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 Cigna’s RX bin?
August 10, 2022 | By Rene Gonzalez | California When customers enroll in health insurance for the first time, change health plans (at any time), or switch insurance providers, they may suffer a delay in receiving pharmacy benefits. This is due to the short administrative period required by the health plan to process such changes.
In this case, members may utilize their plan’s Rx BIN and PCN numbers to access pharmacy benefits while they wait for their new health plan ID cards. The Rx BIN number is a six-digit number used to handle electronic pharmacy claims by health insurance. The PCN (Processor Control Number) identifies the pharmacy benefit processor or Pharmacy Benefit Manager for each health plan (PBM).
The table below displays the Rx BIN Numbers and PCNs for California Small Group Health Plans per carrier. During this brief transition period, your clients may be able to utilize this information, if necessary, to acquire prescriptions.
| Rx BIN Number | PCN | |
| Aetna | Rx BIN: 610502 Rx Group: Aetna | PCN: 00670000 |
| Anthem Blue Cross | Rx BIN: 020099 | PCN: IS |
| Blue Shield of California | Rx BIN: 004336 | PCN: 77993333 |
| Chinese Community Health Plan | Rx BIN: 003585 | Rx PCN: ASPROD1 |
| Cigna + Oscar | Rx BIN: 003858 | PCN: A4 |
| Health Net | Rx BIN: 004336 | PCN: HNET |
| Kaiser Permanente – Northern CA | HMO Rx BIN: 3585 Rx Group: Not Required Tax ID: 94-1340523 Medicare Part D Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address P.O. Box 7012 Downey, CA 90242 | Rx PCN for MMA: NCCMS Rx PCN for HDHP: NCHDP Rx PCN for HMO: 70000 |
| Kaiser Permanente – Southern CA | HMO Rx BIN: 3585 Rx Group: Not Required Tax ID: 94-1340523 Medicare Part D Rx BIN: 11172 Rx Group: SC Tax ID: 94-1340523 COB Address P.O. Box 7012 Downey, CA 90242 | Rx PCN for MMA: SCCMS Rx PCN for HDHP: SCHP Rx PCN for HMO: 70000 |
| MediExcel Health Plan | MediExcel Health Plan is a cross-border health plan. Members must obtain prescriptions at contracted pharmacies in Mexico. MediExcel Health Plan does not contract with any pharmacy in the U.S. MediExcel Health Plan will reimburse members for prescriptions obtained as direct result of an Emergency or Urgent Care Service in the U.S. minus their copay amount. | |
| Nippon Life | Rx BIN: 004336 | PCN: ADV |
| Sharp Health Plan | Rx BIN: 004336 | PCN: ADV |
| Sutter Health Plus | Rx BIN: 004336 Rx Group: Rx21CQ | PCN: ADV |
| Total Benefit Solutions (Aetna International) | 610502 (Aetna) | PCN: 00670000 |
| United Healthcare HMO | Rx Vendor: OPTUMRx Rx BIN: 610279 Rx PCN: 9999 Rx Grp: UHCNICE Service Number: 800-788-7871 | |
| United Healthcare PPO | Rx Vendor: OPTUMRx Rx Bin: 610279 Rx PCN: 9999 Rx Grp: UHC Service Number: 800-788-7871 | |
| United Healthcare PPO (Large Group) | Rx Vendor: OPTUMRx Rx Bin: 610279 Rx PCN: 9999 Key Accounts Rx Grp: UHEALTH Service Number: 800-788-7871 | |
| Western Health Advantage | Rx Vendor: OptumRx Rx BIN 610011 | PCN: IRX |
What purpose do primary care networks serve?
What difference will networks of primary care make for patients? – Primary care networks have the potential to assist patients by expanding the range of services accessible to them and facilitating the integration of primary care with broader health and community services.
Prior study on the effect of bigger scale general practice on the patient experience revealed contradictory results. While some patients prioritize access above all else and are intrigued in the possibilities of broader collaborations to increase that access, others are more worried about continuity and trustworthy connections and fear losing them.
In order to serve the requirements of the local population, practices will need to collaborate with their patient involvement groups and the broader local community.