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RxResource Home > Pharmacy Resources > Pharmacy Benefit Management

catamaran rx bin number

2441 Warrenville Road, Suite 610 Lisle, IL 60532-3642

Susan Fleming, Vice President, Marketing

Phone: (630) 577-4880

http://www.catamaranrx.com/

Catamaran offers a true alternative to the status quo in pharmacy benefit management. You don't have to choose between the scale and purchasing power of the largest providers and the flexibility and agility of smaller ones. We offer the best of both.

At Catamaran, we put your individual needs - and those of your members - at the center of our services. We connect pharmacists, doctors and caregivers with prescription data to improve health outcomes, offering the clinical intelligence, technology and scale to lower payer costs while improving member health.

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catamaran rx bin number

What Is My Rx BIN Number?

Christian Worstell

  • Your Rx BIN number is a 6-digit code that identifies the insurance company who provides your Medicare drug plan. Learn more about what your Rx BIN and other numbers mean on your Medicare Part D or Medicare Advantage plan card.

Your Medicare Part D prescription drug plan or Medicare Advantage drug plan card contains several numbers. And one of those is your Rx BIN number.

Have Medicare questions?

Talk to a licensed agent today to find a plan that fits your needs.

What Is an Rx BIN Number On An Insurance Card and What Does It Stand For?

Rx BIN number, consisting of 6 digits, is employed by health plans to facilitate the processing of electronic pharmacy claims. New members can utilize Rx BIN and PCN numbers, even before obtaining a new ID card, to collect new prescriptions or refills. The Rx BIN stands for Bank Identification Number, and it helps your pharmacy understand which insurance plan you're using and and which plan to process.

The term originated in the banking industry, but the BIN number on your Medicare card has nothing to do with banking. 

Instead, the BIN number on your Medicare card simply identifies your insurance provider. Each insurance provider uses a unique six-digit BIN number for each of its prescription drug plans that are all included in a national database.

Important Numbers on Your Plan ID Card:

There are four different groups of numbers found on a Medicare Part D or Medicare Advantage Prescription Drug (MAPD) plan ID card:

  • Medicare ID number:  This is your ID number for Medicare, and is found on your Medicare card.
  • Rx BIN Number: RX Bank Identification number that helps pharmacies understand which insurance plan and carrier you're using for them to process.
  • RxPCN : The Processor Control Number that further breaks down your specific insurance for the pharmacy to use.
  • Group ID (RxGRP):  Tells the pharmacy your insurance Group ID number.

When you use your Medicare Part D or MA-PD card at a pharmacy, the pharmacy worker will use your BIN number to identify your insurance provider for the purpose of filing your claim. 

Where Is Your Rx BIN Number Located?

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 letters “BIN.” 

It should be noted that your Rx BIN number will not appear on your Original Medicare card. Only your Medicare ID number will be visible on the card that is used to identify you as a member of Medicare Part A and/or Part B. 

What If I Can’t Find My Rx BIN Number?

If you can’t find the BIN number on your plan ID card, check your insurance company’s website for a list of plans they offer. The list of available plans typically includes a BIN number. 

If you can’t find your BIN number online, contact your Medicare plan using the phone number on your plan ID card. You may also show your card to your pharmacist, and they should be able to tell you the BIN number. 

You can learn more detailed information about Rx BIN numbers in this technical document from the Centers for Medicare & Medicaid Services (CMS) .

Are Group ID, Rx BIN and PCN the Same?

No. The Rx BIN number is just one of four numbers typically displayed on a Medicare Part D or MA-PD plan ID card. Other numbers you should see on your private Medicare plan card include:

  • RxGRPGroup ID number GRP is short for "Group Number". The group ID number is your employer or group identification number (sometimes it is displayed on a card as “GRP” or Rx GRP) Not all Medicare Part D and MA-PD plans belong to a group, so your plan ID card may or may not display a group number.
  • Medicare ID number This is a number that personally identifies you as a Medicare member. Medicare once use a beneficiary’s Social Security number on Medicare cards but did away with that practice over security concerns. The Medicare ID number is now used instead.
  • PCN  Rx PCN means processor control number and is used an another identifier pharmacies use. This number is specific to each patient and plan. It helps determine which processor will receive and handle your claims, helps providers determine if a prescription or service is covered by the plan and determines how the claim will be paid.  

