Bin 610494

Operational Changes . New Member ID Card Updates . Please make sure you present your new ID card to your pharmacy . 2022 New Rx Card changes . 2021 BIN/PCN/Submitted Group 2022 BIN/PCN/Submitted Group 610494 610279 9999 9999 PCCA UHCNICE

OptumRx 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: Ø1Ø868 61Ø593 PCN: CTRXMEDD PHPMEDD SXCFLH MPD OptumRx (This represents former informedRx) BIN: 61ØØ11 PCN: 987Ø2 CORMCARE COTROOP CTRXMEDD ECN FRH NMHCPDPProgram Claim BIN Claim PCN Claim Group STAR 020107 CS WKEA CHIP 020107 CS WKEA STAR+PLUS 020107 CS WKEA STAR+PLUS MMP 020115 IS WKUA STAR Kids 020107 CS WKEA Blue Cross Blu e Shield of Texas PBM: Prime Therapeutics Blue Cross Blue Shield of Texas - Pharmacy Enrollment STAR, CHIP, STAR Kids phone: 888-277-5510Now with Five Locations serving NorthWest Ohio. With offices in Toledo, Perrysburg and Bowling Green, help is nearby! Unison Health is a leading resource for people seeking access to behavioral health, substance abuse treatment and primary healthcare.PBM/Payor Plan Name/Contract Name BIN . PCN GROUP : Type Network: Location Help Desk Number: AlphaScrip Inc Alpha Scrip 610600: AS Commercial: 1-877-274-3244 AmWins ...Oct 19, 2022 · Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: …

2022 Select Standard Formulary - OptumRx. For more information regarding the tiers and designations in this drug list, please see the Reading your formulary section of this booklet. 6. Drug Name. Drug Tier. Notes. NAPRELAN ORAL TABLET EXTENDED RELEASE 24 HOUR 750 MG. 3: PA. naproxen oral tablet: 1. naproxen sodium oral tablet: 1.Rx Bin: 610494 Rx Grp: ACUMI Rx PCN: 4242 Administered by UnitedHealthcare Community Plan, Inc. Effective Date 001901400 9999991393 MIPHCP NEW S ENGLISHHC 95467 01/01/2014 In an emergency go to nearest emergency room or call 911. Printed: 08/30/19 This card does not guarantee coverage. For coordination of care call your PCP. 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: <NA> Former Catalyst, informedRx ...Rx Bin: 610494 Rx Grp: ACUFL Rx PCN: 4444 MMA Underwritten by UnitedHealthcare of Florida, Inc. Effective Date 9999999917 FLMMA NEW A ENGLISH 87726 06/01/2017 In an emergency go to nearest emergency room or call 911. Printed: 06/18/18 This card does not guarantee coverage. For coordination of care call your PCP. To verify benefits or toHe was safely ensconced in a Pakistani sanctuary, a leisurely stroll down the road from Pakistan’s premier military academy, at Kakul. Last week, I learned that the introduction of my book, Fortifying Pakistan (co-authored with Peter Chalk)...United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 United Healthcare Community Plan of Virginia BIN: 610494 PCN 4900 UnitedHealthcare Community and State of MN BIN: 610494 PCN: 4846 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx and HealthTrans BIN ... BIN: 004336 | PCN: MCAIDADV | Group: RX5439 Choice Change PeriodWellCare CVS/Caremark Medicaid/PeachCare for Kids: 1-866-231-1821 BIN: 004336 | PCN: MCAIDADV | Group: 726257 Planning for Healthy Babies (P4HB): 1-877-379-0020 BIN: 004336 | PCN: MCAIDADV | Group: 736257 Providers should always contact their CMO …

