2024 Bin 610494 - October 4, 2021 IMPORTANT INFORMATION – COVID-19 Testing Claims Submission New York Medicaid BIN: 610494 PCN: 4800 Group: ACUNY As announced in Executive Order 210, the New York State Declared Disaster Emergency has ended effective June 25, 2021.

 
The chart below is the fourth page of the 2023 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5372 through H7220. Click here for the first page (E0654 - H2134), second page (H2161 - H3655), third page (H3660 - H5355), fifth page (H7245 - H9649), and sixth page (H9662 - S9854).. Bin 610494

and test strips. To process claims for Prodigy meters for Georgia DCH Medicaid meters, submit them to: NPS BIN#: 610494. GROUP #: PGY3. PCN#: 3333. ID ...He was safely ensconced in a Pakistani sanctuary, a leisurely stroll down the road from Pakistan’s premier military academy, at Kakul. Last week, I learned that the introduction of my book, Fortifying Pakistan (co-authored with Peter Chalk)...Oct 19, 2022 · United Healthcare Community Plan of Iowa BIN: 610494 PCN: 4401 United Healthcare Community Plan of New Jersey BIN: 610494 PCN: 4343 United Healthcare …Rx Bin: 610494 Rx Grp: ACUNE Rx PCN: 4444. Medicaid Number: 99999999999. In an emergency go to nearest emergency room or call 911. Printed:99/99/99. For Members/Para Miembros: 800-641-1902 TTY 711. For Providers: www.uhccommunityplan.com. 866-331-2243 Claims: PO Box 31365, Salt Lake City, UT 84131NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Payer Name: OptumRx Date: 11/1/2020 Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 ...This number: 610494 is a valid BIN number PRIVATE LABEL issued by in UNITED STATES. ... BIN List. Tools Pricing ...Feb 13, 2020 · PLAN BIN PCN GROUP NUMBER Amerigroup 020107 CM WKHA Apple Health Fee-For-Service (FFS) 610706 WAPROD N/A Community Health 003858 A4 CHWA Coordinated Care of Washington, Inc. 004336 MCAIDADV RX5435 Molina coordination of benefits (COB) members 013089 COMESEGADV Group per Molina ... United Health …2021 BIN/PCN/Submitted Group 2022 BIN/PCN/Submitted Group 610494 610279 9999 9999 PCCA UHCNICE . UnitedHealthcare . Title: PowerPoint Presentation Author: Witte, Katie MThe new arm is a more sophisticated take on the company’s existing robotics, adding the ability to pick and place specific objects from bins. The bin-moving robots designed by Kiva Systems still form the foundation of Amazon’s warehouse rob...OptumRx NCPDP Version D.0 Payer Sheet ***COMMERCIAL AND MEDICAID*** Payer Name: OptumRx Date: 1/01/2019 Commercial and Medicaid BIN: 610494 PCN: 9999 COMMUNITY HEALTH BIN…610494 : 2222 . COS : Florida Share of Cost . 610494 : 2222 . COS : Pennsylvania Public School Employees’ Retirement System (PSERS) 610097 : 9999 . PSR : UnitedHealthcare MedicareDirect Rx (PFFS) 610097 : 9999 . COS : AARP MedicareComplete insured through UnitedHealthcare AARP MedicareComplete SecureHorizons . AARP MedicareComplete ...Jul 12, 2021 · AmeriHealth Caritas member: Bill to AMHC BIN 019595 PCN PRX00801 ; Carolina Complete member: Bill to CCHE BIN 004336 PCN MCAIDADV GRP RX5480 ; Healthy Blue member: Bill to BCBS BIN 020107 PCN NC GRP 8473 ; United Healthcare member: Bill to UNHC BIN 610494 PCN 4949 GRP ACUNC ; WellCare member: Bill to WCHP BIN 004336 PCN MCAIDADV GRP RX8904 please bill: healthy blue/cvs, use bin 020107, pcn fg, grp wkla, medicaid id or plan id, or call 1-833-236-6194 please bill: lhcc/cvs caremark use bin 004336, pcn mcaidadv, grp rx5444, mcaid or plan id or call 1-800-311-0543 please bill: uhc/optum rx, use bin 610494, pcn 9999, grp acula, medicaid id or plan id, or call 1-866-328-3108Welcome to . the community. Ohio, 2022. UnitedHealthcare Community Plan of Ohio provides health care services to Ohio residents . eligible for Aged, Blind, or Disabled, Covered Families and Children (including Healthy The Rx BIN number may be located on the front or back of plan ID cards for Medicare Part D and Medicare Advantage Prescription Drug plans. The RX BIN number is most often located in the lower left corner of the card along with your Medicare ID number, processor control number (PCN) and group ID number. The BIN number will be preceded by the ...BIN 610591 20107 610649 4336 4336 610494 11529 PCN ADV KY 3191501 MCAIDADV MCAIDADV 4040 P022011529 GROUP RX8831 WKVA RX5035 RX8893 ACUKY KY Medicaid PBM CVS Caremark IngenioRx Humana Pharmacy Solutions CVS Caremark CVS Caremark Optum Rx Magellan Kentucky Medicaid Bin/PCN/Group Numbers Effective 1/1/2021Jul 15, 2011 · Rx Bin: 610494 Rx Grp: AMNJ Rx PCN: 4343. NJ FamilyCare A Underwritten by AmeriChoice of New Jersey, Inc. 999999999. SUBSCRIBER BROWN. 