Example Rx BIN Numbers

Navigating the world of prescription medications and insurance can be complex, especially when it comes to Rx BIN numbers. If you're in North Carolina, this chart showcases a few example Rx BIN numbers tied to Managed Care Organizations in the state.

So, let's take a closer look at these essential codes and the corresponding PBM processors for each Managed Care Organization in NC.

What Is My Prescription Number?

Your prescription number corresponds to the type of drug that has been prescribed along with the amount and frequency for which it should be taken. The prescription number serves as a reference for your pharmacist when performing a refill. 

You can find your prescription number on the label of your bottle, labeled “Rx#.” 

Where Is the Lot Number on a Prescription Bottle?

You can find the lot number on your pill bottle label near the expiration date, dosing instructions or barcode. This number identifies where the drug came from in case there is a safety recall.

catamaran rx bin number

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Christian Worstell

Christian Worstell is a senior Medicare and health insurance writer with HelpAdivsor.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

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A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism. You can find Christian’s most recent articles in our  blog .

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at  [email protected] .

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Pharmacy Management and Credentialing

All the information you need to properly process prescription claims with Cigna Healthcare.

As of January 1, 2021, all Cigna Healthcare SM Commercial pharmacy plans and Cigna Healthcare Medicare claims are adjudicating on the Express Scripts systems.

BIN and PCN Codes

If Commercial claims are submitted for groups that have transitioned with the old BIN or PCN, claims will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control Number).

Please do not turn the customer away if you receive a rejected claim. 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.

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  1. What is rx bin number on insurance card information

    catamaran rx bin number

  2. What is rx bin number on insurance card information

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  3. RX, BIN, Grp, PCN Number Insurance Card Meaning

    catamaran rx bin number

  4. What is rx bin number on insurance card?

    catamaran rx bin number

  5. What Do Rx, Rx BIN, Rx Grp, And Rx PCN Mean On An Insurance Card?

    catamaran rx bin number

  6. What is rx bin number on insurance card information

    catamaran rx bin number

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  1. OptumRx BIN 610279 Payer Sheet

    2024 OptumRx BIN 610279 Payer Sheet. This document provides information on electronic claims processing, specific to NCPDP defined fields and requirements, for OptumRx BIN 610279 business. This document provides information on electronic claims processing, specific to NCPDP defined fields and requirements, for OptumRx (formerly Catamaran ...

  2. Chart of 2024 BIN and PCN values for each Medicare Part D prescription

    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. Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , and sixth page (H9001 - X0001) .

  3. PDF OptumRx NCPDP Version D.0 Payer Sheet MEDICARE ONLY

    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 ... 454-EK SCHEDULED PRESCRIPTION ID NUMBER RW Required when required by state or local law/regulations 6ØØ-28 UNIT OF MEASURE O

  4. PDF OptumRx NCPDP Version D.0 Payer Sheet COMMERCIAL AND MEDICAID

    Maximum count of 5. Maximum count of 25. Imp Guide: For Transaction Code of "B1", in the Response Claim Segment, the Prescription/Service Reference Number Qualifier (455-EM) is "1" (Rx Billing). Maximum count of 6. Imp Guide: Required if Percentage Sales Tax Amount Paid (559-AX) is greater than zero (Ø).

  5. Catamaran

    Catamaran Address. 2441 Warrenville Road, Suite 610 Lisle, IL 60532-3642. Contact. Susan Fleming, Vice President, Marketing. Phone: (630) 577-4880. Website. ... The Influence of PBMs and HMOs on Prescription Drug Prices; PBM Glossary; PBM News Articles. Rankings - Best Pharmacy Coupons April 8, 2016; Rankings - PBM Drug Rebates March 22, 2016;

  6. PDF Optum

    Payer Name: Catamaran / Optum Hospice Pharmacy Services Date: Date of Publication of this TemplateØ1/Ø1/2011 Plan Name/Group Name: BIN: 011891 PCN: Processor: Catamaran ... 1Ø1-A1 BIN NUMBER 011891 M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1- Claim M

  7. Chart of 2022 BIN and PCN values for each Medicare Part D prescription

    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 second page (H2001 - H3563) , third page (H3572 - H5325) , fourth page (H5337 - H7322) , fifth page (H7323 - H9686) and sixth page (H9699 - S9701) .