Program Claim BIN Claim PCN Claim Group STAR 020107 CS WKEA CHIP 020107 CS WKEA STAR+PLUS 020107 CS WKEA STAR+PLUS MMP 020115 IS WKUA STAR Kids 020107 CS WKEA Blue Cross Blu e Shield of Texas PBM: Prime Therapeutics Blue Cross Blue Shield of Texas - Pharmacy Enrollment STAR, CHIP, STAR Kids phone: 888-277-55101Ø1-A1 BIN NUMBER (see above) M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4-A4 PROCESSOR CONTROL NUMBER See above M Required for All Claims 1Ø9-A9 TRANSACTION COUNT Up to 4 M 2Ø2-B2 SERVICE PROVIDER ID QUALIFIER 01 M NPI ONLY 2Ø1-B1 SERVICE PROVIDER ID 10 digit NPI number MSep 22, 2022 · 610494 4646 ACUMS AMCMS4 SPP-MS IP Molina Healthcare – CHIP CVS Caremark 1-800-364-6331 Local Number: 1 1-844-826-4335 (Pharmacy should state they’ve called the CVS Caremark Help Desk without resolution.)-844 826 4335 PA Fax: 1-844-312-6371 004336 MCAIDMSCP RX6949 MCAIDMSCP United Healthcare – CHIP OptumRx …Jan 1, 2022 · OptumRx NCPDP Version D.0 Payer Sheet United Healthcare … Health (9 days ago) WebHealth Plan of Nevada Medicaid BIN: 610494 PCN: 4700 United Healthcare Community Plan of Rhode Island BIN: 610494 PCN: 4201 Maryland Medicaid BIN: 610084 PCN … AHCCCS Health Plans BIN PCN Group Number PBM Phone Number AHCCCS FFS 001553 AZM OptumRx 855-577-6310 AHCCCS FFS – Secondary to ... 001553 AZM OptumRx 855-577-6310 United Healthcare Community Plan (Acute, CRS, DD, LTC) 610494 4100 ACUAZ OptumRx 877-305-8952 Care1st 004336 MCAIDADV RX8897 CVS …

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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. 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).NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Payer Name: OptumRx Date: 11/1/2020 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 ...What is Levemir ® (insulin detemir) injection 100 U/mL?. Levemir ® is a man-made insulin used to control high blood sugar in adults and children with diabetes mellitus.; Levemir ® is not for people with diabetic ketoacidosis (increased ketones in the blood or urine).; Levemir ® Important Safety Information. Do not share your Levemir ® FlexPen ® with other …610494 UnitedHealthcare Medicaid Supplemental Plan 9999 2222 COS COS Florida Share of Cost 610494 610097 610097 2222 9999 9999 COS PSR COS Pennsylvania Public School Employees’ Retirement System (PSERS) UnitedHealthcare MedicareDirect Rx (PFFS) AARP MedicareComplete insured through UnitedHealthcare 2022 Premium Value Formulary Effective January 1, 2022. 2022 Premium Value Formulary Effective July 1, 2022 Understanding your formularyWhat is a Formulary?A Formulary is a list of prescribed medications or other pharmacy care products, services or supplies chosen for their safety, cost, and effectiveness. Medications are listed by …Plan Info BIN: 004336 PCN: MCAIDADV RxGroup: RX5459, RX 5460 – CHIP599 Unborn Eligibility Line BIN: 610494, PCN: 4444, RxGroup: ACUNE (ACUNEUB – CHIP599 Unborn) BIN: 020107 PCN: NE RXGroup: RX8474 1 -844 385 2192 866 331 2243 1-833-388-1406 Help Desk # 1-888-321-2351 1-877-231-0131 1-833-388-1406 Prior Authorizations

