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importance of office management ppt

importance of office management ppt
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New PBM/BIN. AR Blue Cross Medi-Pak Rx Basic and Premier PDPs (AR): 016895 PDPAR ARPARTD. Prescription Blue Preferred, Select, and Premium PDPs (MI): CommunityCare Prescription Drug Plan PDP (OK): Blue Medicare Rx Enhanced and Standard (NC): 015905 PCNs: HMONC, PPONC, HMONCG, PPONCG. Anthem Blue MedicareRx, Blue MedicareRx, and MediBlue Rx plans (CA, CO, GA, IN, KS, KY, ME, MO, NH, OH, VA, WI): AR Blue Cross Medi-Pak Rx Basic and Premier PDPs (AR): Blue Cross MedicareRx Basic, Plus and Value (HCSC: OK, IL, TX, NM, MT): 011552 and 610455PCNs: PDPTX PDPOK PDPIL PDPNM PDPMT. AARP BIN: 610652 PCN: Varies – refer to ID card OptumRx BIN: 610127 PCN: 02330000 01960000 01990000 02330088 COSF GASF MASF PCN: NCCSI NCSF NWSF SCCSI SCSF OHSF SavaScript Value Services BIN: 023153 PCN: HT Processor: OptumRx Effective as of: 06/01/2015 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: October … Asuris Medicare Script Basic, Saver, and Enhanced PDPs (OR/WA): Regence Medicare Script Saver, Enhanced, and Basic PDPs (ID, UT): 610014 MEDDPRIME WPSPDPEmblemHealth VIP Rx and Rx Plus PDPs (NY): Farm Bureau Essential Rx and Select Rx PDPs (AL, TN): Leon Medical Centers Health Plans - Leon Cares HMO (certain FL counties only): If there is a Part D BIN/PCN/Group missing that you would like us to add, please shoot us an email at support@amplicare.com! Plan Name BIN PCN Group Number Capital BlueCross BlueJourney HMO 610455 CAPD H3962 Capital BlueCross BlueJourney HMO 610455 CAPDG H3962 Capital BlueCross BlueJourney HMO MA Only 610455 CAPBGM N/A Effective January 1, 2020 2019 Outstanding Claim Reversals and Processing → To prepare for this transition, Participating Pharmacies should complete all claims processing and … X630694700091 Members: Present this ID card and your Customer … Blue Shield Medicare Basic and Enhanced (CA): 012353 03510000 RxGroup variesMedicareBlue Rx Premier and Standard (NPA: IA, MN, NE, SD, ND, MT, WY): 004336 MEDDADV RxGroups: RX8633, RX8634BlueCross Rx Plus and Value (SC): Blue MedicareRx Premier and Value Plus PDPs (NEJE: MA, VT, CT, RI): Blue MedicareRx Value, Essential, and Enhanced PDPs (AZ): BCBSAZ BlueJourney and BluePathway MA-PDs (AZ): 004336 MEDDADV 788257Highmark Blue Rx Complete and Plus PDPs (PA): 610014 MEDDPRIME PCNs: SPBLUE1, SPBLUE2, SPBLUE3. The chart below is the fifth page of the 2020 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9438 through S9701. %%EOF h�b``c``Z����0-�A���bl, {��`@�-�`�� 8���X�i5 V�lgdpdm�k`m`z�x�͏q+�]��J��L�V��7������ ���D��'0u�0�0x2�0�9p+�60/`l@�L��Eq*�fz�\T���pD��@� e#2 See your … 0 See your … 8 comments. This thread is archived. Bin List /BIN: Specify a Bin : Allows you to specify an individual bin number instead of a bin group. best. Anthem partners with health care professionals to close gaps in care and improve members overall heath. Rx BIN: 020115 Rx PCN: IS Rx GROUP: WM2A Issuer ID: 80840 Amerivantage Dual Coordination CMS H1894-PBP: 002-000 Most dual eligible members pay $0 Effective Date: 01/01/2020 for plan covered medical services. MII