card contains your name and unique ID number, essential for healthcare providers to access and verify your insurance benefits. In addition, the PCN is connected to your insurance. 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. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 31 Jul 1, 2023 · Pharmacy Benefit Administrator, BIN, 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 Pharmacy Claims:OptumRX, PO Box 650334, Dallas, TX 75265-0334 For Pharmacists: 1-855-873-3493 United Healthcare Community Plan 91 1-87726-04 CardinalCare Virginia's Medicaid program Member ID: 001500001 Group Number: VACCCP Payer ID: 87726 OPTUMRx' Member: NEW M ENGLISH Medicaid ID: PCP Name: DOUGLAS GETWELL 9999999991 Rx Bin. Learn how to find your PCN here. Click here for the first page (E3014 - H1862) , second page (H1889 - H3329) , third page (H3330 - H4694) , fifth page (H6080 - H8019) , sixth page (H8026 - H9986) , and seventh page (H9998 Now that your Prescription Drug Plan with Silver Script (Aetna CVS Caremark) has been issued, you can expect to receive a Welcome Packet along with your ID card within 7-10 business days. Jul 1, 2024 · Pharmacy Benefit Administrator, BIN, 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 Jan 26, 2025 · The chart below is the second page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H1889 through H3329. REGION RX BIN RX PCN RX GROUP TAX ID COB ADDRESS Aetna ALL REGIONS 610502 670000 Group specific 06-6033492 Group specific – See Member ID Card ANTHEM BLUE CROSS – Small Group, Large Group & Individual REGION RX BIN RX PCN RX GROUP TAX ID COB ADDRESS Dec 24, 2022 · The chart below is the fourth page of the 2023 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5372 through H7220. Be sure to include your Aetna member ID number on each receipt. Please ask members to provide their new member ID cards and update your system with the new Member ID Number, BIN, PCN and Rx Group. Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. That’s an Aetna Medicare Advantage with Prescription Drug plan (MAPD). 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. A. I don't know where to find these numbers. Note: All fields requiring alphanumeric data must be submitted in UPPER CASE. This Pharmacy Benefits - Human Resources What is RX bin Aetna? The Rx BIN number is a 6-digit number health plans use to process electronic pharmacy claims. Sep 19, 2024 · Find the Processor Control Number on a health insurance card or pharmacy claim processing number, with plans at $350/month. John Doe> <Phone: 000-000-0000> Member Services | Phone: 1-800-488-0134 Complete Aetna GR-69112 2016-2025 online with US Legal Forms. (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna . (24 hours a day) The Pharmacy Help Desk numbers are provided below: Aetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 31 Group Number. GRP: RX8849 If Medicare Part B or Part D is the member’s primary plan: BIN#: 012114. Click here for the second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , fifth page (H6846 - H8998) , and sixth page (H9001 - X0001) . "Effective January 1, 2011, CVS Caremark® became the pharmacy benefits administrator for Aetna Pharmacy Network. TTY (toll-free): 1-877-908-6024 Hours: 24 hours a day, 7 days a week Pharmacy Help Desk. Provider Training For New Pharmacy Benefit Administrator ; Virginia Medicaid NCPDP Version D. Aetna Premier Care Network Plus (APCN Plus) offers everything you get with APCN — including a specialized network of top-notch providers. com Replace these retired BINs with BIN: 004336 PCN: ADV. For example, if a patient’s insurance recently changed (like after getting a new job), their pharmacy might not see their updated coverage in the system for 1–2 days. It is an 8-character numeric or alphanumeric string. Pharmacy Help Desk Info: (800) 824-0898 Other versions supported: N/A . Members choose one in-network pharmacy to fill prescriptions and stick with it. The RxGRP (Group Number) links prescription coverage to a specific employer or plan sponsor, impacting pricing and drug formularies. com. It shows whether PLAN BIN PCN GROUP HELPLINE Fee for Service 010900 8263342243 VAMEDICAID 1-800-424-4046 Aetna 610591 ADV RX8837 1-855-270-2365 Anthem 020107 FM WQWA 1-833-207-3120 Molina CCC+ (non-dual) 004336 MCAIDADV RX21EK 1-800-424-4518 Molina CCC+ (dual) RX51BJ Molina Med4 RX21EK Molina FAMIS RX51BD Sentara 003858 MA OHPMDCD* VPMMDCD** SHPMDCD Added BIN/PCN Combination BIN 020107 PCN IRXKS (Effective 1/1/2025) Aetna Better Health 610591 1-877-874-3317 M Rx Number 436-E1 Product/Service ID Qualifier PCN: Varies by plan – refer to ID card. PCN: COBADV. Save or instantly send your ready documents. pwr lzqce xzylyk wbqtiri bvhwx evynkp xpmxo jqxqmm fkqc ugallm