Rx Bin: 610494 Rx Grp: ACUMI Rx PCN: 4242 Administered by UnitedHealthcare Community Plan, Inc. Effective Date 001901400 9999991393 MIPHCP NEW S ENGLISHHC 95467 01/01/2014 In an emergency go to nearest emergency room or call 911. Printed: 08/30/19 This card does not guarantee coverage. For coordination of care call your PCP.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 ...General Provider Issues - Call Provider Relations - 1-866-675-1607. Pharmacy Contracting Issues - Call OptumRx - 1-800-797-9798. United Healthcare Member with Issues - Have the Member Call Member Services - 1-866-675-1607. Claims/Billing Issues - Call OptumRx - 1-866-328-3108. Pharmacy Billing Information. BIN: 610494.Region BIN PCN/ Group Help Desk 004336 800-364-6331 800002 008514 004816 006350 610502 Caremark RxClusive Consumer Card 610415 CareSource Rx America OH, MI 610473 0797 or 0798 866-669-0321 California Service Employees Health & Welfare Trust Pres Solutions CA 610494 9999 CSE 800/797-9791 Capital BlueCross Express Scripts PA 003858 gp- ESI 800/ ...Region BIN PCN/ Group Help Desk 004336 800-364-6331 800002 008514 004816 006350 610502 Caremark RxClusive Consumer Card 610415 CareSource Rx America OH, MI 610473 0797 or 0798 866-669-0321 California Service Employees Health & Welfare Trust Pres Solutions CA 610494 9999 CSE 800/797-9791 Capital BlueCross Express Scripts PA 003858 gp- ESI 800/ ... Apr 21, 2023 · Rx Bin: 610494 Rx Grp: ACUNY Rx PCN: 4800: UnitedHealthcare Community Plan for Kids Administered by UnitedHealthcare of New York, Inc. 001000006: NYCHP REISSUE A ENGLISH: 87726: In an emergency go to nearest emergency room or call 911. Printed: 10/30/19: This card does not guarantee coverage. For coordination of …Rx Bin: 610494 Rx Grp: ACUMI Rx PCN: 4242 Administered by UnitedHealthcare Community Plan, Inc. Effective Date 001901400 9999991393 MIPHCP NEW S ENGLISHHC 95467 01/01/2014 In an emergency go to nearest emergency room or call 911. Printed: 08/30/19 This card does not guarantee coverage. For coordination of care call your PCP.Rx Bin: 610494 Rx Grp: ACULA Pharmacy Claims: Rx Prior Auth: OptumRx, PO Box 650334, Dallas, TX 75265-0334. PCP Clinic Name TTY 711. Your plan ID number Your member ID number. Member Services phone number. Name of your . Primary Care Provider. Your member ID card holds a lot of important information. It gives you access to your covered benefits.610494 4141 ACUOH 1-877-305-8952 What to do on or after October 1 if a Medicaid managed care member does not have a Next Generation ID Card: Beginning on October 1, all pharmacy claims for managed care members must be submitted to Gainwell Technologies, Ohio Medicaid’s Single Pharmacy Benefit Manager. Claims for fee-for-service membersA bin card is a document used to keep track of the number of items held in a warehouse or stock room. The average business with inventory will use a bin card to record the number if items, a description of those items and any relevant notes...Medicaid Health Plan BIN PCN Group Aetna Better Health of Michigan 610591 ADV RX8826 Blue Cross Complete of Michigan 019595 PRX00621 n/a ... 610494 4242 ACUMI Upper ...

United Healthcare Community Plan of Iowa BIN: 610494 PCN: 4401 United Healthcare Community Plan of New Jersey BIN: 610494 PCN: 4343 United Healthcare Community Plan of Florida BIN: 610494 PCN: 4300 Health Plan of Nevada Medicaid BIN: 610494 PCN: 4700 United Healthcare Community Plan of Rhode Island BIN: 610494 PCN: 4201

