Rxpcn number

PCP Ph Number Effective Date Speöalist Visit $ Emergency $ BS Plan RxGrp RxBlN cov Eff Date 378/865 HMRKOOI 610014 xwxwxxxx <fÎidHMARK MEMBER FIRSTN M LASTNAME MEMBER 10 Blue PPO O Hear Dental PLAN (80840) Group ec,'BS RxPCN Rxcrp @PPO 9151014609 01784785 363/865 610014 MEDDPRIME SPBLUEI Office visit Visit Emergency Room CMS $65 H3916 001

+1.877.844.0280: 24/7 Customer Care number to call This card does not guarantee coverage. To verify benefits, view claims, or find a provider, visit the websites or call. For U.S. Providers: UHCprovider.com For Non-U.S. Providers: International Claim Fax: Medical Claims:UrgCare: $ PO Box 740111, Atlanta, GA 30374-0111 +1 877-844-0280 +1 763-274 ...Contract Information: Independent Contracting Contact: [email protected] Website: https://professionals.optumrx.com. Certification Testing Window: Certification not required Pharmacy Help Desk Information: Medicaid: 888-306-3243 OptumRx: 800-788-7871 FlexScripts: 800-603-7796 ProAct: …contract number. Use this number for billing and checking eligibility and benefits. > Issuer Identifies the specific Blue Cross plan. > Group Number Number exclusive to a group. The upper right corner of the ID card may also display the unique name and logo of the particular employer group. Members who don’t belong to a group, areCarelonRx. 020099 020123 1-833-296-5037 1-833-296-5038 Molina 025201 1-8ØØ-364-6331 ScriptServ 026150 1-8ØØ-364-6331 CVS Caremark®. 610591. As communicated by plan or refer to ID card. *Help Desk phone number serving Puerto Rico Providers is available by calling toll- free. 1-8ØØ-842-7331.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. ... The Rx BIN number is a six-digit number used to handle electronic pharmacy claims …You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?." The chart below is the first page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H1997.RxBIN stands for “Prescription Bank Identification Number.”. It is a unique six-digit number that identifies the pharmacy benefit manager (PBM) associated with a specific insurance plan. PBMs are companies that manage prescription drug benefits on behalf of insurance companies and employers.RxPCN: ADV RxGRP: RX7316 Issuer (80840): 9151014609 ID: _____ NAME: _____ Present this card at any participating retail pharmacyto obtain your short-term supply of medicine. For additional pharmacies go to www.caremark.com or contact a Customer Care representative. Customer Care: 1-888-202-1654 Submit paper claims to:

Starting July 1, 2020, please use the enclosed PICA Prescription. ID cards showing your new member PICA ID number to use your prescription drug plan.RxPCN 9999 RxGRP COS Group Number: 90796 9H2406-042-000 AARP Medicare Advantage from UHC OR-0001 (PPO) With Dental PCP: PROVIDER PCP: 555-555-5555 PCP $0 Spec $30 MEMBER A SAMPLE Member ID 123456789-00 RxBIN 610097 RxPCN 9999 RxGRP COS Group Number: 90906 H3805-039-001MCO RxBIN and RxPCN Information. Minnesota Health Care Programs providers billing for prescriptions for members in managed care organizations (MCOs) need to use the …The RxPCN, or processor control number, is analogous to the plus 4 part of a zip code, which gives a more precise destination. In the pharmacy industry, the BIN number may represent the address of a large computer and the processor control number may represent a subset system of the computer.Nov 17, 2023 · A PCN number, which stands for Pharmacy Benefit Manager Control Number, is a unique identifier assigned to a specific pharmacy benefit manager. This number helps facilitate the claims processing and pricing of prescription medications. Essentially, it acts as a reference code that ensures a smooth flow of information between the pharmacy, the ... A PCN number, which stands for Pharmacy Benefit Manager Control Number, is a unique identifier assigned to a specific pharmacy benefit manager. This number helps facilitate the claims processing and pricing of prescription medications. Essentially, it acts as a reference code that ensures a smooth flow of information …

Medicaid cards look different for each state and will not contain an RxGroup, RxPCN, and RxBIN number, only a Member ID number. If you have a Medicaid managed care plan, then you should still be able to access pharmacy benefits information. For people with Medicaid coverage, many states will require you to switch to a managed care plan after …And can be reached at 1-800-553-0784 (TTY: 1-877-454-8477) or [email protected]. Member Services can also be contacted in writing at: Health Partners Plans 901 Market Street, Suite 500 Philadelphia, PA 19107. And.MEMBER ID NUMBER YKU12345678 PCP: PHONE: OFFICE VISIT: SPECIALIST EMERGENCY ROOM: LAST NAME, FIRST NAME $0 $0 $0 EFFECTIVE DATE BC/BS PLAN CODE ISSUER (80840) RxBIN 016499 RxPCN DSNPPRI RxGrp RXHRZN RxID 12345678 CMS-H8298-001 01/01/2017 S 280/780 Member Services: Pharmacy …Find everything you need to help your patients understand their health insurance as it relates to medical and pharmacy benefits and policies here. Dental Information. Medical Policies (Medical Coverage Guidelines) Medication Guides. Medical Policy, Pre-Certification, Pre-Authorization. Part B Step Therapy. Payment Policies.

