WebCommercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 ... 3Ø1-C1 GROUP ID M Always required. Refer to Member ID Card. 3Ø3-C3 PERSON CODE S Varies by plan 3Ø6-C6 PATIENT RELATIONSHIP CODE S Varies by plan 359-2A MEDIGAP ID O ... WebDec 1, 2024 · Plan Name/Group Name: All . Effective as of: October 2Ø22 Payer Sheet Version: 2.0.3 NCPDP Version/Release #: D.Ø . NCPDP ECL Version: Oct 2Ø21 NCPDP Emergency ECL Version: April 2Ø21 Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. (24 …
Pharmacy Providers - West Virginia
WebGroup Number: LHPRX BIN: 610014 PCN: MEDDPRIME Claims Address: Express Scripts Claims: ATTN: Medicare Part D P.O. Box 14718 Lexington, KY 40512-4718. Contact Us. For Members. Plan Documents; Exceptions and Appeals; Out of Network Coverage Rules; Member Rights and Responsibilities; Cancel My Enrollment; WebPlan Name/Group Name: MEDICARE PART D AS PAYER or MEDICARE PART D AS SECONDARY PAYER BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name BIN: … simpleaffy package
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WebBIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 Group Number CVTYWVM THPWVMC WFWA . Pharmacy providers should ask members for an MCO identification card to verify MCO enrollment in addition to the Medicaid card. Web(BIN 61ØØ56 only allows TRANS COUNT = 1). All others allow 1-4 . 2Ø2-B2 Service Provider ID Qualifier Ø1=NPI Pharmacy M 2Ø1-B1 Service Provider ID NPI M 4Ø1-D1 … WebA specific example is that I know BIN: 610014 PCN: (blank) Group: WM2A is Anthem medicare, but I don't know if BIN: 610014 PCN: (blank) Group: WMHSAPNAPPOWM2A is still Medicare or if they just happen to both have WM2A in the group. ... For example, BIN 610014 PCN MEDDPRIME will be ONLY Medicare D plans, regardless of the group … simpleaf flushable wipes