86047. Printed: 07/15/11. Member Services/ 1-800-941-4647 TTY 711 For Providers: 1-888-362-3368 Medical Claims: PO Box 5250, Kingston, NY, 12402-5250 Pharmacy Claims:Rx Bin: 610494 Rx Grp: ACULA Pharmacy Claims: Rx Prior Auth: OptumRx, PO Box 650334, Dallas, TX 75265-0334. PCP Clinic Name TTY 711. Your plan ID number Your member ID number. Member Services phone number. Name of your . Primary Care Provider. Your member ID card holds a lot of important information. It gives you access to your covered benefits. Review Optum Rx Formulary Changes: Effective 7/1/23 . Optum guides providers through important upcoming formulary updates27 Jul 2018 ... because the member is now enrolled in a Medallion 4.0 plan, Magellan BHSA will return the name of the member's MCO, BIN, PCN and pharmacy ...Ever boarded a plane and found the overhead bins frustratingly full of emergency equipment and service items? Here are two solutions to free up that bin space. Most frequent travelers have been there: You board an aircraft early, ready to s...610494 4646 ACUMS AMCMS4 SPP-MS IP Molina Healthcare – CHIP CVS Caremark 1-800-364-6331 Local Number: 1 1-844-826-4335 (Pharmacy should state they’ve called the CVS Caremark Help Desk without resolution.)-844 826 4335 PA Fax: 1-844-312-6371 004336 MCAIDMSCP RX6949 MCAIDMSCP United Healthcare – CHIP OptumRx 1-877-305-8952 Local Number: BIN: 011859 PCN: MACMS MACMSA BIN: 011842 PCN: NCCMS BIN: 011230 PCN: NWCMS BIN: 011172 PCN: SCCMS Health Choice Management BIN: 610011 PCN: HEAMEDD Health Choice Management Utah BIN: 610011 PCN: HEAUMEDD Catamaran / Seniorscript Services BIN: 013170 PCN: Not Required Blue Cross Blue Shield South Carolina BIN: 021692 PCN: CTRXMEDD Sep 22, 2022 · 610494 4646 ACUMS AMCMS4 SPP-MS IP Molina Healthcare – CHIP CVS Caremark 1-800-364-6331 Local Number: 1 1-844-826-4335 (Pharmacy should state they’ve called the CVS Caremark Help Desk without resolution.)-844 826 4335 PA Fax: 1-844-312-6371 004336 MCAIDMSCP RX6949 MCAIDMSCP United Healthcare – CHIP OptumRx …610494 4900 ACUVA 844-284-0149 855-873-3493 VAP 009893 ROIRX *See Below 855-872-0005 844-838-0711 *VAP Details Med4 . VAPR4STRD . FAMIS . VAPR4 . Expansion . VAPREXP . ... This shall include the use of a unique BIN/PCN combination to distinguish Medicaid managed care claims from commercial or other lines of business. Drugs …United Healthcare Community Plan of Iowa BIN: 610494 PCN: 4401 United Healthcare Community Plan of New Jersey BIN: 610494 PCN: 4343 United Healthcare Community Plan of Florida BIN: 610494 PCN: 4300 Health Plan of Nevada Medicaid BIN: 610494 PCN: 4700 United Healthcare Community Plan of Rhode Island BIN: 610494 PCN: 4201234. Abuja. 9°5'4"N. 8°40'27"E. Naira (NGN) Nigeria Creidt Card. Nigeria BIN Generator. Nigeria bin number list 2023, credit card bin list, usa bin, world card bins, bin list for carding, bin generator, Page Navigation.Medicaid Health Plan BIN PCN Group Aetna Better Health of Michigan 610591 ADV RX8826 Blue Cross Complete of Michigan 019595 PRX00621 n/a HAP Empowered 003858 MA HAPMCD McLaren Health Plan 017142 ASPROD1 ML108; ML110; ML284; ML329 ... 610494 4242 ACUMI Upper Peninsula Health Plan 017480 01990000 n/a . Author: …2 Understanding your formulary What is a formulary? A formulary is a list of prescribed medications or other pharmacy care products, services or supplies chosen for theirFind Texas health insurance options at many price points. Explore health plans for your family, including short-term gap coverage and more. Get a quote now.(9 days ago) WebBIN: 610494 PCN: 4848 United Healthcare Community Plan - Virginia Medallion BIN: 610494 PCN 4900 United Healthcare Community Plan of New York BIN: ...PCC Plan PBM BIN PCN Group Pharmacy Help Desk Primary Care Clinician (PCC) Plan Conduent 009555 MASSPROD MassHealth (866) 246-8503 ... 610494 9999 ACUMA (877) 889-6510• Rx Bin: 610494 • Rx PCN: 9999 • Rx GRP: COHRX • Member ID – obtained by contacting OptumRx. o For members: 1-888-543-1369 o For Pharmacists – 800-788 ...Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx ...PBM/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 AmWins ...Rx Bin: 610494 Rx Grp: ACUNY Rx PCN: 4800: UnitedHealthcare Community Plan for Kids Administered by UnitedHealthcare of New York, Inc. 001000006: NYCHPEvercare® Coordination of Long-Term Services (CoLTS) 610494 9999 COS Evercare® Coordination of Long-Term Services (CoLTS) (Dual Eligibles) 610494 2222 COS Evercare® Plans (DH, DH-POS, DP, IH, IH-POS, IP, RDP) 610097 9999 8888 COS Evercare® Medicaid Supplement Plan 610494 2222 COS Florida (FL) Share of Cost 610494 2222 COS101-A1. BIN NUMBER. M 610494. 102-A2. Version/Release#. 51. M Valid only for Version 5.1. 103-A3. Transaction Code. M Billing format. 104-A4. Processor Control ...OptumRx Provider Manual: 2016 2nd edition 4 The information contained in this document is proprietary and confidential to OptumRx. B. Images used in the PM Friendly FYI for our valued Network Pharmacy ProvidersApr 14, 2018 · 610494 9999 ACUTX 877-305-8952 . 800-310-6826 . 