Bin 610602 Please remember to show your new ID card at the pharmacy when you have your first prescription filled after Dec. MMP = Medicare-Medicaid Plan for dual-eligible members. Medicare D Vaccine Admin Program Zostavax Covered BINs: 610602 Reimbursement: Contract Rate WAC + 3. gov. " 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. Please see attached flyer and enrollment form for additional information. Feb 4, 2025 · To submit a bill at the point-of-service, the pharmacy must be in network and transmit the following billing information: BIN: 610602 PCN: NVT Group: OBWC Member ID: BWC claim number (including hyphen, if applicable) For questions, contact BWC's Pharmacy team at 1-877-543-6446 or email Pharmacy. 00 PBM pays the Provider's submitted Usual and Customary Price if lower than the contract value. org Rx BIN: 610602 Rx PCN: MCD Rx Grp: PMAP RxID: Issuer: 123456789 80840 Svc Name: Type: JOHN MEDICAL/DENTAL Q DOE Group Number: xxxxxx Care ID: 0123456789 Type: Prepaid Medical Assistance PMI#: 089980 (PMAP) Rx BIN: 610602 Rx PCN: MCD Rx Grp: PMAP RxID: 123456789 ELECTRONIC CLAIMS SUBMISSION Version D. org , choose "Members" and then “Find a Doctor”. Watch the Open Enrollment video to learn more about the Part D prescription drug coverage. " 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. For prescription drugs, use the following prescription drug identification information (applies to all UMP PEBB plans except UMP Classic Medicare with Part D (PDP)): State of Washington: Navitus PCN: NVTU BIN: 610602 Rx group #: 10008217 Mar 7, 2022 · You may also wish to read more at: " What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. 009265, 610198, 012965 800-837-0581 Applied Underwriters, Inc 13329 877-234-4420 Argus Health Syst Issuer: 80840 Name: JOHN Q DOE ID: 0123456789 PMI#: 089980 ucare. To do this, the pharmacy must be in network and transmit the following billing information: BIN: 610602 PCN: NVT Group: OBWC Member ID: BWC claim number (including any hyphens) The Pharmacy Benefit Manager (PBM) verifies this information, processes the bill, and sends the pharmacy an 610602: The BIN you're trying to check is a valid BIN number: PRIVATE LABEL. RxGroup: UMPD808 RxBIN: 610602 RxPCN: NVTD Member ID number (this number is the same as your medical UMP ID number) Open Enrollment Video Open enrollment for UMP Classic Medicare with Part D (PDP) is October 27 – November 24, 2025. Please sign in by entering your NPI and NCPDP numbers. Q: Will I get a new ID card? Yes. Dec 24, 2022 · The chart below is the sixth (final) page of the 2023 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9662 through S9854. A new member ID card will be mailed to you in December 2021. The second table below provides the Tailored Plan Pharmacy Helpdesk phone number for each of the plans. Member ID number PCN: EGWP BIN: 610602 Mail Service If members would like to register for mail service or have questions on the status of their prescription mail date, they may contact Costco Pharmacy at 800-607-6861. Dec 16, 2021 · BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan The following tables show the correct combinations, effective for calendar year 2022, for pharmacies for Accountable Care Partnership Plans (ACPPs), Primary Care Affordable Care Organizations (ACOs), Managed Care Organizations (MCO)s, Primary Care Clinician (PCC) Plan, and MassHealth-Only Senior Care Organizations (SCOs). 1, 2022: This file is no longer available. PBM BINs Help Desk 4D Management Systems, Inc. Pharmacies are encouraged to report any suspicious Note: Claims submitted with the above BIN/PCN combinations must be routed through the TrOOP Facilitator (Relay Health)—do not use lines that are directly connected to Aetna. Please note, the data below is Part 7 of 7 (H9998 - X0001) with links to Parts 1 through 6. 