Rxpcn number - 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:

 
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. . Bo1 zombies map

M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID Qualifier (436-E1) is zero (ØØ) 4Ø7-D7 Product/Service ID M If billing for a multi-ingredient prescription, Product/Service ID (4Ø7-D7) is zero (Ø) 442-E7 Quantity Dispensed R 4Ø3-D3 Fill Number RPCN on an insurance card stands for Processor Control Number. It is a unique identifier assigned to a specific pharmacy benefit manager (PBM) or a third-party administrator (TPA) that processes prescription drug claims for a particular health plan. PBMs and TPAs are intermediaries that work with insurance companies, pharmacies, …M Rx Number 436-E1 Product/Service ID Qualifier Ø3 M If billing for a multi-ingredient prescription, Product/Service ID Qualifier (436-E1) is zero (ØØ) 4Ø7-D7 Product/Service ID M If billing for a multi-ingredient prescription, Product/Service ID (4Ø7-D7) is zero (Ø) 442-E7 Quantity Dispensed R 4Ø3-D3 Fill Number RAetna System BIN Help Desk Number Aetna 610502 1-8ØØ-238-6279 11/26/2019 Page 4 of 24 . PART 2: BILLING TRANSACTION / SEGMENTS AND FIELDS The following table lists the segments available in a Billing Transaction. Pharmacies are required to submit upper case values on B1/B2 transactions. The table also lists values as defined under(ii) The processor control number labeled as RxPCN, if required for proper routing of electronic claim transactions for prescription benefits. (iii) The group ...Is a processor control number (RXPCN) required for claim submission? Yes. If there is an RXPCN number on the member’s ID card it must be submitted exactly as it appears on …Network pharmacies must confirm some information to OptumRx at least every 3 years (name, address, phone number, gender, languages spoken) for the directory. OptumRx reviews all this information at least every 3 years for credentialing. Language Language(s), other than English, that a pharmacy or staff can speak. This is reported by the ...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 ...Michigan, le claims with: If you suspect fraud: 800-482-3787. Blue Care Network Mental health/substance P.O. Box 68710 abuse treatment: 800-482-5982. Grand Rapids, MI 49516-8710 Providers outside Michigan, le claims with Dental Servicing: 888-826-8152.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.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 ...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 ...There are two basic types of stock: common stock and preferred stock. When a company incorporates, it authorizes a certain number of shares of common and preferred stock. This is c...This guide discusses the difference between SKU vs UPC, what it means for your small retail business, and when to use each. Retail | Versus WRITTEN BY: Meaghan Brophy Published Mar...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 … A: Providers must request to see the identification card for the eligible person and examine the card to determine if the RXPCN information is available. Submit the RXPCN information as it appears on the identification card. If there is no RXPCN, submit the default number according to the banking identification number (RXBIN) as follows: 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 carcBQIf you have any questions about a network pharmacy, contact the pharmacy or call the phone number on your ID card. Demographic information Network pharmacies must confirm some information to OptumRx at least every 3 years (name, address, phone number, gender, languages spoken) for the directory.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.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 …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 WrittenGROUP 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 …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.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 withPhone: 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.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: …2. ID number . A three-character prefix is part of most member ID numbers. Use the correct prefix to ensure the claim is routed to the correct Blue Plan. 3. Copayment amounts . Copayments may be listed for: • Office visits (OV) • Behavioral health visits (BH) SM • Emergency room visits (ER) • Preventive care. Copayments may not appear ...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 …If you have any questions about a network pharmacy, contact the pharmacy or call the phone number on your ID card. Demographic information Network pharmacies must confirm some information to OptumRx at least every 3 years (name, address, phone number, gender, languages spoken) for the directory.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.If you have any questions about a network pharmacy, contact the pharmacy or call the phone number on your ID card. Demographic information Network pharmacies must confirm some information to OptumRx at least every 3 years (name, address, phone number, gender, languages spoken) for the directory.