888-887-9003 . United Healthcare MMP . 610097 8500 MMPTX 877-889-6510 . 800-711-4555 . 800-256-6533 . RxBIN PCN RxGRP Pharmacy Help Desk Prior Authorization Vendor Drug Program / Fee-for-service . 610084 DRTXPROD MEDICAID 800-435-4165 . 877-728-3927A wide range of medication options. We realize that this formulary may not include every drug from every manufacturer. However, you can provide access to the medications your patients need to stay healthy, at a cost that is more affordable, when you choose a generic or preferred drug as appropriate. DOWNLOAD PDF.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 …OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL … professionals.optumrx.com. NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID Payer Name: OptumRx Date: 11/1/2020 Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 ...... BIN 011867 011867 HEALTHTRANS HEALTHTRANS CA STATE OF CORRECTIONS 009117 NONE ... 610494 2400 NONE WELLCARE HMO INC EZ-DME 007895 WCREMS NONE WELLCARE OF NEW ...610494; 610097; 610127 Current Prime Therapeutics 004915; 012833; 011552; 610455; ... *Note: Humana Part D and Humana LI Net was BIN 610649 for 5.1 claims.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 ...United Healthcare Community Plan of Virginia BIN: 610494 PCN 4900 UnitedHealthcare Community and State of MN BIN: 610494 PCN: 4846 United Healthcare Community & State of North Carolina Medicaid BIN:610494 PCN: 4949 UHCGP BIN: 610494 PCN: 2222 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx and HealthTrans BIN: …Rx Bin: 610494 Rx Grp: ACUNY Rx PCN: 4800: UnitedHealthcare Community Plan for Kids Administered by UnitedHealthcare of New York, Inc. 001000006: NYCHPBin Number Additional Information Required for Pharmacy Claim Processing For eligibility information, plan policy and coverage questions ... Prescription Solutions (877) 305-8952 9999 610494 Group: ACUNY Univera Community Health, Inc. (800) 724-5033. MedImpact (800) 788-2949 74000 003585 MedImpact will provide plan profile sheet to all their …BIN Help Desk Number Legacy ADV *004336 1-8ØØ-364-6331 Legacy PCS *610415 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 ProAct 021007 1-877-635-9545 Envolve 021338 As communicated by plan or refer to ID card Legacy CRK *610029 1-8ØØ-421-2342 Legacy PHC 610468, 006144 004245, 610449 610474, 603604 1-8ØØ-777-1023Jul 15, 2011 · Rx Bin: 610494 Rx Grp: AMNJ Rx PCN: 4343. NJ FamilyCare A Underwritten by AmeriChoice of New Jersey, Inc. 999999999. SUBSCRIBER BROWN. 86047. Printed: 07/15/11. Member Services/ 1-800-941-4647 TTY 711 For Providers: 1-888-362-3368 Medical Claims: PO Box 5250, Kingston, NY, 12402-5250 Pharmacy Claims: For Pharmacists: 1-877-305-8952 OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND … professionals.optumrx.com. payer usage payer situation 331-cx patient id qualifier o 332-cy patient id o 3Ø4-c4 date of birth o 3Ø5-c5 patient gender code o 31Ø-ca patient first name o 311-cb patient last name o 322-cm patient street address o 323-cn patient city address o …610127, 610494, 015243, 012874, 014848, 011875, 610097 800-788-7871 Paramount Rx Inc 610210 800-928-4301 PBM Plus, Inc. 610106 800-263-2178 PerformRx (Includes: LA Medicaid and Keystone Mercy) 012353, 600428 800-684-5502 Pharmacy BenefitDirect-PDMI 610020, 014955 800-800-7364 Prime Therapeutics 610455, 004915, 012833, 011552, 015905, 014897 ...Ever boarded a plane and found the overhead bins frustratingly full of emergency equipment and service items? Here are two solutions to free up that bin space. Most frequent travelers have been there: You board an aircraft early, ready to s...In a histogram, a bin range is made up of data points that fall within many ranges. It is easy to create histograms, using bin ranges and other information, in Microsoft Excel. After all of the data is correctly placed on the worksheet, use...Mar 25, 2022 · Bank Identification Number (BIN) 610494 Processor Control Number (PCN) 4800 Submitted Group (Group) ACUNY To help reduce processing errors, please confirm the information on the member’s health plan ID card before submitting a claim. If you have questions about the rejection, please call the OptumRx Pharmacy Help Desk at 877-305 …This number: 610494 is a valid BIN number PRIVATE LABEL issued by in UNITED STATESBIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331: ADV 004336: Group: RX4212. ... 610494 Group: ACUNY; Univera Community Health,Inc. (800) 494-2215. FLRx (800) 788-2949 74000; 003585. Visiting Nurse Services of NY (866) 469-7774. MedImpact (800) 788-2949;Complete 610127 Bin online with US Legal Forms. Easily fill out PDF blank, edit, and sign them. Save or instantly send your ready documents. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. ... 