Life: Journey Rx Standard and Value PDPs (CA, IA, MI, MN, MO, NE, ND, SD, WY): MII Life: Basic Blue Rx Standard PDP (LA, NC, PA, WV): MII Life: Basic Blue Rx Value PDP (PA, WV): Magellan Rx Medicare Basic PDP (AZ, DE, MD, NY, VA, DC): 018117 MRXMED RxGroup begins with REG, such as REG03 or REG15. report. /INS: Specify a Name : Allows you to specify an insurance name instead of a bin group. (HMO D-SNP) Amerigroup New Jersey, Inc. RxID: X151938440000001 Members: Call your PCP or 24-hour Nurse Customer Service: show this card for … (HMO D-SNP) Amerigroup Washington, Inc. RxID: X636890300011 Members: Present this ID card and your Customer … Rx BIN: 020115 Rx PCN: IS Rx GROUP: WM2A Issuer ID: 80840 Amerivantage ESRD CMS H3240-PBP: 017-000 Office Visit Copay: Effective Date: 01/01/2020 Nephrologist Copay: Emergency Room Copay: Preventive Copay: livehealthonline.com (HMO-POS C-SNP) Amerigroup New Jersey, Inc. $0 $0 $90 $0 X476041700051 Members: Present this ID card to your Customer Service: or supplies. 1Ø1-A1 BIN Number 610415, 004336 610029, 610468 006144, 004245 610449, 610474 603604, 007093 610473, 601475 012189, 013303 014046, 600042 610130, 610477 610239, 021007 610084, 610591 021338, 020099 020123, 610502 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD.Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed … Sort by. Rx BIN: 020115 Rx PCN: IS Rx GROUP: WM2A Issuer ID: 80840 Member ID: Amerivantage Dual Secure CMS H2593-PBP: 033-000 Most dual eligible members pay $0 for plan covered medical services. Amplicare Match (iMedicare): Grow Your Medicare Business. Aetna, Allina Health, Better Health Innovation Health-Aetna, Advantra and Coventry plans (MAPDs): Wellcare Classic, Value Script, Wellness Rx, Medicare Rx Saver, Medicare Rx Select PDPs, Wellcare MA-PDs and SNPs: Cigna-HealthSpring Rx Secure, Cigna-HealthSpring Rx Secure-Extra, and Cigna-HealthSpring Rx Secure-Essential PDPs: Cigna MA-PDs and SNPs in all states but AZ: Express Scripts Choice, Value and Saver PDPs: Humana Basic Rx, Premier Rx, Walmart Value Rx PDPs, all Humana MA-PDs and SNPs: AARP MedicareRx Saver Plus, Preferred, and Walgreens PDPs: AARP, UnitedHealthcare and SecureHorizons MAPDs and SNPs: 610097 9999 Groups: COS, SHCA, SHCO, SHOK, SHOR, SHTX, 610494 9999 Groups: SHCA, SHCO, SHOK, SHOR, SHTX. Blue Cross Medicare Advantage Plans (HCSC: OK, IL, TX, NM): 011552 PCNs: MAPDTX MAPDOK MAPDIL MAPDNM MAPDMT RxGroup varies (HMO D-SNP) Amerigroup Washington, Inc. Rx ID: X465432800124 Members: Present this ID card and … Group: Plan: RX Bin: RxPCN: Issuer (80840): Rx Group: 332 003858 MD 9101000302 WM2A Office Visit Copay: Specialist Visit Copay: Emergency Room Copay: Preventive Copay: $10 $50 $75 $0 CMS H5422-008-000 %FOUBM -*#&35: /FUXPSL %(14 X132030856400001 Provider: Do not bill Medicare. Find your plan's BINs, PCNs, and RxGroups! Blue Cross MedicareRx Basic, Plus and Value (HCSC: OK, IL, TX, NM, MT): 011552 and 610455 PCNs: PDPTX PDPOK PDPIL PDPNM PDPMT. Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fifth page (H8634 - … IngenioRx Medicare BIN: 020115 PCN: IS RxGroup: WM2A… BIN: 603286 PCN: 01410000 GROUP (or RxGroup): 788257 In this particular example, these three numbers are the same for all WellCare Medicare Part D prescription drug plans (in this case, the WellCare Classic and WellCare Signature Part D plans) in all states across the country. Dual eligible members pay $0 for. save. Provider: Dual Member Cost Share should be verified and billed to Member's Medicaid. /BINA: AmWINS : 011289, 013492, 013527, 014848, 015178, 015185, 016341 /BINB: Argus The chart below is the fourth page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5928 through H8634. Anthem BCBS plans (available in KY, IN, KS, VA, CA, CO, MO, OH, NH, ME, WI, GA, as well as under the name Empire in NY) have switched from Express Scripts to a new PBM called IngenioRx in partnership with CVS Caremark. Group: Plan: RxBIN: RxPCN: Issuer (80840): RxGRP: RxID: CAMCRWP0 332 020115 IS 9101000302 WM2A Office Visit Copay: Specialist Visit Copay: Emergency Room Copay: Preventive Copay: livehealthonline.com $10 / 50% $35 / 50% $90 $0 CMS H8552-029-000 Dental - LIBERTY X113411273600001 Member: Present this ID card to your health care provider before you receive … Provider: Dual Member Cost Share will be processed by Amerigroup. EnvisionRxPlus and EnvisionRxSecure PDPs: 012312 PARTD RxGroup begins with EICS, such as EICS004 or EICS103. Amerivantage Dual Coordination CMS H2593-PBP: 021-000. The acronym BIN was established in the banking industry and carried over to the health insurance industry when cards were first issued. 125 0 obj <>stream See … BlueRx Enhanced and Enhanced Plus (AL and TN): Horizon Medicare Blue Rx Standard and Enhanced (NJ): BlueMedicare Rx- Option 1 and Option 2 PDP (FL): SecureRx Option 1 and Option 3 PDPs (PA): Capital Blue Cross/Keystone BlueJourney MA-PDs and SNPs (PA): 610455PCNS: CAPD, CAPD2RxGroups: H3923, H3962. share. hide. Visit Anthem.com to learn more about how we coordinate our medical and pharmacy benefits, review our drug lists, submit prior authorization requests, and more. Plan Name/Group Name: Various BIN: 018117 PCN: MRXMED Processor: Magellan Rx Management Effective as of: January 1, 2020 NCPDP Telecommunication Standard Version/Release #: D.Ø NCPDP Data Dictionary Version Date: 2015 NCPDP External Code List Version Date: 2018 Contact/Information Source: Magellan Rx PDP: 1-800-424-5870 Certification Testing Window: Certification Not Required … A specific example is that I know BIN: 610014 PCN: (blank) Group: WM2A is Anthem medicare, but I don't know if BIN: 610014 PCN: (blank) Group: WMHSAPNAPPOWM2A is still Medicare or if they just happen to both have WM2A in the group. Rx BIN: 020115 Rx PCN: IS Rx GROUP: WM2A Issuer ID: 80840. Groups scheduled to renew between May 2019 and October 1, 2019 will get a new ID card off renewal in the months of February and March 2019. Group: Plan: RxBIN: RxPCN: Issuer (80840): RxGRP: RxID: NYMCRWP0 332 020115 IS 9101000302 WM2A Office Visit Copay: Specialist Visit Copay: Emergency Room Copay: Preventive Copay: livehealthonline.com $15 $45 $90 $0 CMS H8432-011-000 PCP: Dental - LIBERTY X475196700003 Member: Present this ID card to your health care provider before you receive services or supplies. Please submit claims to your local Blue Cross Blue Shield Plan. %PDF-1.7 %���� OptumRx (This represents former