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.But if your pharmacy benefits information is included on your main health insurance card, upload that one. Note: If you request PrEP or STI testing you may need to upload both your medical and prescription insurance cards. Be sure the card you upload includes an ID number as well as numbers preceded by “RX” such as RXBIN, RXPCN and RXGRP.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. oYes. 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.Members with insurance through your employer · Member ID number: A unique member ID number that links to your specific health insurance benefits and coverage.What is TriCare Rx Bin Number? RxBin is Express Scripts 003858 RxPCN A4. What is the different Rx level full and Rx level? Rx level sub is the downlink level received when DTX (discontinous reception) is enabled. It is difference from Rx level full is that in full values are calculated when all the burst includin silent burst are considered but ...Special Features; Find a 2024 Part D Plan (Rx Only) Find a 2024 Medicare Advantage Plan (Health and Health w/Rx Plans) Browse Any 2024 Medicare Plan Formulary (or Drug List)– Facility Contact Numbers · – Request ... RxPCN: VA | RxGrp: HAC. OptumRx website · OptumRx Beneficiary FAQs ... This is also the contact number to order a ... 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 30 ... If you electronically submit claims through UHIN or another clearinghouse, you need the correct member ID number (as shown on the PEHP ID card) for the claim to process. If your system requires 13 characters to submit claims, add "00" at the end. If you have questions, please contact us at (801) 366-7555 or send us a message via the Message ...The BIN number is a very important indicator on a health insurance card. In fact, in some cases, it can serve as a replacement for the PCN or as an addition to it. The BIN number is a strictly financial identifier. It does not provide policy-related data but notifies the pharmacy’s database which health insurance provider to send a payment ...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. Click here for the …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 ...May 20, 2022 · It is an 8-character numeric or alphanumeric string. The Rx PCN is an identification number used to route pharmaceutical transactions. It indicates which processor will handle your claim. In addition, the PCN is connected to your insurance. It shows whether your insurance plan covers your prescription. Please refer to the table below for bank identification number (BIN) and processor control number (PCN) information. For assistance with processing Blue Shield claims, please refer to the Pharmacy Help Desk telephone numbers. Plan type : BIN: PCN: CVSH Pharmacy Help Desk: Commercial : 004336: 77993333 (888) 970-0932: Medicare: The pharmacy policies content only applies to those employer groups who retain Prime Therapeutics. Member ID cards with RxBIN 610455 and RxPCN PGIGN or HMHS on the front indicate that a member has Prime Therapeutics as their PBM and these pharmacy policies apply. The Blue Cross and Blue Shield of Minnesota pharmacy utilization management. 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. Depending on your plan, you can select Member ID Card under Account in the main menu after you log in. If it's available, you can print your member ID card from there. Just click on the Download Card button to download and/or print your member ID Card. On the Express Scripts® Pharmacy mobile app. Tap the menu icon on the top-left corner of ... 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, are 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 ... What is TriCare Rx Bin Number? RxBin is Express Scripts 003858 RxPCN A4. What is the full form of Rx BIN or Rx PCN? I am by no means a technical expert on the subject, but I will give the basic information that I have learned by working in numerous pharmacies. Rx "BIN" refers to Bank Identification Number, which basically routes …22 Nov 2011 ... Processor Control Number (RXPCN): FEPRX and RXGRP number: 65006500. Please note: Claims submitted with an incorrect RXBIN and RXPCN may reject.This brochure will help you know about the different ID cards you may see in your practice from members who have Blue Cross coverage. All Blue Cross Blue Shield of Michigan …Update: The 2022 BIN/PCN list has been released.Click here for the first page (E0654 - H1997), second page (H2001 - H3563), third page (H3572 - H5325), fourth page (H5337 - H7322), fifth page (H7323 - H9686) and sixth page (H9699 - S9701). The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values …Prescription Advantage Prescription Drug Reimbursement Form. RxPCN: MPSEAM ... Phone Number. ( ). Date of Birth. _____/_____/______. Prescription Advantage ID ...What is TriCare Rx Bin Number? RxBin is Express Scripts 003858 RxPCN A4. What is the different Rx level full and Rx level? Rx level sub is the downlink level received when DTX (discontinous reception) is enabled. It is difference from Rx level full is that in full values are calculated when all the burst includin silent burst are considered but ...Michigan, le claims with: If you suspect fraud: 800-482-3787. Blue Care Network Mental health/substance P.O. Box 68710 abuse treatment: 800-482-5982. Grand Rapids, MI 49516-8710 Providers outside Michigan, le claims with Dental Servicing: 888-826-8152.