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We’re happy to answer any questions you may have. If you need immediate medical assistance, please dial 911 or go to the emergency room at your local hospital. 988 Suicide & Crisis Lifeline: Call or text 988. To chat online, visit 988lifeline.org. Free and confidential. Available 24/7.2. Group number. Group ID numbers identify the line of business for the customer’s plan. 3. Medical network. This identifies which network your patient is in. See the Plans and Networks section of this guide for specific network details and limitations. If the customer has dental coverage, that will be listed as well.RxBIN XXXXXX RxPCN XXXXXXXX DOI POS (or HMO) Open Access No referral required PCP Visit $15/$25 Specialist $15/$25 ... 1 Use this ID number for all claims and inquiries.22 Nov 2011 ... Processor Control Number (RXPCN): FEPRX and RXGRP number: 65006500. Please note: Claims submitted with an incorrect RXBIN and RXPCN may reject.SKÅNES FAGERHULT, Sweden, April 30, 2020 /PRNewswire/ -- The total number of registered shares and votes in the company at 1 January 2020 was 39,... SKÅNES FAGERHULT, Sweden, Apri...RXPCN: MCAIDADV RXGROUP: RX5440 HOOSIER HEALTHWISE MEMBER ID CARD PROVIDERS: to by - — MHS '002 MO MEMBERS: MHS MHS 24 H' MHS Vrnhs Member Name MY HEALTH Benefits, Care, Claims and More We want you to have the right care, in the right place at the right time. Learn More Home My Health Messaging Profile Help …

The person code for the card holder is the -00 at the end of the id# but don't put that into the id#, it will make it harder to add dependents later on. Cardholder is -00, spouse -01, oldest child -02 ,etc. If the person has Priority Medicare though, you DO put the -00 in the cardholder ID but not in the person code. Their group is PHMEDCR.RxPCN: XXXXXXXX RxGRP: XXXXX Plan (80840) 9140461101 Member ID: Hxxxxxxxx MEMBER NAME CARD ISSUED: CUSTOMER SERVICE: Ifyou use TTY, call 711 Pharmacist]Physician Rx Inquiries: 1-800-281-6918 1-800-865-8715 Submit Rx Claims only to: Humana Claims, PO Box 14140, Lexington, KY 40512-4140 See pharmacy and drug …RXPCN: MEDDPRIME RXGRP: 2FGA member.wellcare.com card Issued: 10/18/2023 FOR MEMBERS Member Services: Nurse Advice Dent Dental : Vision; PROVIDERS ONLY ITTY: (TTY: (TTY: pr.. auth 3060 Farmington, MO 636038225 prior help with B allwelll MEMBER INFORMATION eFirst Ml Last.s exxxxxxxxx-xxxs ID: 01510146095 PROVIDER …RxBIN 610014 RxPCN MEDDPRIME Issuer (80840) 9151014609. RxGrp ID No. Name _____ FirstYou will receive a letter of disapproval if your application MI Last. Member Customer Service: 1.866.477.5703. TTY Users: 1.800.716.3231. Web: Express-Scripts.com. This is a temporary card. Your permanent ID card will be ...If you own a small business, a custom phone number will make it look more professional. Learn about the best vanity number providers. Office Technology | Buyer's Guide REVIEWED BY:...Yes. If there is an RXPCN number on the member’s ID card it must be submitted exactly as it appears on the card. If there is no RXPCN, submit the default number according to the Banking Identification Number (RXBIN) listed in the appropriate Payer Sheet.Medicaid is a great program that can help people who otherwise wouldn't get any help with medical costs. If you use Medicaid, you probably see the benefits of the program. However,...or account (not applicable to Medicare Advantage products). • Group number–Most often, this will be a number assigned to the group. Sometimes it will be an ...and member ID number. The Health Options automated voice response system is available at 844-325-6161. If the patient’s member ID number is not presented because the member is new to Highmark Health Options, Providers can press 0 …

Prescription Advantage Prescription Drug Reimbursement Form. RxPCN: MPSEAM ... Phone Number. ( ). Date of Birth. _____/_____/______. Prescription Advantage ID ...