1, 2022: PCN: MCD BIN: 610602 RxGroup: EOCC (Back of ID card) eocco. Oct 1, 2015 · PCN: NVT BIN: 610602 RX Group: SISC Navitus Customer Service: 1-866-333-2757 Our new mail order provider is Costco. Physicians may fax an Rx to: 800-633-0334. Pharmacy providers must submit bills for outpatient medications for all claims at the point-of-service. benefits@bwc. Refer to the MCO Provider Manual for details. Memorial Hermann ŽŵŵĞƌĐŝĂů Health Plan Customer Below is the Tailored Plan Pharmacy Processing information which includes the name of the plan, PBM processor, BIN, PCN and group number for each Tailored Plan needed for pharmacy claim adjudications. Please note, the data below is Part 2 of 7 (H1889 - H3329) with links to Parts 1 and 3 through 7. Please note, the data below is Part 5 of 6 (H7245 - H9649) with links to Parts 1 through 4 and Part 6. 75% + $1. You can check the full details in the table below. lan: BIN: 610602, PCN: NVT, Grp: MHB. Refer to www. Get 2025 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Please note, the data below is Part 6 of 7 (H8026 - H9986) with links to Parts 1 through 5 and 7. ohio. The template includes payer usage, payer situation, and field information for claim billing and rebilling. Jan 10, 2024 · The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2024 Medicare Part D plan sponsor. Box 26160, San Jose, CA 95159 Varies by Plan The pharmacist just needs to give the following information regarding your plan: BIN: 610602, PCN: NVT, Grp: MHB. Below is the Tailored Plan Pharmacy Processing information which includes the name of the plan, PBM processor, BIN, PCN, and group number for each Tailored Plan needed for pharmacy claim adjudications. Program management through stakeholder collaboration, effective use of drug rebates and careful selection of drugs on a Preferred Drug List (PDL) are just three ways NC Medicaid provides access to Jan 26, 2025 · With the introduction of the Medicare Prescription Payment Plan (M3P or MPPP), CMS has released separate BIN and PCN values to be used for purchases made by beneficiaries making use of the M3P payment option. Oct 1, 2021 · Member ID number PCN: EGWP BIN: 610602 Mail Service If members would like to register for mail service or have questions on the status of their prescription mail date, they may contact Costco Pharmacy at 800-607-6861. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC BIN: 610602 (from ID Card) PCN: (from ID Card- can vary by payer) Group (from ID Card-can vary by payer) Member ID: (Length, person code, card layout can vary by payer) Jan 26, 2025 · The above chart is the first page of the 2025 Medicare Part D pharmacy BIN and PCN list (E3014 - H1862). If you don’t have a new EOCCO ID card with you when you go to the pharmacy, you will need to give this information to your pharmacy starting Jan. Aetna. See what medications we cover Directory of bin stores in concord, CA, including Amazon and liquidation stores, with locations, hours, and prices. Response Coordination of Benefits Segment: Situational APPENDIX A: BIN / PCN COMBINATIONS Medicare Part D – Primary BIN and PCN Values Other PCNs may be required as communicated or printed on card. memorialhermann. 0 Payer Sheets are available on the pharmacy provider portal. We provide transparent pricing, cost-saving strategies, and dedicated support, helping pharmacies enhance care and operational efficiency. Review Payer Sheet for all mandatory and required when fields. 0. Calls are routed directly to our Special Investigations Unit voicemail box for assessment and investigation of any reported issue. The change will take place Oct. Please remove any bookmarks you have to this file. For medical services, call UMP Customer Service to get your ID number or order a card. The web page lists the numbers for ACOs, MCOs, PCC Plan, and SCO Plan, including bin 610602 for Commonwealth Care Alliance. Click here for the second page (H1889 - H3329), third page (H3330 - H4694), fourth page (H4699 - H6079), fifth page (H6080 - H8019), sixth page (H8026 - H9986), and seventh page (H9998 - X0001). Below is the Tailored Plan Pharmacy Processing information which includes the name of the plan, Pharmacy Benefit