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.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 ... RxPCN - Stands for ... PCP Ph Number Effective Date Specialist Visit Emergency Room ES Plan RxGrp RxBlN Cov Eff Date 363/865 HMRKOOI 610014 XX/XX/XXXX IIGHMARK CHOICE COMPANY MEMBER NAME FIRSTNAME M LASTNAME MEMBER ID z PM xxxxxxxxxxxx PCP INFORWTION xxxxxxxxxx xxx xxx.xxx.xxxx Hear/Vision/DentaI PLAN pan RxPCN HMO 9151014609 xxxxxxxx 610014 MEODPRIME SPBLUE3 PCP Visit 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 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. …Have them call the phone number on the back of their ID card. When applicable, the Pharmacy Providers should update impacted members’ profiles with the new processing information. Visit our Cigna Healthcare Pharmacy Resources page to be connected to Express Scripts® resources. Back to Pharmacy Resources.(ii) The processor control number labeled as RxPCN, if required for proper routing of electronic claim transactions for prescription benefits. (iii) The group ...Tips & Disclaimers. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly …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 ...This is the number your doctor's office will need to use to file claims. You will need to use it if you're filing your own claims. Your card also includes a DoD ID number, a 10-digit number on the front of the ID card. You shouldn’t use your DoD ID number to submit claims. Using your DoD ID number on your claim could result in a denial of ...The total amount of a medicine you take in a 24-hour day. You’ll need to know this number in order to get pricing details for your medicine using our Price a Medication tool. To calculate your total daily dose, multiply the amount of medicine by the number of times you take it every day. Example. You take 2 tablets 4 times per day.+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 ...Depending on your plan, you can select Member ID Card under Account in the main menu after you log in. If it's available, you can print your member ID card from there. Just click on the Download Card button to download and/or print your member ID Card. On the Express Scripts® Pharmacy mobile app. Tap the menu icon on the top-left corner of ...You must use BIN number 610084 for all the above programs including Medicaid HealthChoice MCOs. 2. All new claims and reversals will go through this BIN number, including reversals of claims previously submitted to FirstHealth Services Corporation. 3. When appropriate, ACS will route claims to the MCO pharmacy benefit manager (PBM) …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.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 001No RXPCN number? Question I just got an ambetter card and it doesn't have the RXPCN number. What is that and do I need it?? Is this the number I have to tell someone to bill a pharmacy?? I've never had to switch insurances before now and I have no idea how this works. It feels bad man, but I need help cuz calling any 800 number takes 400 years.A: Providers must request to see the identification card for the eligible person and examine the card to determine if the RXPCN information is available. Submit the RXPCN information as it appears on the identification card. If there is no RXPCN, submit the default number according to the banking identification number (RXBIN) as follows:Patient's insurance - pharmacy benefits should include an RxBIN number, RxPCN Number, RxGroup Number, and Member ID. Patient's room and bed number, and hospital ...Tips & Disclaimers. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to …Help Desk Information: AARP® MedicareComplete® and UnitedHealthcare® MedicareComplete Plans: 877-889-6510 AARP® MedicareRx, United MedicareRx, UnitedHealthcare MedicareRx Plans: 877-889-6481 UnitedHealthcare® Medicaid Plans: 877-305-8952 All other Plans: 800-788-7871. Other versions supported: ONLY D.0.You will need your pharmacy billing information — RxBIN, RxPCN and Rx Group — found on your 2024 member identification (ID) card to complete the patient profile. Once you have an account and patient profile, choose one of these ways to start getting your drugs at home: Call in your prescriptions at 1-800-607-6861 (TTY users call 711).RxBIN RxPCN Group FFS FFS Virginia Medicaid 010900 8263342243 VAMEDICAID . CCC Plus Health Plans RxBIN RxPCN RxGRP . Aetna Better Health of VA 1-866-386-7882 610591 ADV RX8837 Anthem HealthKeepers 1-855-323-4687 020107 FM WQWA Molina Complete Care 1-800-424-4524 016523 62282 VAMLTSS ...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 ...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.