The following tables contain RXBIN, RXPCN, and RXGRP information FOR PRIMARY MEDICARE PART D PLANS adjudicating through Caremark and RxAmerica. ... RX Processor Control Number (RXPCN) 610415 012114. COBPCS or COBSEGPCS . 004336 . COBADV or COBSEGADV : 610029 : COBCRK or COBSEGCRK : 004245 : 004245: …This card will include new information needed to use your coverage at the pharmacy. You’ll need to begin using this new card on Jan. 1, 2023, for your prescription medicine to be covered correctly. You can also use your digital ID card, which is always up to date in the BCBSM mobile app. Don’t use this card before Jan. 1, 2023 and destroy ...If you’re trying to find someone’s phone number, you might have a hard time if you don’t know where to look. Back in the day, many people would list their phone numbers in the Whit...PCP Ph Number Effective Date Speöalist Visit $ Emergency $ BS Plan RxGrp RxBlN cov Eff Date 378/865 HMRKOOI 610014 xwxwxxxx <fÎidHMARK MEMBER FIRSTN M LASTNAME MEMBER 10 Blue PPO O Hear Dental PLAN (80840) Group ec,'BS RxPCN Rxcrp @PPO 9151014609 01784785 363/865 610014 MEDDPRIME SPBLUEI Office visit Visit Emergency Room CMS $65 H3916 001When looking at your insurance card, you’ll see your Processor Control Number listed after “RxPCN.” Your specific processing control number may be … +1.877.844.0280: 24/7 Customer Care number to call This card does not guarantee coverage. To verify benefits, view claims, or find a provider, visit the websites or call. For U.S. Providers: UHCprovider.com For Non-U.S. Providers: International Claim Fax: Medical Claims:UrgCare: $ PO Box 740111, Atlanta, GA 30374-0111 +1 877-844-0280 +1 763-274 ... CarelonRx. 020099 020123 1-833-296-5037 1-833-296-5038 Molina 025201 1-8ØØ-364-6331 ScriptServ 026150 1-8ØØ-364-6331 CVS Caremark®. 610591. As communicated by plan or refer to ID card. *Help Desk phone number serving Puerto Rico Providers is available by calling toll- free. 1-8ØØ-842-7331.How to look up your Cigna Medicare Prescription Drug Plan Name. Find your 3-digit PBP code on your Cigna ID Card. Find your plan name by your 3-digit PBP code. 3-Digit Code. Cigna Plan. If your 3-digit code is between: 000-230.