  8. PDF Catamaran A Helpful Guide

    Catamaran A Helpful Guide Having Trouble with Your Pharmacy Benefits? We're here to help. Please call our Customer Service Department at (401) 459-5000 or 1-800-639-2227 if you experience any of the issues outlined below—or if you have any other questions or

  9. PDF Pharmacy Manual

    V. BIN information ..... 56 A. OptumRx prescription bank identification numbers (RxBINs) ..... 57 OptumRx payer sheets ..... 57 The Administrator D.0 Payer sheets Related to Medicare Part D, Commercial and

  10. PDF Catamaran National Formulary Preferred Drug List

    The Catamaran Preferred Drug List is a guide identifying preferred brand-name medicines within select therapeutic categories. The Preferred Drug List may not include all drugs covered by your prescription drug benefit. Generic medicines are available within many of the therapeutic categories listed, in addition to categories not listed, and should

  11. PDF About Added Choice

    In addition, the Added Choice prescription drug card includes the PCN, the BIN number, the Catamaran logo, and contact information for the Catamaran pharmacy help desk. If the member does not have his or her Catamaran prescription drug card, you can verify the member's eligibility by calling Catamaran at 1-866-805-1690 and giving them the ...

  12. What Is My Rx BIN Number?

    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 letters "BIN.". It should be noted that your Rx BIN number will not appear on your Original Medicare card.

  13. PDF NCPDP PAYER SHEET TEMPLATE

    (Formerly Catamaran) 1600 McConnor Parkway Schaumburg, IL 60173-6801 ... 1Ø1-A1 BIN NUMBER See above for BIN M 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1, B3 M ... NUMBER QUALIFIER 1 = Rx Billing M For Transaction Code of "B1", in the Claim

  14. PDF OptumRx and Catamaran combine

    • Mail: Mail in your new prescription with a completed order form, available from your member website. You can also send in the refill slip included with your current prescription order. • Phone: Call the member phone number listed on your ID card. • Physician: Tell your doctor to continue ePrescribing using the same information from your

  15. Contact us

    Medicare Advantage Prescription Drug plan members (MAPD):1-877-889-6358 Specialty Pharmacy: 1-855-427-4682 Visit Specialty Pharmacy at - www.specialty.optumrx.com ... To confirm if a pharmacy is in the network, call the pharmacy or the phone number on your ID card. Paper directory requests

  16. PDF Pharmacy Benefits Manager: Catamaran Rx Bin number: 005947 Patient's

    For pharmacy services Please show this letter to your pharmacist when filling a prescription. Your pharmacist will need the following information: Pharmacy Benefits Manager: Catamaran Rx Bin number: 005947 Rx Group number: WELLRX Social Security number Patient's date of birth

  17. PDF PBM BINs Help Desk

    Atlantic Prescription Services 610704 877-277-7934 AutoRx 610133 866-428-8679 BioScrip 900014, 900020, 610084, 610679 800-677-4323 Catamaran (Includes: AvMed, EBRX Network, Future Script, Independence Blue, Vaccines, HospiScript , TotalScript, Rxx Network, Regence Plans, Walgreens Plan, IdealScripts/AMWINS plans, American Health Care Plans,

  18. What is the BIN, PCN, and RxGROUP number for my Medicare Part D

    Here is an example, of these three numbers for an older WellCare Medicare Part D prescription drug plan: 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 ...

  19. OptumRx

    OptumRx

  20. Cigna Select Segment Customers Begin Migrating to Catamaran Rx System

    The ID cards will contain a new BIN (information number) that is essential to pharmacy claim processing. All members should discard the old ID card and provide the new card to the pharmacy or health care provider. The online systems have already been updated; temporary ID cards accessed on myCigna.com or through the mobile app contain the new ...

  21. PDF OptumRx NCPDP Version D.0 Payer Sheet Medicare Only

    Healthmarkets (HMIC) BIN: Ø1639Ø PCN: Ø128 Catamaran / Seniorscript Services BIN: Ø1317Ø PCN: Not Required Cigna Medicare Part-D BIN: Ø17Ø1Ø PCN: CIHSCARE ... 454 -EK SCHEDULED PRESCRIPTION ID NUMBER RW Required when required by state or local law/regulations 6ØØ -28 UNIT OF MEASURE O 418 -DI LEVEL OF SERVICE O ...

  22. Pharmacy Management and Credentialing

    As of January 1, 2021, all Cigna Healthcare SM Commercial pharmacy plans and Cigna Healthcare Medicare claims are adjudicating on the Express Scripts systems.. BIN and PCN Codes. If Commercial claims are submitted for groups that have transitioned with the old BIN or PCN, claims will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control Number).