08/01/12 BIN: 610494 BIN: …1Ø1-A1 BIN NUMBER (see above) M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M 1Ø4-A4 PROCESSOR CONTROL NUMBER See above M Required for All Claims 1Ø9-A9 TRANSACTION COUNT Up to 4 M 2Ø2-B2 SERVICE PROVIDER ID QUALIFIER 01 M NPI ONLY 2Ø1-B1 SERVICE PROVIDER ID 10 digit NPI number MUpdate: 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 …Apr 21, 2023 · please call us at 1-866-622-7982, TTY 711. Health Plan (80840) 911-87726-04 Member ID: 999999999 Group Number: 99999 Member: SUBSCRIBER M BROWN PCP Name: PROVIDER BROWN PCP Phone:(999) 999-9999 0000 Payer ID: 87726Feb 23, 2023 · Commercial and Medicaid BIN: 610494 PCN: 4141 (OH Medicaid Only) PCN: 4444 PCN 4242 UHCGP BIN: 610494 PCN: 2222 Processor: OptumRx Effective as of: 01/01/2016 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: October 2016 NCPDP External Code List Version Date: …Apr 21, 2023 · Rx Bin: 610494 Rx Grp: ACUNY Rx PCN: 4800: UnitedHealthcare Community Plan for Kids Administered by UnitedHealthcare of New York, Inc. 001000006: NYCHP REISSUE A ENGLISH: 87726: In an emergency go to nearest emergency room or call 911. Printed: 10/30/19: This card does not guarantee coverage. For coordination of …Apr 8, 2021 · Commercial and Medicaid BIN: 610494 PCN: 9999 PartnersRx BIN: 015243 BIN: 015251 PCN: PRX1000 PCN: PRX2000 COMMUNITY HEALTH BIN 610613 PCN: …Oct 10, 2023 · The claim requires the BIN, PCN, and Group number for each specific MCO for correct processing. Possible previous billing codes are not listed. Please contact specific MCO for past billing codes. ... 610494: 9999: ACUKS: Other Primary - Dual Complete (H5322-029) United Healthcare Community Plan of Kansas: 610097: 9999: MPDCSKS: …UnitedHealthcare Community and State of MN BIN: 610494 PCN: 4846 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx and HealthTrans BIN: 004428 005947 009992 011297 011867 012353 004469 006524 008985 010553 011321 012155 012502 004919 007110 009117 010876 011677 001553 021684 003452 BIN: 012163 012882 …Jul 18, 2023 · BIN: 610494 PCN: 4444 RXGROUP: ACUNE Prior Authorization Requests. Phone: 800-310-6826 Fax: 866-940-7328 Website for Providers: UHCCommunityPlan.com W ELL C ARE OF N EBRASKA (Claims Processor - CVS Caremark) BIN: 004336 PCN: MCAIDADV RXGROUP: RX8896 Prior Authorization Requests.Program Claim BIN Claim PCN Claim Group STAR 020107 CS WKEA CHIP 020107 CS WKEA STAR+PLUS 020107 CS WKEA STAR+PLUS MMP 020115 IS WKUA STAR Kids 020107 CS WKEA Blue Cross Blu e Shield of Texas PBM: Prime Therapeutics Blue Cross Blue Shield of Texas - Pharmacy Enrollment STAR, CHIP, STAR Kids phone: 888-277-5510SOUTH CAROLINA MEDICAID 5.1, BIN# 610494, PCN: 9999 . Added special coding for field 308. VA E-PHARMACY 5.1, BIN# 003650, PCN: 64 . Added field 430 Gross Amount Due to the Pricing Segment. WASHINGTON MEDICAID SXC 5.1, Bin# 610706, PCN: WAPROD. Changed reversal format to Claim Reversal 5.1 format. 2.3 Deactivated 5.1 …Explore the BIN numbers by brand or click directly on the BIN number in the table below to check all available details. BIN List SOUTH AFRICA FNB. This is a list of 1 brand we found issued by FNB - SOUTH AFRICA. Just click of the brand name you want to view the details of its BIN numbers. Or you can directly click on one of the BIN numbers in ...A PDQ display is a point-of-sale tray, bin or rack that is lightweight and easy to install in retail stores. They are usually made of cardboard and placed at checkout counters or used as floor displays in high-traffic aisles.Rx Bin: 610494 Rx Grp: ACULA Pharmacy Claims: Rx Prior Auth: OptumRx, PO Box 650334, Dallas, TX 75265-0334. PCP Clinic Name TTY 711. Your plan ID number Your member ID number. Member Services phone number. Name of your . Primary Care Provider. Your member ID card holds a lot of important information. It gives you access to your covered benefits. 101-A1. BIN NUMBER. M 610494. 102-A2. Version/Release#. 51. M Valid only for Version 5.1. 103-A3. Transaction Code. M Billing format. 104-A4. Processor Control ...610494 4900 ACUVA Virginia Premier 1-855-872-0005 009893 ROIRX On card Medallion 4.0 Health Plans RxBIN RxPCN RxGRP Aetna Better Health of Virginia 610591 ADV RX8837 Anthem HealthKeepers Plus 020107 FM WQWA Magellan Complete Care 016523 63348286 MCCVARX Optima Health Family Care 610011 OHPMCAID n/aPlanning ahead can help ensure a smooth transition into retirement. We provide a number of resources to help you stay on track! Explore our Planning for Retirement timeline, tier placement map, retirement calculators, and more.610494 4900 ACUVA 844-284-0149 855-873-3493 VAP ... This shall include the use of a unique BIN/PCN combination to distinguish MedicaidRx Bin: 610494 Rx Grp: AMNJ Rx PCN: 9999 . NJ FamilyCare A Underwritten by AmeriChoice of New Jersey, Inc. 999999999 . SUBSCRIBER BROWN 86047 . Printed: 07/15/11 . Member Services/ 1-800-941-4647 TTY 711 For Providers : www.uhccommunityplan.com 