Manager (PBM) processor, Bank Identification Number (BIN), Processor Control Number (PCN) and group number for each Tailored Plan needed for pharmacy claim adjudications. Find the BIN/PCN for Navitus MedicareRx and other clients, and access payer sheets and pharmacy help desk. This will help to ensure that: Please remember to use your new EOCCO ID card at the pharmacy after Dec. The pharmacist just needs to give the following information regarding your plan: BIN: 610602, PCN: NVT, Grp: MHB. PCN: NVT BIN: 610602 RxGroup: PEAH Fill your prescriptions one more time You may want to fill any prescriptions you are taking one more time to make sure you have enough to last you until your new coverage begins. To find health care providers near you who participate in the Memorial Hermann PPO Network, go to healthplan. com Find your plan's BINs, PCNs, and RxGroups! Member ID number PCN: EGWP BIN: 610602 Mail Service If members would like to register for mail service or have questions on the status of their prescription mail date, they may contact Costco Pharmacy at 800-607-6861. For OEBB members, this means: CLAIM BILLING/CLAIM REBILL PAID (OR DUPLICATE OF PAID) RESPONSE The following lists the segments and fields in a Claim Billing or Claim Rebill response (Paid or Duplicate of Paid) Transaction for the NCPDP Telecommunication Standard Implementation Guide Version D. Join our network and access resources for success. Payer Usage Payer Situation 1Ø1-A1 BIN NUMBER 610602 M If more than one BIN/PCN but all plans use the same segments and fields and situations, enter multiple BIN/PCNs under General Information above. Pharmacies are instructed to ensure their National Provider Identifier (NPI) is registered with NCPDP for The Navitus fraud, waste and abuse hotline number is 855-673-6503. Examples of reportable fraud include forgery, suspicious claims, pharmacy and/or doctor shopping, identity theft, kickbacks and drug diversion. Dec 24, 2022 · The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2023 Medicare Part D plan sponsor. Jan 26, 2025 · With the introduction of the Medicare Prescription Payment Plan (M3P or MPPP), CMS has released separate BIN and PCN values to be used for purchases made by beneficiaries making use of the M3P payment option. Bill Oregon Health Authority (OHA) for carve-out drugs for coordinated care organization (CCO) members, drugs for fee-for-service (FFS or “open card”) members, drugs not covered by Medicare Part D, and drugs not included in the long-term care facility’s bundled rate. As such, we offer a powerful solution that is proven to take the Nov 14, 2025 · About the Pharmacy Program The North Carolina Medicaid Pharmacy Program offers a comprehensive prescription drug benefit, ensuring low-income North Carolinians have access to the medicine they need. Rx BIN: 610602 Rx PCN: MCD Rx Grp: MSCP RxID: 012345678900 Svc Type: MEDICAL/DENTAL Group Number: xxxxxx Care Type: Minnesota Senior Care Plus Issued: MM/DD/YYYY FOR MEMBER USE – For emergency care go to the nearest hospital or call 911. This document provides essential information for the processing of pharmacy claims for Colorado Access Commercial members by Navitus Health Solutions, effective January 1, 2010. Download a payer sheet template for Navitus Health Solutions BIN 610602, which covers various plans and programs. 50 Covered NDC(s): Any NDC Medicare Part D Route of Adminstration:Injection Administration Fee:$20. Hospital Inpatient Fee Schedule 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. If you don’t have a new ID card on hand, you will need to share the following information with your pharmacy starting Jan. com under the Health Care Professionals link for additional payer sheets. Contact Navitus Customer Care for members, prescribers, pharmacies, and MedicareRx assistance, available 24/7 . Our benefits are as follows: Electronic Claims: UHIN | Payor ID: VHP01 Submit medical claims to: VHP Claims, P. For prescription drugs, use the following prescription drug identification