What is PCN on insurance card | PCN, BIN, RX Group Explained

What is the PCN Number on the Insurance card?

Another identifier used to route pharmaceutical payments is the processor control number (PCN). PCNs can be numeric or alphanumeric. Because PCNs aren’t used by all health insurance plans, it’s fine to leave this field blank if you don’t see one on your card. If your PCN isn’t included on your health insurance card, you can phone your provider to double-check your information.

What is PCN on insurance card aetna
What is PCN on insurance card aetna

The Processor Control Number (PCN) is an additional identification for pharmaceutical transactions that can be used to route them. Unique PCNs can be used by a PBM/processor/plan to differentiate distinct plans/benefits packages. Because this identification is specific to their business needs, the PCN is determined by the PBM/processor. There is no PCN registry. As determined by the PBM/processor, the PCN is alphanumeric.

According to the guidelines outlined in the NCPDP Pharmacy ID and Combination Card Implementation Guide, the PCN, like the BIN/IIN, appears on the pharmacy ID card. NCPDP members have access to this material. Under the “Pharmacy and Healthcare Identification Cards” heading, general information is provided in Resource Topic- Guidelines. The PCN is not used by all businesses to differentiate plans. The Group ID may be used by certain entities, while others may not require this degree of distinction.

What is Bin Number on Insurance card?

The BIN, or bank identification number, on your health insurance card, is a six-digit number that notifies the pharmacy’s computer database of which health insurance provider should receive your prescription claim. When health insurance cards were initially produced, the abbreviation BIN was developed in the banking business and transferred over to the health insurance industry. As a result, despite their name, banks are not engaged in the billing process for insurance.

Insurance Card

When you go to the drugstore to get a prescription filled, the pharmacist will generally ask for your insurance card first. Although most health insurance cards include both your policy number and your prescription BIN, other insurers provide prescription cards separately. Your BIN is used by the pharmacy to determine which insurance must reimburse the pharmacy for the cost of your prescriptions. When you make a purchase, most pharmacies have a list of BINs that technicians input into a computer database.

Its Uses

When a policyholder files a claim, the insurer, claimants, and medical staff must handle a large amount of data. Large chain pharmacies, on the other hand, may fill and handle hundreds of prescriptions and claims each day. BINs let pharmacies quickly and simply figure out which insurance companies need to be invoiced. This enables a pharmacy to guarantee that it gets compensated appropriately and efficiently.

Bin on Insurance Card has future or not?

While BINs are most widely utilized in the health care and banking industries, other businesses that employ customer cards or card-based transactions are increasingly using them. The use of a BIN can assist businesses to minimise fraud and theft while also allowing consumers to make simple purchase claims and transactions.

What is rxbin number on Insurance card?

The RX Bin is used to determine how a prescription medication will be paid and to which pharmacy a reimbursement claim should be sent. The RX BIN is a six-digit code. You should have an RX Bin card to use your health insurance to pay for your prescriptions. Please contact your health insurance company if you are unable to locate an Rx BIN on your card.

What is rx group number on insurance card?

Rx Group Numbers are often used by pharmacies to handle prescription benefits. Alphanumeric and numeric RX group numbers are also acceptable. RX Group numbers are not seen on all health insurance cards. It’s sometimes referred to as “RxGrp” or “Prescription Group.” Different cards for physician and drugstore benefits are sometimes included in health insurance policies. If your Rx Group isn’t shown on your card, call your health insurance provider to double-check. You may leave this part blank if you want.

What does a BIN, PCN, and Rx Group number look like?

For with an older WellCare Medicare Part D prescription drugs plan, here’s a sample of these three numbers:

BIN: 610623
PCN: 02050000
RxGroup: RX4655

PCN, BIN & RXGROUP

These three figures are identical for all WellCare Medicare Part D prescription medication plans in all states across the US. Check an original card details given by HAP Orgainization.

The BIN, PCN, and RxGroup numbers, on the other hand, vary per Medicare plan and might change from year to year.

FAQ

What is a BIN number?

The first four to six numbers on a credit card are known as the bank identification number (BIN). The bank identification number is given identifier for the card’s issuing institution. The BIN is crucial in the process of linking transactions to the charge card issuer.

Where is BIN Number on my Insurance card?

The BIN is a six-digit number that notifies a computer pharmacy database of which health insurance company is to get the remedy for your prescriptions. The BIN is your healthcare insurance card.

Where is the PCN Number on my Insurance card?

Over the vehicle photo in the upper right corner of the PCN, you find the PCN number.

Where can I find the group number on my Insurance card?

The physical ID card and your digital ID card, which are available on your Simply Insured dashboard, will both have your group number and your membership ID number. Employers may also get the group number of the firm on their monthly bills.

What does it mean by Rx PCN numbers on my Insurance card?

A Processor Control Number (PCN) is a supplementary number on a health insurance card that is used by insurance companies to route pharmacy claim transactions. A PCN is not used by all entities. This number is used by those who pay medication benefits through a Pharmacy Benefit Manager to make claim payment easier.

How to read a health Insurance card?

Ways to read a health insurance card

  • Make a list of your info. The patient’s name should appear with every health insurance card.
  • A number of the policy. A policy number should appear on all health insurance cards.
  • The number of the group plan.
  • Contact details for the insurance business.
  • Amounts of coverage, in-network and out-of-network, as well as co-pays.
  • Prescription coverage is included.

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