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and member ID number. The Health Options automated voice response system is available at 844-325-6161. If the patient’s member ID number is not presented because the member is new to Highmark Health Options, Providers can press 0 to speak with a Provider Service Representative.will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control Number) with additional messaging that provides the new BIN/PCN. Please update impacted member’s profiles with the new processing information as applicable. Please use the following information when submitting claims for these Cigna group members withSilverScript number on the back of this letter to discuss your situation if you think you might be enrolled in a different Medicare Part D Prescription Drug plan or a Medicare Advantage (MA) plan. HealthSelect Medicare Rx is a Medicare Part D drug plan and is in addition to your coverage under Medicare Part A and Part B.1Ø1-A1 BIN Number 610502 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M NCPDP vD.Ø 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing 1Ø9-A9 Transaction Count M Up to four billing reversal transactions (B2) per transmissionA: You can request a new card or confirm your ID information before your appointment by using our secure Member Resource Center, emailing [email protected], or calling Customer Service at (800) 247-2583 Monday-Friday from 7:00 a.m. to 6:00 p.m.22 Nov 2011 ... Processor Control Number (RXPCN): FEPRX and RXGRP number: 65006500. Please note: Claims submitted with an incorrect RXBIN and RXPCN may reject.Yes. If there is an RXPCN number on the member’s ID card it must be submitted exactly as it appears on the card. If there is no RXPCN, submit the default number according to the Banking Identification Number (RXBIN) listed in the appropriate Payer Sheet.Similarly, using 18 (Plan Number) with RxPCN would also comply with the TR3. RFI Recommendation. For consistency, sending RxBIN in 2100A/NM109 using qualifiers NM101=PR and NM108=PI and sending RxPCN in 2100C/REF02 using REF01=N6 is recommended. Advance agreement with your trading partner is recommended appropriate. ….

You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?." The chart below is the fifth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H6846 through H8998.There are multiple reasons you might need to obtain the IMEI number of your phone. It is equivalent to the serial number and it identifies the make and model of device you own. You...Phone: 1-833-414-2228. Fax: 1-844-521-6938. Hours: 24 hours, 7 days a week. Claims processing or overrides. CarelonRx Medicaid Pharmacy Help Desk (Pharmacies Only) Phone Number: 1-833-409-1225. Hours: 24 hours, 7 days a week. Medical benefit (physician administered drugs) prior authorization request & status inquiries.This card will include new information needed to use your coverage at the pharmacy. You’ll need to begin using this new card on Jan. 1, 2023, for your prescription medicine to be covered correctly. You can also use your digital ID card, which is always up to date in the BCBSM mobile app. Don’t use this card before Jan. 1, 2023 and destroy ...RxPCN MCAIDADV Rx Grp RX6421 Member Services Phone Number 844-607-2829 or (TTY 800-743-3333 or 711) 8 am to 8 pm, Monday through Friday Log onto My.CareSource.com check for eligibility, co-pays and Primary Medical Provider (PMP) IN-MMED-0173 Member Name: Jane M Doe Member RID #: 123456789000 004336 …The RxPCN, or processor control number, is analogous to the plus 4 part of a zip code, which gives a more precise destination. In the pharmacy industry, the BIN number may represent the address of a large computer and the processor control number may represent a subset system of the computer.What is TRICARE’s pharmacy PCN and BIN? The TRICARE PCN is A4. If you have Medicare Part D, your PCN is SC. The TRICARE pharmacy BIN is 003858.CarelonRx. 020099 020123 1-833-296-5037 1-833-296-5038 Molina 025201 1-8ØØ-364-6331 ScriptServ 026150 1-8ØØ-364-6331 CVS Caremark®. 