CatalystRx) BIN: 015789 PCN: 05900000 05900001 CTRXMEDD PCN: 05910000 05912961 Kaiser (MED D) BIN: 011255 PCN: COCMS COCMSN COCMSS BIN: 011222 PCN: GACMS BIN: 011214 PCN: HICMS BIN: 011859 PCN: MACMS MACMSA BIN: 011842 PCN: NCCMS BIN: 011230 PCN: NWCMS BIN: 011172 PCN: SCCMS Provider: Dual Member Cost share should be verified and (HMO D-SNP) Amerigroup Texas, Inc. Rx ID: billed to member's Medicaid. Field # CLAIM SEGMENT Value Payer Usage (M) Comment 111-AM Segment Identification 455-EM Prescription/Service Reference Number Qualifier 1 = Rx Billing M 4Ø2-D2 Prescription/Servic endstream endobj startxref … New comments cannot be posted and votes cannot be cast. Your clients will receive a new ID card at renewal, starting in October 2018 and continuing through April 1, 2019. 89 0 obj <>/Filter/FlateDecode/ID[]/Index[49 77]/Info 48 0 R/Length 157/Prev 275382/Root 50 0 R/Size 126/Type/XRef/W[1 3 1]>>stream h�bbd```b``��� ��D��H��`�L��e������n"y�$��m��Ď��������&��H}��~��.���� ������O�m�� �%`]�7��L2 �V ���hɿe��������8L��L�� �D� 020115 IS WM2A. BIN: 020115 PCN: IS Group: RX8446 Member ID Cards Members will receive a new ID card to use at participating pharmacies effective 1/1/2020 NEW Pharmacist’s Help Desk 1-833-377-4266 If you have any questions about this communication or any questions regarding this transition, please contact IRX@healthsun.com. RxBIN: 020115 RxPCN: IS RxGRP: WM2A Issuer ID: 80840 Member ID: Amerivantage Dual Coordination CMS H3240-PBP: 013-000 Dual eligible members pay $0 for plan covered medical services. Added BIN 020115 (Effective January 1, 2020) Added PCN (Effective January 1, 2020) o IS o NS Added Bin 020388 and Helpdesk number Added PCN IRXMEDD Added field 46Ø-ET Quantity Prescribed (Effective/Accepted 09/21/2020) Added PCN 77993322 Effective 01/01/2021 Added BIN 610502 (no changes were made to current setups) o Added PCNs MEDDAET, PARTBAET o Added Helpdesk … Click here for the first page (E0654 - H2334) , second page (H2354 - H4093) , third page (H4094 - H6293) and fourth page (H6306 - … Blue Cross Medicare Advantage Plans (HCSC: OK, IL, TX, NM): 011552PCNs: MAPDTX MAPDOK MAPDIL MAPDNM MAPDMTRxGroup varies. 49 0 obj <> endobj DB� =M��B�#��`�AS�l)��B#-���`TY@��9S�Q� ��4�����u)�@����$< Bd�D�8�C���. Anthem is updating pharmacy information on their ID cards to give members a better experience at the drugstore. Clear Spring Health Value Rx and Premier Rx PDPs  (41 states and DC: AL, AK, AZ, AR, CA, DC, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, MD, MI, MN, MS, MO, MT, NE, NV, NJ, CA, ND, OH, OK, OR, PA, SC, SD, TN, TX, UT,  VA, WA, WV, WI, WY): 012312 PARTD RxGroup begins with S6946, such as S6946004 or S6946003. 6 - Group Home 9 - Intermediate Care Facility/Mentally Retarded 11 - Hospice 15 - Correctional Institution RW Required if this field could result in different coverage, pricing, or patient financial responsibility. However, the BIN, PCN, and RxGroup number can vary between Medicare plans and may change year-to-year. h��Xmo�H�++ݗDU�o��+U���kH�@�66�%V���i�ߙ5L���w'�T���;o�;���F3ˆ�sI� �h�h�'^ȉ��ъ Provider: Dual Member Cost Share should be verified and billed to Member's Medicaid. Thanks! 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