non-SSN member identifier, the Rx BIN number, and PCN, all of which are mandatory fields needed for successful claims processing. For the clients listed below, Pharmacy must submit claims to Medco through the TelePAID® System using: • The RxBIN # 610014 • The RxPCN MEDDPRIME • The Rx Group number as listed below For all Peoples Health plans that include Part D prescription drug coverage (all plans except Peoples Health Patriot (PPO)), Rx information is printed, as follows, on their ID cards for processing Part D prescription fills: RxBin Number: 610097. RxPCN Number: 9999. Rx Group Number: MPDPHP. Send e-prescriptions to OptumRx using this information. PCP Ph Number Effective Date Specialist Visit Emergency Room ES Plan RxGrp RxBlN Cov Eff Date 363/865 HMRKOOI 610014 XX/XX/XXXX IIGHMARK CHOICE COMPANY MEMBER NAME FIRSTNAME M LASTNAME MEMBER ID z PM xxxxxxxxxxxx PCP INFORWTION xxxxxxxxxx xxx xxx.xxx.xxxx Hear/Vision/DentaI PLAN pan RxPCN HMO 9151014609 xxxxxxxx 610014 MEODPRIME SPBLUE3 PCP Visit Health record number: Added Choice ® Point-of-service plan RxPCN: 70000 RxBIN: 003585 RxGroup: KP007 This card is for identification only and is not transferable. To be entitled to coverage, the cardholder must be a member complying with all provisions of the service agreement. Underwritten by Kaiser Foundation Health Plan of the Northwest.For all Peoples Health plans that include Part D prescription drug coverage (all plans except Peoples Health Patriot (PPO)), Rx information is printed, as follows, on their ID cards for processing Part D prescription fills: RxBin Number: 610097. RxPCN Number: 9999. Rx Group Number: MPDPHP. Send e-prescriptions to OptumRx using this information. Medicaid cards look different for each state and will not contain an RxGroup, RxPCN, and RxBIN number, only a Member ID number. If you have a Medicaid managed care plan, then you should still be able to access pharmacy benefits information. For people with Medicaid coverage, many states will require you to switch to a managed care plan after 30 ... PCP Ph Number Effective Date Specialist Visit Emergency Room ES Plan RxGrp RxBlN Cov Eff Date 363/865 HMRKOOI 610014 XX/XX/XXXX IIGHMARK CHOICE COMPANY MEMBER NAME FIRSTNAME M LASTNAME MEMBER ID z PM xxxxxxxxxxxx PCP INFORWTION xxxxxxxxxx xxx xxx.xxx.xxxx Hear/Vision/DentaI PLAN pan RxPCN HMO 9151014609 xxxxxxxx 610014 MEODPRIME SPBLUE3 PCP VisitRxPCN: HXXXX XXX MEDDPRIME RxGrp: BCNRXPD RxID: Plan XXXXXXXXXXX Health Plan (80840) 9101000021 FIRST M LASTNAME JR Enrollee Name XYK888888888 Enrollee ID XXXXXXXX Group Number bcbsm.com Blue Care Network of Michigan A nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association …Depending on your plan, you received either a prescription benefit ID card or a combined ID card for both your medical and prescription benefits. You can find your member ID number on this card. If you can’t find the answer to your question, please contact us. Millions trust Express Scripts for safety, care and convenience.Similarly, using 18 (Plan Number) with RxPCN would also comply with the TR3. RFI Recommendation For consistency, sending RxBIN in 2100A/NM109 using qualifiers NM101=PR and NM108=PI and sending RxPCN in 2100C/REF02 using REF01=N6 is recommended.Contract Information: Independent Contracting Contact: [email protected] Website: https://professionals.optumrx.com. Certification Testing Window: Certification not required Pharmacy Help Desk Information: Medicaid: 888-306-3243 OptumRx: 800-788-7871 FlexScripts: 800-603-7796 ProAct: …The RxPCN, or processor control number, is analogous to the plus 4 part of a zip code, which gives a more precise destination. In the pharmacy industry, the BIN number may represent the address of a large computer and the processor control number may represent a subset system of the computer.If you have any questions, please contact Customer Service at 1-800-758-4574, 24 hours a day, 7 days a week (except Thanksgiving and Christmas). TTY/TDD users should call 1-800-716-3231. Thank you. E0208NAM. S5660_E0208NAM. Medco Health Solutions, Inc. 100 Parsons Pond Drive. Franklin Lakes, NJ 07417.If you electronically submit claims through UHIN or another clearinghouse, you need the correct member ID number (as shown on the PEHP ID card) for the claim to process. If your system requires 13 characters to submit claims, add "00" at the end. If you have questions, please contact us at (801) 366-7555 or send us a message via the Message ...Member Number: 9999999 Grwp Number. SCP Medicaid,'Rx ID: 999999999999 PCP Name: JANE DOE PCP Phone: 123456-7899 Member Effective Date: 01/01/24 Sentara. Health Plans RxBlN: 003858 RxPCN: MA RxGRP: SHPt,nCD CardinalCare Pre-Al_mwization may be reqjred fœ: advanced DNE, ntrsirg, acute rehd), IN CASE OF AN …RxPCN: BCTX Rx In/Out of Network Ded $3750/$7500 Rx In/Out of Network OPX $3750/ Subscriber Name: ABC SAMPLE Identification Number: ZGP123456789 Group Number: 123456 Coverage Date: 08/01/21 Member Effective: 08/01/21 BCA FAMILY TDI Pediatric Dental (under age 19) OV/Spec $25/$45 Emergency Room $300 Urgent Care $25 Rx Level 1 $10/20/55 Rx Level ...Pharmacy provider services. Providers and pharmacies with questions about Blue Cross Complete benefit coverage or claims transmission issues can call Pharmacy Customer Service, or Help Desk, at 