1-888-362-3368 Medical Claims: PO Box 5250, Kingston, …1Ø1-A1 BIN NUMBER 011891 M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1- Claim M 1Ø4-A4 PROCESSOR CONTROL NUMBER System Vendor ID M Processor Control Number for Catamaran/Optum 1Ø9-A9 TRANSACTION COUNT 1,2,3, 4 M Accept up to 1 to 4 transactions per transmission except for Multi …OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND … professionals.optumrx.com. payer usage payer situation 331-cx patient id qualifier o 332-cy patient id o 3Ø4-c4 date of birth o 3Ø5-c5 patient gender code o 31Ø-ca patient first name o 311-cb patient last name o 322-cm patient street address o 323-cn patient city address o …Louisiana Medicaid FFS and MCO BIN, PCN, and group numbers for pharmacy claims: Plan Name PBM Name BIN PCN Group AETNA CVS Health 610591 ADV RX8834 AMERIHEALTH CARITAS LA PerformRx 019595 06030000 n/a HEALTHY BLUE CVS 020107 FG WKLA LA HEALTHCARE CONNECTIONS CVS Caremark 004336 …610494 4900 ACUVA Virginia Premier 1-855-872-0005 009893 ROIRX n/a Medicaid Eligibility and CCC Plus Enrollment ... BIN, PCN and pharmacy helpdeskTo see updated policy changes, select the Bulletin section at left. Provider resources for Pennsylvania Community Plan products including prior authorization information, provider manuals, forms, recent news and more. Plans supported include UnitedHealthcare Dual Complete® and UnitedHealthcare Community Plan for Families.Commercial and Medicaid BIN: 610494 PCN: 9999 COMMUNITY HEALTH BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 MedalistRx BIN: 016580 PCN: <N/A> For questions regarding your eligibility or to find out which managed care plan you are enrolled in, you may call the Medicaid Helpline at 1-800-541-2831. It is ...Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx ...Oct 19, 2021 · IMPORTANT INFORMATION – COVID-19 Testing Claims Submission New York Medicaid BIN: 610494 PCN: 4800 Group: ACUNY As announced in Executive …610127, 610494, 015243, 012874, 014848, 011875, 610097 800-788-7871 Paramount Rx Inc 610210 800-928-4301 PBM Plus, Inc. 610106 800-263-2178 PerformRx (Includes: LA Medicaid and Keystone Mercy) 012353, 600428 800-684-5502 Pharmacy BenefitDirect-PDMI 610020, 014955 800-800-7364 Prime Therapeutics 610455, 004915,BIN: 610494 PCN: 4848 United Healthcare Community Plan - Virginia Medallion BIN: 610494 PCN 4900 United Healthcare Community Plan of New York BIN: 610494 PCN: 4800 United Healthcare Community Plan of Mississippi BIN: 610494 PCN: 4646 PCN: 4747 United Healthcare Community Plan of Pennsylvania BIN: 610494 PCN: 4200 Nutnfancy divorce, Skytravelhub, Myhdfs com make a payment, Dte power restoration estimate, Inmate search in greenville sc, Filipino swear word, Wifiblast setup, Salary tucker carlson wife, Xfinity center seating chart with rows and seat numbers, Reddit twitch ad block, Craigslist in peoria, Sennan shi jp, Lake casitas campground map, Barry university pa program requirements

... BIN/PCN Data Disclaimer, BIN/PCN Data Disclaimer. 2, The Centers for Medicare ... 610494, 9999. 240, H0543, 806, UHC OF CALIFORNIA, UnitedHealthcare .... Denton hac login

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If you’re missing a nut or bolt or nut and bolt or faced with a bin at the store filled with various-sized nuts and bolts, there’s no need to scrap your project. There are ways to figure out the right nut or bolt and the right size for your...7 Sep 2021 ... BIN: 610494 o. PCN: 9999 o. Group: ACULA. For fee-for-service pharmacy inquiries, please call the pharmacy benefit management help desk at 1 ...Explore the BIN numbers by brand or click directly on the BIN number in the table below to check all available details. BIN List SOUTH AFRICA FNB. This is a list of 1 brand we found issued by FNB - SOUTH AFRICA. Just click of the brand name you want to view the details of its BIN numbers. Or you can directly click on one of the BIN numbers in ...Apr 21, 2023 · Rx Bin: 610494 Rx GRP: ACUWA Rx PCN: 4600 . Apple Health - Family Coverage Administered by UnitedHealthcare of Washington, Inc. 0000000000 : …BIOS files such as ROM1.bin and SCPH1000.bin need to be placed in the same folder where ROMs are stored for PS2emu to work. BIOSs are required for any PS2 emulator to work. BIOS stand for “basic input/output system,” and they are used in mo...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 025201 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD.Ø 1Ø3-A3 Transaction Code B1 M Billing …IB-10-1189—PHARMACY Created Date: June 13, 2019 Page 2 of 2. U.S. Department of Veterans Affairs. Veterans Health dministration. Office of Community CareAHCCCS Health Plans BIN PCN Group Number PBM AHCCCS Fee-For-Service 001553 AZM OptumRx ... 