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December 22, 2020 | Uncategorized
Amplicare Match (iMedicare): Grow Your Medicare Business. 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 SavaScript Value Services BIN: 023153 PCN: HT Processor: OptumRx Effective as of: 06/01/2015 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: October … Health Sun . Rx BIN: 020115 Rx PCN: IS Rx GROUP: WM2A Issuer ID: 80840 Amerivantage ESRD CMS H3240-PBP: 017-000 Office Visit Copay: Effective Date: 01/01/2020 Nephrologist Copay: Emergency Room Copay: Preventive Copay: livehealthonline.com (HMO-POS C-SNP) Amerigroup New Jersey, Inc. $0 $0 $90 $0 X476041700051 Members: Present this ID card to your Customer Service: or supplies. Blue Cross Medicare Advantage Plans (HCSC: OK, IL, TX, NM): 011552PCNs: MAPDTX MAPDOK MAPDIL MAPDNM MAPDMTRxGroup varies. Blue Cross MedicareRx Basic, Plus and Value (HCSC: OK, IL, TX, NM, MT): 011552 and 610455 PCNs: PDPTX PDPOK PDPIL PDPNM PDPMT. endstream endobj 50 0 obj <> endobj 51 0 obj <>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/Type/Page>> endobj 52 0 obj <>stream 89 0 obj <>/Filter/FlateDecode/ID[]/Index[49 77]/Info 48 0 R/Length 157/Prev 275382/Root 50 0 R/Size 126/Type/XRef/W[1 3 1]>>stream 0 endstream endobj startxref RxBIN: 020115 RxPCN: IS RxGRP: WM2A Issuer ID: 80840 Member ID: Amerivantage Dual Coordination CMS H3240-PBP: 013-000 Dual eligible members pay $0 for plan covered medical services. Group: Plan: RX Bin: RxPCN: Issuer (80840): Rx Group: 332 003858 MD 9101000302 WM2A Office Visit Copay: Specialist Visit Copay: Emergency Room Copay: Preventive Copay: $10 $50 $75 $0 CMS H5422-008-000 %FOUBM -*#&35: /FUXPSL %(14 X132030856400001 Provider: Do not bill Medicare. Rx BIN: 020115 Rx PCN: IS Rx GROUP: WM2A Issuer ID: 80840. %PDF-1.7 %���� h�bbd```b``��� ��D��H��`�L��e������n"y�$��m��Ď��������&��H}��~��.���� ������O�m�� �%`]�7��L2 �V ���hɿe��������8L��L�� �D� best. (HMO D-SNP) Amerigroup Washington, Inc. RxID: X636890300011 Members: Present this ID card and your Customer … Provider: Dual Member Cost Share will be processed by Amerigroup. BIN: 603286 PCN: 01410000 GROUP (or RxGroup): 788257 In this particular example, these three numbers are the same for all WellCare Medicare Part D prescription drug plans (in this case, the WellCare Classic and WellCare Signature Part D plans) in all states across the country. 64% Upvoted. Group: Plan: RxBIN: RxPCN: Issuer (80840): RxGRP: RxID: NYMCRWP0 332 020115 IS 9101000302 WM2A Office Visit Copay: Specialist Visit Copay: Emergency Room Copay: Preventive Copay: livehealthonline.com $15 $45 $90 $0 CMS H8432-011-000 PCP: Dental - LIBERTY X475196700003 Member: Present this ID card to your health care provider before you receive services or supplies. X630694700091 Members: Present this ID card and your Customer … MII Life: Journey Rx Standard and Value PDPs (CA, IA, MI, MN, MO, NE, ND, SD, WY): MII Life: Basic Blue Rx Standard PDP (LA, NC, PA, WV): MII Life: Basic Blue Rx Value PDP (PA, WV): Magellan Rx Medicare Basic PDP (AZ, DE, MD, NY, VA, DC): 018117 MRXMED RxGroup begins with REG, such as REG03 or REG15. New comments cannot be posted and votes cannot be cast. Visit Anthem.com to learn more about how we coordinate our medical and pharmacy benefits, review our drug lists, submit prior authorization requests, and more. DB� =M��B�#��`�AS�l)��B#-���`TY@��9S�Q� ��4�����u)�@����$< Bd�D�8�C���. Provider: Dual Member Cost share should be verified and (HMO D-SNP) Amerigroup Texas, Inc. Rx ID: billed to member's Medicaid. Anthem is updating pharmacy information on their ID cards to give members a better experience at the drugstore. Anthem Blue MedicareRx, Blue MedicareRx, and MediBlue Rx plans (CA, CO, GA, IN, KS, KY, ME, MO, NH, OH, VA, WI): AR Blue Cross Medi-Pak Rx Basic and Premier PDPs (AR): Blue Cross MedicareRx Basic, Plus and Value (HCSC: OK, IL, TX, NM, MT): 011552 and 610455PCNs: PDPTX PDPOK PDPIL PDPNM PDPMT. 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