Sep 22, 2022 · 610494 4646 ACUMS AMCMS4 SPP-MS IP Molina Healthcare – CHIP CVS Caremark 1-800-364-6331 Local Number: 1 1-844-826-4335 (Pharmacy should state they’ve called the CVS Caremark Help Desk without resolution.)-844 826 4335 PA Fax: 1-844-312-6371 004336 MCAIDMSCP RX6949 MCAIDMSCP United Healthcare – CHIP OptumRx …Rx Bin: 610494 Rx Grp: ACUMI Rx PCN: 4242 Administered by UnitedHealthcare Community Plan, Inc. Effective Date 001901400 9999991393 MIPHCP NEW S ENGLISHHC 95467 01/01/2014 In an emergency go to nearest emergency room or call 911. Printed: 08/30/19 This card does not guarantee coverage. For coordination of care call your PCP.PLAN BIN PCN GROUP NUMBER Amerigroup 020107 CM WKHA Apple Health Fee-For-Service (FFS) 610706 WAPROD N/A Community Health 003858 A4 CHWA ... United Health 610494 4600 ...610494 4646 ACUMS AMCMS4 SPP-MS . CHIP. Molina Healthcare – CHIP CVS Caremark 1-800-364-6331 Local Number: 1-844-826-4335 (Pharmacy should state they’ve called the . CVS Caremark. Help Desk without resolution.) 1 -844 826 4335. PA Fax: 1-844-312-6371 004336 MCAIDMSCP RX6949 MCAIDMSCP United Healthcare – CHIP OptumRx 1-877-305-8952 Local ... BIN: 011859 PCN: MACMS MACMSA BIN: 011842 PCN: NCCMS BIN: 011230 PCN: NWCMS BIN: 011172 PCN: SCCMS Health Choice Management BIN: 610011 PCN: HEAMEDD Health Choice Management Utah BIN: 610011 PCN: HEAUMEDD Catamaran / Seniorscript Services BIN: 013170 PCN: Not Required Blue Cross Blue Shield South Carolina BIN: 021692 PCN: CTRXMEDD 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: <NA> Former Catalyst, informedRx ...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. 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).610494 4141 ACUOH 1-877-305-8952 What to do on or after October 1 if a Medicaid managed care member does not have a Next Generation ID Card: Beginning on October 1, all pharmacy claims for managed care members must be submitted to Gainwell Technologies, Ohio Medicaid’s Single Pharmacy Benefit Manager. Claims for fee-for-service members

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Oct 19, 2021 · IMPORTANT INFORMATION – COVID-19 Testing Claims Submission New York Medicaid BIN: 610494 PCN: 4800 Group: ACUNY As announced in Executive …2022 . Premium . Standard Formulary. Effective July 1, 2022. For the most current list of covered medications or if you have questions: Call the number on your member ID card.7 Sep 2021 ... BIN: 610494 o. PCN: 9999 o. Group: ACULA. For fee-for-service pharmacy inquiries, please call the pharmacy benefit management help desk at 1 ...BIN Help Desk Number Legacy ADV *004336 1-8ØØ-364-6331 Legacy PCS *610415 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 ProAct 021007 1-877-635-9545 Envolve 021338 As communicated by plan or refer to ID card Legacy CRK *610029 1-8ØØ-421-2342 Legacy PHC 610468, 006144 004245, 610449 610474, 603604 1-8ØØ-777-1023Oct 19, 2022 · BIN: 610494 PCN: 4848 United Healthcare Community Plan - Virginia Medallion BIN: 610494 PCN 4900 United Healthcare Community Plan of New York BIN: …Jan 1, 2023 · MDHHS authorized coverage of specific IM/SC COVID-19 Monoclonal Antibodies as a pharmacy benefit based on MDHHS Bulletin HASA 22-02. Below provides details of billing based on MDHHS COVID-19 Response fee: 27 Jul 2018 ... because the member is now enrolled in a Medallion 4.0 plan, Magellan BHSA will return the name of the member's MCO, BIN, PCN and pharmacy ...Feb 24, 2021 · 610494 4900 ACUVA Virginia Premier 1-855-872-0005 009893 ROIRX On card Medallion 4.0 Health Plans RxBIN RxPCN RxGRP Aetna Better Health of Virginia 610591 ADV RX8837 Anthem HealthKeepers Plus 020107 FM WQWA Magellan Complete Care 016523 63348286 MCCVARX Optima Health Family Care 610011 OHPMCAID n/a ...United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 United Healthcare Community Plan of Virginia BIN: 610494 PCN 4900 UnitedHealthcare Community and State of MN BIN: 610494 PCN: 4846 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx and HealthTrans BIN: 004428 005947 009992 011297 011867 012353 ...Welcome to . the community. Ohio, 2022. UnitedHealthcare Community Plan of Ohio provides health care services to Ohio residents . eligible for Aged, Blind, or Disabled, Covered Families and Children (including HealthySOUTH CAROLINA MEDICAID 5.1, BIN# 610494, PCN: 9999 . Added special coding for field 308. VA E-PHARMACY 5.1, BIN# 003650, PCN: 64 . Added field 430 Gross Amount Due to the Pricing Segment. WASHINGTON MEDICAID SXC 5.1, Bin# 610706, PCN: WAPROD. Changed reversal format to Claim Reversal 5.1 format. ….

