Processor control number (not all cards with have this) group id: Number (or policy number) on the insurance card indicates the coverage your plan provides.
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Credit & debit card number format

The pcn on an insurance card identifies which information. The back of the card: If you are the dependent on someone elses policy, their name will probably be on your card. Banks are not involved in the insurance billing process.
The name or logo of the benefit administrator issuing the identification card. Your name and the name (s) of any dependents covered by your policy. Copay information including pcp, specialist, and er copays.
(see image below) not all entities use a pcn. Those that utilize a pharmacy benefit manager to pay drug. Those numbers give your doctors office or pharmacist the information they need to file a claim for your care.
Each members card contains billing and benefit information. It identifies the bank or institution that will accept the claim. Your rx, bin and pcn numbers provide important billing information for your providers.
Use this for vision and dental appointments personalized card: The ncpdp guide also identifies information that was considered for inclusion on the card, but was intentionally omitted. Some numbers that identify your plan or coverage.
Information that may be included in specific situations. The number to call the insurance company if you have questions about your insurance coverage is there. This may be a flat rate ( copay) or a percentage of the cost ( coinsurance ).
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. This information is to be located at the top of the card. Providrs care is a preferred provider organization (ppo) network servicing the state of kansas and surrounding areas and have been operational since 1985.
Some special needs plans do not list copay information. If part d coverage is not included, this area lists information for medicare part b drugs. Here's what to look for when reading the front of our member id card:
The bin number is a bank identification number which tells the pharmacy database which benefit manager is to receive the claim for a particular prescription. It also referred as iin (issuer identification number). Standard insurance card elements blue cross and blue shield of illinois (bcbsil) offers a wide variety of health care products.
All blue care network member id cards have the same basic layout, but the information on each card may vary slightly depending on employer group and benefit plan. The processor control number (pcn) is an identifier of up to 10 characters that is frequently assigned by processors to further assist in proper routing and establish benefit separation. If the benefit plan includes part d prescription drug coverage, the rx bin, pcn and group code are visible.
When you go to a providrs care network (pcn). The rx bin is used to identify how a prescription drug will be reimbursed and where a pharmacy can send a reimbursement claim. This symbol is used if the member has prescription coverage.
2021 product information for providers this brochure will help you know about the different id cards you may see in your practice from members who have blue care network coverage. Additional pharmacy insurance terms to know: Bin can be used to identify issuing financial institution of a credit card, debit card, prepaid card and rewards card.
When filing a bcbsil claim, two of the most important elements are the members group and identification numbers. Card issuer name or logo. Differentiates plans offered by a company;
As a physician led organization, we offer an extensive network of medical professionals, facilities and services in kansas and the surrounding areas. This is an example of a standard i.d. The ncpdp guide was designed to reflect available technologies and current industry practices and is updated accordingly.
Heres what to look for when reading the front of our member id card: Also know, what is rx group number on insurance card? Its also the number you'll use to register at your hap.org account.
This symbol is used if the members plan has prescription coverage. It's a 6 digit code which identifies the financial institution that issued the card to the card holder. The bin number is a 6 digit number used for processing pharmacy claims electronically.
Heres what they all mean: Contains insurance contact information for when the information on the front of the card does not cooperate;
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