What is the bin PCN and group?

Category: personal finance health insurance
4.8/5 (6,832 Views . 18 Votes)
Your (1) Member ID number, (2) Rx BIN, (3) PCN, and (4) Group ID (or Rx Group) number are the four numbers that uniquely identify you and your Medicare Part D prescription drug plan - and these four numbers are usually found on your Medicare Part D Member ID card and most of you Medicare plan correspondence or printed



Also, what is a BIN and PCN?

All pharmacies use BIN and PCN numbers for processing prescription drug claims. The BIN number tells the computer database at the pharmacy which health insurance provider is to receive the claim for the prescription. The PCN number is a second identifier that is used for routing claims.

Furthermore, what does PCN mean in pharmacy? Processor Control Number

Furthermore, what does RxPCN stand for?

RxPCN - Stands for processor control number. It's another number used to locate your pharmacy member profile under the PBM system.

What is an Rx group?

Your (1) Member ID number, (2) Rx BIN, (3) PCN, and (4) Group ID (or Rx Group) number are the four numbers that uniquely identify you and your Medicare Part D prescription drug plan - and these four numbers are usually found on your Medicare Part D Member ID card and most of you Medicare plan correspondence or printed

37 Related Question Answers Found

What does BIN and PCN stand for?

Rx Bin: The RX Bin is used to identify how a prescription drug will be reimbursed and where a pharmacy can send a reimbursement claim to. Your RX BIN is a 6 digit number. PCN: A processor control number (PCN) is another identifier used to route pharmacy reimbursements.

What is a bin number?

A bank identification number (BIN) is the initial four to six numbers that appear on a credit card. The bank identification number uniquely identifies the institution issuing the card. The BIN is key in the process of matching transactions to the issuer of the charge card.

Where is the bin number on my insurance card?

The BIN, or bank identification number on your health insurance card, is a six-digit number that tells the computer database at the pharmacy which health insurance provider is to receive the claim for your prescription.

Where is the PCN number?

The PCN number can be found above the vehicle image in the top right hand corner of the PCN.

Where can I find my group number on my insurance card?

Both your group number and your member ID number will be located on your physical ID card and your mobile ID card, which is available on your SimplyInsured dashboard. Employers can also locate the company's group number on their monthly invoices.

Is the policy number the group number?

Look on your health insurance ID card.
Your policy number is usually also known as your member number or subscriber number.

What is Rx BIN on insurance card?

Rx BIN (banking identification number)
It indicates which company will reimburse the pharmacy for the cost of the prescription. Not all insurance ID cards contain this number, though.

What is a Rx PCN number?

A Processor Control Number (PCN) is a secondary number on a health insurance card that is used to route pharmacy claim transactions for health insurers. ( See image below) Not all entities use a PCN. Those that utilize a Pharmacy Benefit Manager to pay drug benefits utilize this number to facilitate claim payment.

How do you read a health insurance card?

How to read your insurance card
  1. Identify your information. Every health insurance card should have the patient's name on it.
  2. Policy number. All health insurance cards should have a policy number.
  3. Group plan number.
  4. Insurance company contact information.
  5. Coverage amounts, in and out of network, and co-pays.
  6. Prescription coverage.
  7. Questions?

What does a PBM do?

According to the American Pharmacists Association, "PBMs are primarily responsible for developing and maintaining the formulary, contracting with pharmacies, negotiating discounts and rebates with drug manufacturers, and processing and paying prescription drug claims.

What does the alpha prefix signify?

The three-character* alpha prefix is the key element used to identify members and route out-of-area claims. The alpha prefix identifies the Blue Plan or national account to which the member belongs. It is critical for confirming a patient's membership and coverage.

What is primary cardholder ID number?

Primary Account Number Identifiers
The very first digit is called the major industry identifier and it identifies the type of credit card. The first six digits identify the credit card network associated with the card, such as 601100 for Discover cards.

What is RX member ID number?

We use two identification numbers to verify your benefits: a member number and a group number. In most cases, your group number precedes your member number on your prescription benefit card. Member numbers are often made up of all numeric digits and are usually nine to 10 characters long.

What does EPP mean on insurance card?

EPP = BluePreferred PPO Network. BVP = Blue Advantage PPO Network.

What is an insurance policy number?

Your car insurance policy number is a unique number that is associated with your insurance policy. Insurance companies use your insurance policy number to locate your account, and you need your policy number if you get in an accident or need to discuss your policy with your insurance company.

What is the alpha prefix for Empire BCBS?

BCBS Alpha Prefix from AAA to AZZ
BCBS Alpha Prefix List Blue Cross Blue Shield Companies
ADM Blue Cross Blue Shield of Illinois
ADN Unassigned Prefix
ADO Blue Cross Blue Shield of Michigan
ADP Empire Blue Cross Blue Shield of New York

What does the suitcase on BCBS card mean?

When you see the “PPO in a suitcase” logo on the front of the member's ID card, it means that the member has PPO (Preferred Provider Organization) or EPO (Exclusive Provider Organization) benefits available for medical services received within or outside of the United States.