Rev.7/14/2022. The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe.
What is the RxBIN format?
Sorts of Insurance Cards There are several types of insurance cards used in various situations, and this page will help you locate the insurance information you want. Medical insurance cards, pharmacy benefit insurance cards, and Medicaid insurance cards are the sorts of insurance cards we will examine.
What is the difference between a medical insurance card and an insurance card for pharmaceutical benefits? Some individuals may have a single insurance card that covers both medical expenditures (such as visits to the doctor or hospital) and pharmacy benefits (to pay prescriptions), although these are often two distinct cards with unique identifying numbers.
Medical card example: To process a prescription for medicine, pharmacies often require a pharmacy benefits card, which has a RxGroup, RxPCN, and RxBIN number in addition to the Member ID number. Another term for a prescription is “Rx.” Typically, medical cards have merely a Member ID number.
If your insurance company simply mailed you a medical insurance card, you may often get information about your pharmacy coverage online or by phoning your insurance company (look for the phone number for Member Services on the back of your card). What are RxBIN and RxPCN, and what are their functions? RxBIN is an acronym for Bank Identification Number, which assists pharmacies in determining which insurance company’s prescription plan to process.
RxPCN stands for Processor Control Number and is another unique identifier to assist the pharmacy identify you. It is essential for the pharmacy to have this information in order to locate your insurance and obtain reimbursement for your medicines. Are Medicaid cards visually distinct from other insurance cards? Medicaid offers free or low-cost health coverage to millions of Americans, including those with low income, families and children, pregnant people, and people with disabilities.
Medicaid cards vary by state and do not contain RxGroup, RxPCN, or RxBIN numbers; only a Member ID number is included. If you have a Medicaid managed care plan, you should still be able to get information about your pharmacy coverage. For persons with Medicaid coverage, several states will compel you to switch to a managed care plan after 30 days.
A Florida Medicaid card and a Florida Medicaid managed care card are seen below. Note that the gold Medicaid card has simply the Member ID, but the managed care plan includes the Member ID, RxBIN, RxPCN, and RxGroup numbers. What if I am unable to locate the RxBIN, RxPCN, or RxGroup on the card? Check the back of your card first, as it is not usually on the front! The majority of pharmacy cards will have all four numbers (Member ID, RxGroup, RxPCN, and RxBIN), although there are a few plans that do not include all four digits but are still approved.
- Member ID and RxBIN are the two most critical pieces of information required for the pharmacy to locate your health insurance coverage.
- Providing the RxGroup and RxPCN numbers might help the pharmacy discover your health insurance details even faster and more correctly.
- Aetna cards, for instance, may have merely a Member ID number and a RxBIN number.
If you just have a medical insurance card and you need information about your pharmacy coverage, you can contact your insurance company. Check out our post for advice on how to contact your insurance provider. Need extra assistance? If you have an account with Twentyeight Health you may reach out to contact@twentyeight health or text us at (929) 352-0060 and our customer service staff will help you.
Does PCN effect insurance?
Yes, any penalty points might result in a premium rise. When receiving a vehicle insurance quotation you must be honest about any prior claims or traffic infractions as it might influence your policy. The real consequence depends on how old the conviction is and the number of points the you have.
To seek a switching contract, uncontracted independent pharmacies can contact NDC EasyClaim Customer Support at 1-800-388-2316.3. Contact Information: AL Med/EDS Additional Info NDC Pharmacy Registration – In order to switch Medicaid claims, the Medicaid number and NABP number of the pharmacy must be submitted to NDC.
- This data is required for invoicing and accounting purposes.
- This can be sent to NDC at (800) 388-2316.
- Non-compliant pharmacies submitting Medicaid claims via NDC will get a 05 reject code (missing/invalid provider number) with the accompanying message text instruction: TELEPHONE: 18003882316 REGISTER FOR MEDICAID.
After receiving the pharmacy’s state Medicaid number and NABP number, the customer service agent will activate the pharmacy for submission to the relevant state Medicaid. Notification Of Change Field 310 Patient First Name changed to Required on 5/5/01.