610494: 4100; ACUAZ OptumRx Care1st 004336 MCAIDADV. RX8897. CVS-CaremarkOptumRx Pharmacy Provider Manual (PM) 2021 Third Edition ... professionals.optumrx.com. Jun 24, 2021 · OptumRx Pharmacy Provider Manual 2021 Third Edition 3.3 3 The information contained in this document is proprietary and confidential to OptumRx. A. About this Provider Manual (PM) The Administrator Provider Manual (PM), also known as …Rx Bin: 610494 Rx Grp: AMNJ Rx PCN: 4343. NJ FamilyCare A Underwritten by AmeriChoice of New Jersey, Inc. 999999999. SUBSCRIBER BROWN. 86047. Printed: 07/15/11. Member Services/ 1-800-941-4647 TTY 711 For Providers: 1-888-362-3368 Medical Claims: PO Box 5250, Kingston, NY, 12402-5250 Pharmacy Claims: For Pharmacists: 1-877-305-8952610494 UnitedHealthcare Medicaid Supplemental Plan 9999 2222 COS COS Florida Share of Cost 610494 610097 610097 2222 9999 9999 COS PSR COS Pennsylvania Public School Employees’ Retirement System (PSERS) UnitedHealthcare MedicareDirect Rx (PFFS) AARP MedicareComplete insured through UnitedHealthcareBIN: 610494 PCN: 4444 RXGROUP: ACUNE Prior Authorization Requests. Phone: 800-310-6826 Fax: 866-940-7328 Website for Providers: UHCCommunityPlan.com W ELL C ARE OF N EBRASKA (Claims Processor - CVS Caremark) BIN: 004336 PCN: MCAIDADV RXGROUP: RX8896 Prior Authorization Requests. Phone: 855-599-3811 Fax: 877-276-9630 Website for Providers: Welcome to the Provider Portal. 1. Purpose. The purpose of this voluntary web portal is to facilitate exchange of documents and information between you (“User”) and Procura Management, Inc., doing business as Optum Managed Care Services (“Optum”). 2.Commercial and Medicaid BIN: 610494 PCN: 9999 Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx ... 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 ... General Provider Issues - Call Provider Relations - 1-866-675-1607. Pharmacy Contracting Issues - Call OptumRx - 1-800-797-9798. United Healthcare Member with Issues - Have the Member Call Member Services - 1-866-675-1607. Claims/Billing Issues - Call OptumRx - 1-866-328-3108. Pharmacy Billing Information. BIN: 610494.IB-10-1189—PHARMACY Created Date: June 13, 2019 Page 2 of 2. U.S. Department of Veterans Affairs. Veterans Health dministration. Office of Community CareBank Identification Number ("BIN") or Issuer identification number ("IIN") is the first six digits of a bank card number or payment card number. It is part of ISO/IEC 7812. It is commonly used in credit cards and debit cards, stored-value cards, gift cards, and other similar cards.Jan 1, 2021 · BIN 610591 20107 610649 4336 4336 610494 11529 PCN ADV KY 3191501 MCAIDADV MCAIDADV 4040 P022011529 GROUP RX8831 WKVA RX5035 RX8893 ACUKY KY Medicaid PBM CVS Caremark IngenioRx Humana Pharmacy Solutions CVS Caremark CVS Caremark Optum Rx Magellan Kentucky Medicaid Bin/PCN/Group …610494 UnitedHealthcare Medicaid Supplemental Plan 9999 2222 COS COS Florida Share of Cost 610494 610097 610097 2222 9999 9999 COS PSR COS Pennsylvania Public School Employees’ Retirement System (PSERS) UnitedHealthcare MedicareDirect Rx (PFFS) AARP MedicareComplete insured through UnitedHealthcare and test strips. To process claims for Prodigy meters for Georgia DCH Medicaid meters, submit them to: NPS BIN#: 610494. GROUP #: PGY3. PCN#: 3333. ID ...FOR BIN 610279 - PLEASE REFER TO UHC PAYER SHEET Payer Name: OptumRx Date: 05/18/2015 Commercial and Medicaid BIN: 610494 PCN: 9999 COMMUNITY HEALTH BIN 610613 PCN: 2417 Maryland Medicaid BIN: 610084 PCN RXSOLPRD ProAct BIN 017366 PCN: 9999 FlexScripts/ProAct BIN 018141 PCN: 9999 MedalistRx BIN 016580 PCN: <N/A>Rx Bin: 610494 Rx Grp: ACULA Pharmacy Claims: Rx Prior Auth: OptumRx, PO Box 650334, Dallas, TX 75265-0334. PCP Clinic Name TTY 711. Your plan ID number Your member ID number. Member Services phone number. Name of your . Primary Care Provider. Your member ID card holds a lot of important information. It gives you access to your covered benefits.Oct 19, 2022 · Commercial and Medicaid BIN: 610494 PCN: 9999 COMMUNITY HEALTH BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 …PBM/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 AmWins ... Program Claim BIN Claim PCN Claim Group STAR 020107 CS WKEA CHIP 020107 CS WKEA STAR+PLUS 020107 CS WKEA STAR+PLUS MMP 020115 IS WKUA STAR Kids 020107 CS WKEA Blue Cross Blu e Shield of Texas PBM: Prime Therapeutics Blue Cross Blue Shield of Texas - Pharmacy Enrollment STAR, CHIP, STAR Kids phone: 888-277-5510VDOMDHTMLad>. 301 Moved Permanently. 