FOR BIN 610279 – PLEASE REFER TO UHC PAYER SHEET Payer Name: OptumRx Date: 05/18/2015 Commercial and Medicaid COMMUNITY HEALTH Maryland Medicaid ProAct FlexScripts/ProAct MedalistRx Legacy Innoviant Commercial BIN: 610494 BIN 610613 BIN: 610084 BIN 017366 BIN 018141 BIN 016580 BIN: 610127 PCN: 9999 PCN: 2417 PCN RXSOLPRD PCN: 9999 PCN: 9999Evercare® Coordination of Long-Term Services (CoLTS) 610494 9999 COS Evercare® Coordination of Long-Term Services (CoLTS) (Dual Eligibles) 610494 2222 COS Evercare® Plans (DH, DH-POS, DP, IH, IH-POS, IP, RDP) 610097 9999 8888 COS Evercare® Medicaid Supplement Plan 610494 2222 COS Florida (FL) Share of Cost 610494 2222 COSRx Bin: 610494 Rx Grp: ACUMI Rx PCN: 4242 Administered by UnitedHealthcare Community Plan, Inc. Effective Date 001901400 9999991393 MIPHCP NEW S ENGLISHHC 95467 01/01/2014 In an emergency go to nearest emergency room or call 911. Printed: 08/30/19 This card does not guarantee coverage. For coordination of care call your PCP.Apr 21, 2023 · Rx Bin: 610494 Rx GRP: ACUWA Rx PCN: 4600 . Apple Health - Family Coverage Administered by UnitedHealthcare of Washington, Inc. 0000000000 : …OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND … professionals.optumrx.com. payer usage payer situation 331-cx patient id qualifier o 332-cy patient id o 3Ø4-c4 date of birth o 3Ø5-c5 patient gender code o 31Ø-ca patient first name o 311-cb patient last name o 322-cm patient street address o 323-cn patient city address o …OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND … professionals.optumrx.com. payer usage payer situation 331-cx patient id qualifier o 332-cy patient id o 3Ø4-c4 date of birth o 3Ø5-c5 patient gender code o 31Ø-ca patient first name o 311-cb patient last name o 322-cm patient street address o 323-cn patient city address o …610494 : 2222 . COS : Florida Share of Cost . 610494 : 2222 . COS : Pennsylvania Public School Employees’ Retirement System (PSERS) 610097 : 9999 . PSR : UnitedHealthcare MedicareDirect Rx (PFFS) 610097 : 9999 . COS : AARP MedicareComplete insured through UnitedHealthcare AARP MedicareComplete SecureHorizons . AARP MedicareComplete ...Commercial and Medicaid BIN: 610494 PCN: 4141 (OH Medicaid Only) PCN: 4444 PCN 4242 Processor: OptumRx Effective as of: 01/01/2016 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: October 2016 NCPDP External Code List Version Date: October 2016 Contact/Information Source: Rx Bin: 610494 Rx Grp: ACULA Pharmacy Claims: Rx Prior Auth: OptumRx, PO Box 650334, Dallas, TX 75265-0334. PCP Clinic Name TTY 711. Your plan ID number Your member ID number. Member Services phone number. Name of your . Primary Care Provider. Your member ID card holds a lot of important information. It gives you access to your covered benefits.Jul 1, 2021 · Pharmacy Help Desk Contact Information. AmeriHealth Caritas: 866-885-1406; Carolina Complete Health: 833-992-2785; Healthy Blue: 833-434-1212; United Healthcare: 855-258-1593; WellCare: 866-799-5318, option 3; NCTracks: 800-688-6696; NC Medicaid Managed Care Pharmacy Summit Tailored Plan Roll Out Webinar Bin 610494, [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1]