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: 877-635-9545 MedalistRx: 855-633-2579 Other ... . Saweetie before fame

rxpcn number

RxBin – the Bank Identification Number routes a claim towards the right insurance · RxPCN – the Processor Control Number further narrows the claim to the (1) Your RX BIN is a 6 digit number. In order to be pay for your medications with your health insurance, you must have a RX Bin number. If you (2) 2.How do you estimate the number of screws in drywall? Visit HowStuffWorks.com to learn how to estimate the number of screws in drywall. Advertisement Although the more closely space...date of birth, ID number found on your medical card, and EmpiRx Health's processing information: RxBIN 024160, RxPCN 14032015, RxGRP 19121. Our mail-order ...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.Group Number. 2. Member ID Number. 3. Plan name. 4. Indicates national coverage. 5. Prescription drug BIN number. Make sure your name is correct and the plan name that you enrolled in appears on your card. If you notice any errors, just call your Aetna advocate at 1-833-383-2650 (TTY: 711), Monday through Friday, 8 AM to 8 PM your local time.Member ID (also called a subscriber number or patient ID)—the number providers need to verify coverage. 2. Group —the number identifies your employer plan; if you purchase health insurance through a Marketplace/Exchange, your card may not have a group number. 3. Plan identifier & PCP name —your plan and primary care provider’s name ... PCP Ph Number Effective Date Specialist Visit Emergency Room ES Plan RxGrp RxBlN Cov Eff Date 363/865 HMRKOOI 610014 XX/XX/XXXX IIGHMARK CHOICE COMPANY MEMBER NAME FIRSTNAME M LASTNAME MEMBER ID z PM xxxxxxxxxxxx PCP INFORWTION xxxxxxxxxx xxx xxx.xxx.xxxx Hear/Vision/DentaI PLAN pan RxPCN HMO 9151014609 xxxxxxxx 610014 MEODPRIME SPBLUE3 PCP Visit Medi-Cal Rx Customer Service Center P.O. Box 730 Rancho Cordova, CA 95741-0730 Phone: 800-977-2273 www.medi-calrx.dhcs.ca.gov MCRX 0002 (Revised 11/2021) Page 2 of 3RXPCN: 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 INFORMATION PCP Name: < PCPThere are 10,000 combinations of four numbers when numbers are used multiple times in a combination. And there are 5,040 combinations of four numbers when numbers are used only onc...Are you looking for information about an unknown phone number? A free number search can help you get the information you need. With a free number search, you can quickly and easily...Michigan, le claims with: If you suspect fraud: 800-482-3787. Blue Care Network Mental health/substance P.O. Box 68710 abuse treatment: 800-482-5982. Grand Rapids, MI 49516-8710 Providers outside Michigan, le claims with Dental Servicing: 888-826-8152.Next time you're shopping for a big-ticket item, or even a very-small-ticket afterthought, break down what you're paying in smaller numbers. Because, researchers suggest, your brai...Thanksgiving is all about family, eating and now, thanks to Black Friday and Cyber Monday, shopping. We took a looked at Thanksgiving by the Numbers to see... Calculators Helpful G...Turn that pending application into an approval with the Barclaycard reconsideration line phone number & how to check your application status. Increased Offer! Hilton No Annual Fee ....

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