Bulletin


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Bulletin Reminder - Lovelace Unique BIN/PCN and Member ID Accuracy for Medicare Part D Communication #22MG12B BIN: 012353 PCN: 03730000 Date: March 9, 2012 Effective: March 15, 2012 Effective March 15, 2012, Pharmacies will be required to enter the bank identification number (BIN) / Processor Code Number (PCN) and member ID that are unique to the member’s Medicare Part D enrollment. You should submit the information as written on the identification card to avoid point-of-service rejection. Medicare BIN/PCN BIN 012353 012353

PCN 03733251 03736801

Name Lovelace Medicare Plan Lovelace Medicare Plan of Oklahoma

Pharmacy Networks: • • • • • •

ANA ANA ANA ANA ANA ANA

– – – – – –

59 67 68 69 70 71

Medicare Part D Retail Medicare Part D @ 90 days ITU Pharmacies Long Term Care Argus Mail Order Home Infusion

When submitting the Cardholder ID number, the person code must not be appended to the end of the Cardholder ID in field (302-C2). In total, 9 characters should be submitted in the Cardholder ID field. When submitting the 9 characters for the Cardholder ID, do not include the person code. Example of submitted cardholder ID: L12345678 or LH1234567

©2012 by Argus Health Systems, Inc. All Rights Reserved. The computer systems, procedures, databases, software programs, documentation and other materials (collectively "Information") created, maintained or provided by Argus Health Systems, Inc. ("Argus"), are proprietary to Argus and are confidential. 22MG12

If a Part D claim is submitted with incorrect 4Rx data, the expected 4Rx data will be returned in the COB/Other Payer Response segment and the following NCPDP errors will be returned on the claim:

NDPCP Reject Code 01 04 06 07

NCPDP Reject Code Explanation M/I BIN M/I PCN M/I Group ID M/I Cardholder ID

NCPDP Field # possibly in Error 101-A1 104-A4 301-C1 302-C2

If one or more fields are in error, all 4 errors are returned on the response. Group ID will be ignored by the processor. However, it is highly encouraged for the Group ID to be submitted as blanks for all Part D claims. Please Note: If a member does not have his or her identification card, you can submit an E1 transaction to the Part D Transaction Facilitator. Action Required If you have any questions or require assistance, please contact the Argus Health Systems Pharmacy Help Desk at 1-800-522-7487.

©2012 by Argus Health Systems, Inc. All Rights Reserved. The computer systems procedures, databases, software programs, documentation and other materials (collectively "Information") created, maintained or provided by Argus Health Systems, Inc. ("Argus"), are proprietary to Argus and are confidential. 22MG12

Argus bulletin – 2012

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