WebOptumRx Part-D and MAPD Plans BIN: 610097 PCN: 9999 Part-D WRAP Plans BIN: 610097 PCN: 8888 PCN: 8500 OptumRx (This represents former informedRx) BIN: 010868 . 610593 PCN: CTRXMEDD . PHPMEDD SXCFLH ... 3Ø1-C1 GROUP ID M Always required. Refer to Member ID Card. 3Ø3-C3 PERSON CODE S Varies by plan WebFor KHC drug claims, the BIN is 610084, the PCN is DRTXPRODKH and the Group is KHC. For questions regarding claims, call 800-222-3986. Keep your KHC Client ID ready when calling. Texas Drug Code Formulary. On the Vendor Drug Program webpage you can search the Texas Drug Code Formulary, contracted KHC pharmacies, learn about claims …
BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan
WebBIN and PCN Values22 APPENDIX B: COORDINATION OF BENEFITS (COB) 23 ... Plan Name/Group Name: All . Effective as of: October 2Ø22 Payer Sheet Version: 2.0.3 ... WebJan 1, 2024 · Plan Name/Group Name BIN PCN. WellPoint Medicaid 61ØØ53, 61Ø575 or ØØ3858 (Check ID card to determine correct number) PCN=Not required PCN=SC or spaces when secondary to Medicare Part D Amerigroup, Community Care (MD, DE, WV, VA, PA) 61ØØ84 PRODUR1 . first vanguard rentals
GOVERNMENT OF THE DISTRICT OF COLUMBIA Department …
Web610014, 610031, 610084/PRODUR1 Current UDO Medi-Care First 012353/03030000 Current 601DN30Y MercyCare Insurance Corporation 600428/02740000 Current 601DN30Y ... Payer/Carrier BIN/PCN Date Available Vendor Certification ID Select Health 600428/02180000 Current 601DN30Y State of CA PBM: CDRC DAPO & CDCR DJJPO WebPerformRx Rx BIN: 019595 Rx PCN: 06280000 Rx Grp: (Not Required) Medicaid Provider Services (PBM) 1 (888) 602-3741 Medicaid Enrollee Services 1 (888) 452-3647 Alliance Provider Services 1 (888) 987-5821 Alliance Enrollee Services 1 (888) 987-5806 CareFirst Blue Cross Blue Shield Community Health Plan Abarca RX BIN: 610674 Rx PCN: ABARCA WebBIN: PCN: Group Number PBM: Phone Number. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 AHCCCS FFS – Secondary to ... 610014 003858. MA. BANBUHP. Express Scripts. 800-922-1557. United Healthcare Community Plan (formerly Evercare Select) 610494. 4100 ACUAZ. OptumRx 877-305-8952. Banner University Family Care first van cleef and arpels refill