information (applies to all UMP SEBB plans): State of Washington: Navitus PCN: NVTU BIN: 610602 Rx group #: 10016720 Member ID number PCN: NVT BIN: 610602 Mail Order If members would like to register for mail service or have questions on the status of their prescription mail date, they may contact Costco Pharmacy at 800-607-6861. Jan 10, 2024 · You may also wish to read more at: " What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?. Jan 26, 2025 · Find the BIN and PCN values for each Medicare Part D prescription drug plan sponsor in 2025. Navitus Health Solutions RxBIN: 610602 | RxPCN: MCD | RxGRP: CFG To have your prescriptions mailed to you, call the following H-E-B pharmacy: H-E-B Mail Order Pharmacy (Voluntary) H-E-B Pharmacy; Up to a 34DS EXCEPT for those listed with 90DS on the formulary NPI: 1801185004 8300 Floyd Curl Drive San Antonio, TX 78229 Ph: 210-593-0291. To prevent point of service disruption, the RxGroup must be submitted on all claims and reversals. 1, 2021. O. * MCO has unique requirements regarding coverage of Family Planning products. Learn more today! Navitus partners with pharmacies to deliver affordable, high-quality care. Key required fields to enter on a claim: BIN Processor Control Number (PCN) Member ID (enter what is on ID card) RxGroup (RXGRP) Specialist: Urgent care: Hospital ER: Prescription cost Generic: Preferred: Non-preferred: Specialty: * No charge for preventive care, even if you haven’t met your deductible Pharmacy: Navitus Health Solutions BIN: 610602 PCN: NVT RXGroup: CHX Member ID Plan name Select Health Insurance Marketplace as your product. 31, 2021. Please note, the data below is Part 4 of 6 (H5163 - H6832) with links to Parts 1 through 3 and 5, 6. Dec 30, 2011 · The Centers for Medicare and Medicaid Services (CMS) has indicated that, effective January 1, 2012, a unique Medicare Part D BIN/PCN combination needs to be utilized in network pharmacy electronic claim transactions. Dec 29, 2022 · Find the correct BIN/PCN/Group combinations for pharmacies for different health plans in Massachusetts, effective for calendar year 2023. They can be reached at 1-800-607-6861. This is not your local Costco store, it is a separate company. It outlines the necessary details such as BIN, PCN, member ID digits, and additional processing requirements. org , choose " Thank you for this opportunity to serve you, and please let us know whether we may be of further assistance. Information on the pharmacy prior authorization process and how to get a pharmacy prior authorization form. What you need to know about 2021-22 pharmacy changes We are changing our pharmacy benefits manager (PBM) to Navitus. 3 Jan 26, 2025 · With the introduction of the Medicare Prescription Payment Plan (M3P or MPPP), CMS has released separate BIN and PCN values to be used for purchases made by beneficiaries making use of the M3P payment option. Customer Service: 612-676-3200 or 1-800-203-7225, TTY: 612-676-6810 or 1-800-688-2534. Get in touch with Navitus for personalized support. Learn how to use the unique BIN/PCN combination for Medicare Part D network pharmacy electronic claim transactions. HIGHLIGHTS – Updates, Changes & Reminders This payer sheet refers to Primary Commercial Primary Billing and Medicare as Secondary Payer Billing. 600428 800-522-7487 Agelity, Inc. The chart includes the M3P (MPPP) BIN/PCN numbers for plans H6080 through H8019, including bin 610602 for PruittHealth Premier. About Us In an environment where plan sponsors are increasingly looking for greater transparency and accountability, Navitus Health Solutions, LLC (owned by SSM Health and Costco Wholesale Corporation) stands alone as the industry alternative to traditional models with a strong commitment to lowering prescription costs. To find health care providers near you who participate in the Memorial Hermann HMO Network, go to healthplan. Aetna will respond back to the pharmacy in the message text fields indicating any other coverage that may apply to Medicare Part D members.