RxBIN and RxPCN can be compared to a U.S. zip code plus four. The RxBIN, or BIN number, is comparable to a five-digit zip code and specifies the destination of the mail. The RxPCN, or processor control number, is comparable to the last four digits of a zip code, which provide a more specific destination.
What is the PCN Rx?
There are several sorts of insurance cards used in a variety of situations, and this article will help you locate the necessary insurance information. 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: Examples of pharmacy card designs: 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, which stands for Processor Control Number, is another unique identification the pharmacy uses to 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 care to millions of Americans, including low-income individuals, families and children, pregnant women, and those 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. After thirty days, several states compel Medicaid beneficiaries to transfer to a managed care plan. 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 codes might assist the pharmacist in locating your health insurance information more quickly and precisely.
- 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 read this post for advice on how to contact your insurance carrier.
- Need extra assistance? If you have an account with Twentyeight Health, you may contact our customer service team at contact@twentyeight health or by texting us at (929) 352-0050.
Additionally, you can contact Member Services of your insurance company (their phone number is typically on the back of your insurance card). 
This number is positioned at the top of the back of the card, close to the birth date. When verifying TRICARE eligibility and filing claims, the DBN (or the sponsor’s SSN) must be provided. DoD ID Number — a 10-digit number located on the front of the identification card.
On a Cigna insurance card, where is the policy number?
Only your 8- to 11-digit Contract number, situated in the top right or lower right corner of your Cigna ID card, is required.