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What is insurance pcn?

what is insurance pcn
The Processor Control Number (PCN) is a supplementary identification that may be used in the routing of pharmaceutical transactions. Using distinct PCNs, a PBM/processor/plan may choose to distinguish amongst several plans/benefit packages. As this identity is specific to their business needs, the PCN is determined by the PBM/processor.

There is no PCN registry. The PCN is specified as alphanumeric by the PBM/processor. According to the guidelines outlined in the NCPDP Pharmacy ID and Combination Card Implementation Guide, the PCN, together with the BIN/IIN, appears on the pharmacy ID card. This material is accessible to members of the NCPDP.

Review Of Insurance Cards

General information is provided under the “Pharmacy and Healthcare Identification Cards” category under Resource Topic- Guidance Documents. Not all entities differentiate plans using the PCN. Some entities may employ the Group ID, while others may not require this degree of distinction.

What is Rxbin on the Aetna insurance card?

Rx BIN is a six-digit number used by health insurers to handle electronic pharmacy claims. Prior to receiving a new ID card or appearing in the new Carrier’s Rx system, new members utilize their Rx BIN and PCN numbers to pick up a new prescription (or refill) before receiving a new Rx card or appearing in the new Carrier’s Rx system.

Original Medicare is not a group plan, hence there is no group to which one can belong. On your card, you will find an 11-digit alphanumeric that is used to identify you and file claims in your name. Your Medicare number is this.

What does BIN in pharmacy mean?

Rev.7/14/2022. Health plans can utilize the NCPDP Processor ID Number (BIN) to process electronic pharmacy claims if they do not employ pharmacy benefit cards with a magnetic stripe.