301 Moved Permanently. Microsoft-Azure-Application-Gateway/v2.Jun 24, 2021&nbsp;&#0183;&#32;OptumRx Pharmacy Provider Manual 2021 Third Edition 3.3 3 The information contained in this document is proprietary and confidential to OptumRx. A. About this Provider Manual (PM) The Administrator Provider Manual (PM), also known as “Provider Manual” or “Pharmacy Manual”, includes theTo see updated policy changes, select the Bulletin section at left. Provider resources for Pennsylvania Community Plan products including prior authorization information, provider manuals, forms, recent news and more. Plans supported include UnitedHealthcare Dual Complete® and UnitedHealthcare Community Plan for Families.When we think of a janitor, the first image that comes to mind is someone cleaning floors, emptying trash bins, and maintaining cleanliness. While these tasks are indeed essential parts of a janitor’s responsibilities, their role goes far b...1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D.0 M 1Ø3-A3 Transaction Code B1=Billing M 1Ø4-A4 Processor Control Number As indicated above M 1Ø9-A9 Transaction Count 1=One Occurrence 2=Two Occurrences 3=Three Occurrences 4=Four Occurrences M (BIN 61ØØ56 only allows …Rx Bin: 610494 Rx ACUIA Rx PCN: 4444 (999)999-9999 DHS 14 DOB: 00/00/0000 Iowa Medicaid A&rinistered by UnitedHeatthcare Plan of the River Valley, Inc health link Member name Doe, John AmeriHealth Caritas Iowa 123456789 Sex: M DOB: MM/DD/YYYY State ID: 1234567890123 AmeriHealth Caritas Iowa Primary Care Provider (PCP) PCP Last …Operational Changes . New Member ID Card Updates . Please make sure you present your new ID card to your pharmacy . 2022 New Rx Card changes . 2021 BIN/PCN/Submitted Group 2022 BIN/PCN/Submitted Group 610494 610279 9999 9999 PCCA UHCNICEBIN 610591 20107 610649 4336 4336 610494 11529 PCN ADV KY 3191501 MCAIDADV MCAIDADV 4040 P022011529 GROUP RX8831 WKVA RX5035 RX8893 ACUKY KY Medicaid PBM CVS Caremark IngenioRx Humana Pharmacy Solutions CVS Caremark CVS Caremark Optum Rx Magellan Kentucky Medicaid Bin/PCN/Group Numbers Effective 1/1/20212 days ago · What is Levemir ® (insulin detemir) injection 100 U/mL?. Levemir ® is a man-made insulin used to control high blood sugar in adults and children with diabetes mellitus.; Levemir ® is not for people with diabetic ketoacidosis (increased ketones in the blood or urine).; Levemir ® Important Safety Information. Do not share your Levemir ® FlexPen ® …Advertisement. Nairobi's current waste disposal system is fraught with major problems. These range from the city's failure to prioritise solid waste management to inadequate infrastructure and ...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 …2021 BIN/PCN/Submitted Group 2022 BIN/PCN/Submitted Group 610494 610279 9999 9999 PCCA UHCNICE . UnitedHealthcare . Title: PowerPoint Presentation Author: Witte, Katie MUnited Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 United Healthcare Community Plan of Virginia BIN: 610494 PCN 4900 UnitedHealthcare Community and State of MN BIN: 610494 PCN: 4846 UHCGP BIN: 610494 PCN: 2222 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst ...Rx Bin: 610494 Rx Grp: ACUHI Medical Claims: Rx PCN: 4500 TPL:N Administered by UnitedHealthcare Insurance Co. Effective Date:Rx PCN: 9999997002 PCP Phone: HIQI REISSUE M ENGLISH 87726 06/16/2013 03115 9160642 0000 0000054 0000054 030 5 113610494 4900 ACUVA 844-284-0149 855-873-3493 VAP ... This shall include the use of a unique BIN/PCN combination to distinguish MedicaidApr 21, 2023 · Rx Bin: 610494 Rx Grp: ACUMI Rx PCN: 4242 Administered by UnitedHealthcare Community Plan, Inc. Effective Date 001901400 9999991393 MIPHCP NEW S ENGLISHHC 95467 01/01/2014 In an emergency go to nearest emergency room or call 911. Printed: 08/30/19 This card does not guarantee coverage. For coordination of …1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D.0 M 1Ø3-A3 Transaction Code B1=Billing M 1Ø4-A4 Processor Control Number As indicated above M 1Ø9-A9 Transaction Count 1=One Occurrence 2=Two Occurrences . 3=Three Occurrences . 4=Four Occurrences. M (BIN 61ØØ56 only ...See Appendix A and B for BIN/PCN. M – Mandatory as defined by NCPDP R – Required as defined by the Processor RW –Situational as defined by Plan. Transaction Header Segment: Mandatory . Field # NCPDP Field Name Value Req Comment 1Ø1-A1 BIN Number 004336, 610591 610084, 021007 020107, 020396 025052 MAdvertisement. Nairobi's current waste disposal system is fraught with major problems. These range from the city's failure to prioritise solid waste management to inadequate infrastructure and ...610494 UnitedHealthcare Medicaid Supplemental Plan 9999 2222 COS COS Florida Share of Cost 610494 610097 610097 2222 9999 9999 COS PSR COS Pennsylvania Public School Employees’ Retirement System (PSERS) UnitedHealthcare MedicareDirect Rx (PFFS) AARP MedicareComplete insured through UnitedHealthcare Complete 610127 Bin online with US Legal Forms. Easily fill out PDF blank, edit, and sign them. Save or instantly send your ready documents. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. ... 