Web2024 OptumRx BIN 610279 Payer Sheet. This document provides information on electronic claims processing, specific to NCPDP defined fields and requirements, for OptumRx … Web1Ø1-A1 BIN Number 013089, 610468 006144, 004245 610449, 610474 603604, 007093 610473, 601475 012189, 013303 014046, 610130 610477, 610239 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing 1Ø9-A9 …
DB connection - pleasanthealth.com
WebPreview this quiz on Quizizz. 1. This patient called in today to report new insurance. Using the following information, locate the correct bill group for the Rx coverage: a. Name of Insurance: OptumRx Commercial b. ID#: 854157498 c. Group# N/A d. BIN: 610494 e. PCN: 9999 f. Relationship: Member g. Person Code: 01 h. Effective Date: 01/01/2016 ... WebRX BIN # RX BIN # 610239: RX PCN # RX PCN # Feprx: Group # Group # 65006500: Effective Date: 09/01/2024: Effective Date: 09/20/2024: Expiration Date: 09/01/2024: … small white pill 5 on it
DB connection - pleasanthealth.com
WebPBM/Payor Plan Name/Contract Name BIN . PCN GROUP : Type Network: Location Help Desk Number: AlphaScrip Inc Alpha Scrip 610600: AS Commercial: 1-877-274-3244 … Web610239 FEPRX B) 2345678 Date 01/01/1998 Independence SAMPLE YXF123456789101 c 1101 cu. 1000 VISION PLAN SPEC PCN 015814 Ob0900UJ (J UnitedHealthcar€ 911-87726-04 ... RX Bin: PCN: 000000 00000000 100% Rx PREVENTIVE CARE Cigna by R.xBIN 017010 FRONT $20.00 $40.00 Member Name Member ID Number … WebBIN: PCN: CVSH Pharmacy Help Desk: Commercial : 004336: 77993333 (888) 970-0932: Medicare: 004336: 77993322 (888) 970-0933 . Get pharmacy information for Blue Shield of California Promise Health Plan . Pharmacy benefit design. Find details of the pharmacy benefit, including formulary, medication supply, injectable drug coverage and exclusions. small white pill 54/840