610591. As communicated by plan or refer to ID card. *Help Desk phone number serving Puerto Rico Providers is available by calling toll- free. 1-8ØØ-842-7331. RxPCN 9999 RxGRP COS Group Number: 90008 H1360-001-000 UHC Dual Complete NV-S001 (HMO-POS D-SNP) With Dental PCP: PROVIDER PCP: 555-555-5555 Referral Required OptumCare-NV MEMBER A SAMPLE Member ID 123456789-00 For Members: myAARPMedicare.com RxBIN 610097 RxPCN 9999 RxGRP COS Group Number: 90027 H7404-020-000 AARP Medicare Advantage from UHC NV ... • Rx Group Number: WLHA • IngenioRX is open 27/7 and can be reached at 833- 261-2463 Phone Number: • 833-674-9256 . Author: Holly R Singleteary Created Date: Rxpcn number, Processor Control Number (RxPCN) and/or a Group Number (RxGRP) when required by the benefit administrator for proper adjudication of claims. The order of the data must be as indicated, and no other data may be interspersed between these data elements when printing pharmacy ID cards. To conserve vertical space on the ID card, the RxIIN and, You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?." The chart below is the first page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H1997., RxBin - the Bank Identification Number routes a claim towards the right insurance; RxPCN - the Processor Control Number further narrows the claim to the specific insurance; ID - the member's designated identification number; RxGrp - the prescription group number denotes which group plan the member ID falls under, And can be reached at 1-800-553-0784 (TTY: 1-877-454-8477) or [email protected]. Member Services can also be contacted in writing at: Health Partners Plans 901 Market Street, Suite 500 Philadelphia, PA 19107. And., , Where is the routing number on the check? And if you don't have a checkbook, where can you get the routing number? Ask HowStuffWorks. Advertisement Most customers pay by for goods ..., Yes. If there is an RXPCN number on the member’s ID card it must be submitted exactly as it appears on the card. If there is no RXPCN, submit the default number according to the Banking Identification Number (RXBIN) listed in the appropriate Payer Sheet., GROUP NUMBER 0S228-ZX RxBIN RxPCN RX COVRG OFFICE COPAY 610455 PGIGN GOLD SELECT 15.00 CONTRACT YEAR 2008 BlueCross BlueShield 00 JOHN A SAMPLENAME GROUP NUMBER XX199-11 IN NETWORK ER COPAY OFFICE COPAY 75.00 10.00 Minnesota Advantage Health Plan • Managed care product for employees of the, 4Ø3-d3 fill number r 4Ø5-d5 days supply r 4Ø6-d6 compound code r 4Ø8-d8 dispense as written (daw)/product selection code r 414-de date prescription written r 415-df number of refills authorized r 419-dj prescription origin code rw varies by plan 354-nx submission clarification code count maximum count of 3. o, Managed care pharmacy identification. In addition to their Minnesota Health Care Programs (MHCP) ID cards, members enrolled in a managed care organization (MCO) also receive ID cards directly from their MCOs. Members are instructed to show both ID cards before receiving health care services. Verify member eligibility and the MCO enrollment ... , RxBIN stands for “Prescription Bank Identification Number.”. It is a unique six-digit number that identifies the pharmacy benefit manager (PBM) associated with a specific insurance plan. PBMs are companies that manage prescription drug benefits on behalf of insurance companies and employers., You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?." The chart below is the first page of the 2020 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H2334., There are three ways you can access your member ID card: Your physical member ID card we mail to you. Your mobile ID card on the fepblue app. Your online ID card on your …, will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control Number) with additional messaging that provides the new BIN/PCN. Please update impacted member’s profiles with the new processing information as applicable. Please use the following information when submitting claims for these Cigna group members with, SilverScript number on the back of this letter to discuss your situation if you think you might be enrolled in a different Medicare Part D Prescription Drug plan or a Medicare Advantage (MA) plan. HealthSelect Medicare Rx is a Medicare Part D drug plan and is in addition to your coverage under Medicare Part A and Part B., 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1 M 1Ø4-A4 PROCESSOR CONTROL NUMBER Multiple M PCN’s listed in General Information Section 1Ø9-A9 TRANSACTION COUNT Ø1-Ø4 M Up to 4 transactions per B1 transmissions accepted 2Ø2-B2 SERVICE PROVIDER ID QUALIFIER Ø1-NPI M ..., Number M 436-E1 Product/Service ID Qualifier ØØ = Not specified* Ø3=National Drug Code M 4Ø7-D7 Product/Service ID M 442-E7 Quantity Dispensed R 4Ø3-D3 Fill Number Ø=Original Dispensing 1 to 99 = Refill number R 4Ø5-D5 Days Supply . R . 