08/01/12 BIN: 610494 BIN: …Rx Bin. Rx Grp: 610494 ACUNY 4800 by of N. United Healthcare Dual Complete 91 1-87726-04 Member ID: Group Number: NYCARE Payer ID: 87726 NIedicareRx Preseriplion Rx Bin. 610097 Rx Grp: MPDCSP Rx PCN: 9999 Member: : NEW ENGLISH Medicaid ID. PCP Name: : DOUGLAS GETWELL PCP Phone: 1-13387-013 9999999261 UnitedHealthcare Dual Complete ONE (HMO D-SNP)BIN Number PCN Group Number; Fee for Service (Medicaid Direct) NCTracks: 610242: 781640064: N/A: AmeriHealth Caritas NC: PerformRx: 019595: PRX00801: N/A: BCBSNC - Healthy Blue: IngenioRx (back end CVS Caremark) 020107: NC: 8473: Carolina Complete Health: Envolve (back end CVS Caremark) 004336: MCAIDADV: RX5480: United Health Care: Optum Rx ...BIN: PCN: Group Number PBM: Phone Number. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 ... 610494. 4100 ACUAZ. OptumRx 877-305-8952. Banner University Family Care ...1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D.0 M 1Ø3-A3 Transaction Code B1=Billing M 1Ø4-A4 Processor Control Number As indicated above M 1Ø9-A9 Transaction Count 1=One Occurrence 2=Two Occurrences . 3=Three Occurrences . 4=Four Occurrences. M (BIN 61ØØ56 only ...Jul 15, 2011 · Rx Bin: 610494 Rx Grp: AMNJ Rx PCN: 4343. NJ FamilyCare A Underwritten by AmeriChoice of New Jersey, Inc. 999999999. SUBSCRIBER BROWN. 86047. Printed: 07/15/11. Member Services/ 1-800-941-4647 TTY 711 For Providers: 1-888-362-3368 Medical Claims: PO Box 5250, Kingston, NY, 12402-5250 Pharmacy Claims: For Pharmacists: 1-877-305-8952 Advertisement. Nairobi's current waste disposal system is fraught with major problems. These range from the city's failure to prioritise solid waste management to inadequate infrastructure and ...Dec 12, 2022 · The BIN and PCN are the same as FFS billing, but with the addition of HUMANA as a group ID. ... USE BIN 610494, PCN 9999, GRP ACULA, MEDICAID ID OR PLAN ID, OR CALL 1-866-328-3108 e-MEVS The Medicaid Eligibility Verification System (MEVS) is an electronic system used to verify recipient610494 : 2222 . COS : Florida Share of Cost . 610494 : 2222 . COS : Pennsylvania Public School Employees’ Retirement System (PSERS) 610097 : 9999 . PSR : UnitedHealthcare MedicareDirect Rx (PFFS) 610097 : 9999 . COS : AARP MedicareComplete insured through UnitedHealthcare AARP MedicareComplete SecureHorizons . AARP MedicareComplete ... UnitedHealthcare Community and State of MN BIN: 610494 PCN: 4846 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx and HealthTrans BIN: 004428 005947 009992 011297 011867 012353 004469 006524 008985 010553 011321 012155 012502 004919 007110 009117 010876 011677 001553 021684 003452 BIN: 012163 012882 …A drug for which coverage is available under Part A or Part B, as it is being “prescribed and dispensed or administered” with respect to the individual, is excluded from the definition of a Part D drug and, therefore, cannot be included in Part D basicOct 19, 2022 · FOR BIN 610279 – PLEASE REFER TO UHC PAYER SHEET Payer Name: OptumRx Date: 05/18/2015 Commercial and Medicaid COMMUNITY HEALTH Maryland Medicaid ProAct FlexScripts/ProAct MedalistRx Legacy Innoviant Commercial BIN: 610494 BIN 610613 BIN: 610084 BIN 017366 BIN 018141 BIN 016580 BIN: 610127 PCN: 9999 …Feb 23, 2023 · OptumRx Part-D and MAPD Plans BIN: 610097 PCN: 9999 Part-D WRAP Plans BIN: 610097 PCN: 8888 PCN: 8500 OptumRx (This represents former informedRx) BIN: 610593 PCN: HNEMEDD ... Ultimate Health Plans BIN: 004758 PCN: DNPS UHCGP BIN: 610494 PCN: 2222 Processor: OptumRx Effective as of: 01/01/2013 NCPDP …Jul 1, 2021 · Pharmacy Help Desk Contact Information. AmeriHealth Caritas: 866-885-1406; Carolina Complete Health: 833-992-2785; Healthy Blue: 833-434-1212; United Healthcare: 855-258-1593; WellCare: 866-799-5318, option 3; NCTracks: 800-688-6696; NC Medicaid Managed Care Pharmacy Summit Tailored Plan Roll Out Webinar610494 4900 ACUVA Virginia Premier 1-855-872-0005 009893 ROIRX On card Medallion 4.0 Health Plans RxBIN RxPCN RxGRP Aetna Better Health of Virginia 610591 ADV RX8837 Anthem HealthKeepers Plus 020107 FM WQWA Magellan Complete Care 016523 63348286 MCCVARX Optima Health Family Care 610011 OHPMCAID n/aWhen we think of a janitor, the first image that comes to mind is someone cleaning floors, emptying trash bins, and maintaining cleanliness. While these tasks are indeed essential parts of a janitor’s responsibilities, their role goes far b...Welcome to . the community. Ohio, 2022. UnitedHealthcare Community Plan of Ohio provides health care services to Ohio residents . eligible for Aged, Blind, or Disabled, Covered Families and Children (including Healthy please bill: healthy blue/cvs, use bin 020107, pcn fg, grp wkla, medicaid id or plan id, or call 1-833-236-6194 please bill: lhcc/cvs caremark use bin 004336, pcn mcaidadv, grp rx5444, mcaid or plan id or call 1-800-311-0543 please bill: uhc/optum rx, use bin 610494, pcn 9999, grp acula, medicaid id or plan id, or call 1-866-328-3108. 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