4Ø6-D6 Compound Code 1=Not a Compound 2=Compound* R . 4Ø8-D8 Dispense as Written, There are multiple reasons you might need to obtain the IMEI number of your phone. It is equivalent to the serial number and it identifies the make and model of device you own. You..., PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Aetna Better Health CVS/ Caremark Phone: 1-855-364-2975 Medicare/Medicaid Members BIN: 610591 PCN: MEDDADV Group: RX8812 Medicaid Only Members BIN: 610591 PCN: ADV Group: RX8810, Use http://caremark.com or call your pharmacy of choice and provide the following information: member ID number,. RXBin: #004336, RXGrp: RX7365, RXPCN: ADV, ..., You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?." The chart below is the first page of the 2020 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H2334., It is a secondary identification number that health care providers and financial providers use to route claims. A PCN number has third main purposes: RxBIN or RxPCN can be reflection of as a U.S. hurry code + 4. This RxBIN, or BIN number, is analogous to the 5-digit zips code and determines the routing ..., Plan Benefit Package (PBP) Checklist for Medicare-Medicaid Plans (MMPs) This checklist serves as a supplement for Medicare-Medicaid Plans (MMPs) to use in conjunction with the Plan Benefit Package (PBP) State Guidance and the Health Plan Management System (HPMS) Bid Submission User Manual. It is comprised of three sections: PBP …, Your network provider must call the toll-free number listed below to pre-certify the above services. Refer to your plan documents for your pre-certification requirements. Failure to do so may af fect benef its. ... RxBIN XXXXXX RxPCN XXXXXXXX DOI Open Access Plus No referral required PCP visit $10/$25 Specialist $10/$25 Hospital ER $50 Urgent ..., Pharmacy Facts, Number 190 Page 2 of 2 Please direct any questions or comments (or to be removed from this fax distribution) to [email protected]. BIN/PCN/Group Numbers for ACOs, MCOs, PCC Plan and SCO MassHealth Only Primary Care ACOs PBM BIN PCN Group Pharmacy Help Desk Community Care Cooperative (C3), Depending on your plan, you received either a prescription benefit ID card or a combined ID card for both your medical and prescription benefits. You can find your member ID number on this card. If you can’t find the answer to your question, please contact us. Millions trust Express Scripts for safety, care and convenience., Service, Member Services, and the number to call if you’re admitted to a hospital. Call Member Services immediately if your ID card is lost, stolen, or needs to be replaced. Write down your member ID number and keep it in a safe place separate from your card. RxBIN RxBIN 610011Elect PPO RxPCN IRX RxGrp GCOCOMM ID 12345678 John Sample, You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?." The chart below is the first page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H1997., RXPCN: MCAIDADV RXGROUP: RX5440 HOOSIER HEALTHWISE MEMBER ID CARD PROVIDERS: to by - — MHS '002 MO MEMBERS: MHS MHS 24 H' MHS Vrnhs Member Name MY HEALTH Benefits, Care, Claims and More We want you to have the right care, in the right place at the right time. Learn More Home My Health Messaging Profile Help …, RxPCN: XXXXXXXX RxGRP: XXXXX Plan (80840) 9140461101 Member ID: Hxxxxxxxx MEMBER NAME CARD ISSUED: CUSTOMER SERVICE: Ifyou use TTY, call 711 Pharmacist]Physician Rx Inquiries: 1-800-281-6918 1-800-865-8715 Submit Rx Claims only to: Humana Claims, PO Box 14140, Lexington, KY 40512-4140 See pharmacy and drug list at Humana.com Med i carcBQ , RxPCN - MEDDPRIME RxGrp - RXINN02 CMS: <XXX XX-XXX > Member Name: <Cardholder Name> Member ID #: <Cardholder ID#> <CareSource MyCare Ohio> MMIS Number: <Medicaid Recipient ID#> PCP Name: <PCP Name> PCP Phone: <PCP Phone> H8452 W001 RxBIN - 610014 RxPCN - MEDDPRIME RxGRP - RXINN03 Information for …, 1. Member ID Number: This is a unique identifier assigned to you as the policyholder or member. It is used to track and manage your insurance information. Healthcare providers often require your member ID number to verify your coverage and eligibility for services. 2., RXPCN (Processor Control Number) 1Ø4-A4 *Please reference end of document RXGRP 3Ø1-C1 *Please reference end of document Date of Service 4Ø1-D1 Date of Service: MM/DD/YYYY Service Provider ID 2Ø1-B1 Pharmacy National Provider ID Patient Name 31Ø-CA, 311-CB Member First, Last Name Date of Birth 3Ø4-C4 Member Date of Birth: …