1-888-288-3231. TTY users should call 1-888-988-0071. Pharmacy network and contracting. Phone: 1-800-555-5690 Email: …Yes. If there is an RXPCN number on the member’s ID card it must be submitted exactly as it appears on the card. If there is no RXPCN, submit the default number according to the Banking Identification Number (RXBIN) listed in the appropriate Payer Sheet.RxPCN is a unique identifier for the pharmacy benefit processor or pharmacy benefit manager of your health plan. It is located on the back of your …Apr 21, 2023 · Object moved to here. Pharmacy Facts, Number 110 (updated) Page 2 of 2 If you have questions or comments, or want to be removed from this fax distribution, please contact Victor Moquin at Conduent at 617-423-9830. Accountable Care Partnership Plans MCO Partner PBM BIN PCN Group Berkshire Fallon Health Collaborative ACO Fallon Caremark 004336 ADV … The pharmacy policies content only applies to those employer groups who retain Prime Therapeutics. Member ID cards with RxBIN 610455 and RxPCN PGIGN or HMHS on the front indicate that a member has Prime Therapeutics as their PBM and these pharmacy policies apply. The Blue Cross and Blue Shield of Minnesota pharmacy utilization management. and member ID number. The Health Options automated voice response system is available at 844-325-6161. If the patient’s member ID number is not presented because the member is new to Highmark Health Options, Providers can press 0 …Jul 7, 2022 · The RxPCN, or processor control number, is analogous to the plus 4 part of a zip code, which gives a more precise destination.In the pharmacy industry, the BIN number may represent the address of a large computer and the processor control number may represent a subset system of the computer. You will need your pharmacy billing information — RxBIN, RxPCN and Rx Group — found on your 2024 member identification (ID) card to complete the patient profile. Once you have an account and patient profile, choose one of these ways to start getting your drugs at home: Call in your prescriptions at 1-800-607-6861 (TTY users call 711).Understanding your new ID card. New features added to 2022 GEHA medical ID cards. When you receive your new 2022 GEHA ID card in the mail, you will notice it has more information on it. We have added the deductible, out-of-pocket max and copays to the 2022 ID cards. This information was added in response to the No …Special Features; Find a 2024 Part D Plan (Rx Only) Find a 2024 Medicare Advantage Plan (Health and Health w/Rx Plans) Browse Any 2024 Medicare Plan Formulary (or Drug List)What does RXPCN mean? The RXPCN number on your card is the health insurance processor control number. This number identifies your coverage and how your claims should be processed. Using Your Insurance Card the Right Way. You should make sure that the information on your insurance card is correct. If it is not, you should have it …or account (not applicable to Medicare Advantage products). • Group number–Most often, this will be a number assigned to the group. Sometimes it will be an ...RxBIN stands for “Prescription Bank Identification Number.”. It is a unique six-digit number that identifies the pharmacy benefit manager (PBM) associated with a specific insurance plan. PBMs are companies that manage prescription drug benefits on behalf of insurance companies and employers.1-Identification # Use this number to identify the patient when submitting claims. 2-Prefix Include the alpha prefix with the member’s ID number on all claims. 3-Copay Indicates what the member pays at the time of service. This example shows a copay for an office visit (OV), emergency room (ER) and, if applicable, prescription (RX) coverage.What do the BIN, PCN, and Rx Group numbers look like? 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.Contract Information: Independent Contracting Contact: [email protected] Website: https://professionals.optumrx.com. …If you electronically submit claims through UHIN or another clearinghouse, you need the correct member ID number (as shown on the PEHP ID card) for the claim to process. If your system requires 13 characters to submit claims, add "00" at the end. If you have questions, please contact us at (801) 366-7555 or send us a message via the Message ...Pharmacy services remain in legacy Medicaid for recipients not enrolled in managed care. Pharmacy provider relations support for legacy Medicaid is handled by ...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 …Depending on your plan, you can select Member ID Card under Account in the main menu after you log in. If it's available, you can print your member ID card from there. Just click on the Download Card button to download and/or print your member ID Card. On the Express Scripts® Pharmacy mobile app. Tap the menu icon on the top-left corner of ...The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. The PCN is defined by the PBM/processor as this identifier is unique to their business needs.This card will include new information needed to use your coverage at the pharmacy. You’ll need to begin using this new card on Jan. 1, 2023, for your prescription medicine to be covered correctly. You can also use your digital ID card, which is always up to date in the BCBSM mobile app. Don’t use this card before Jan. 1, 2023 and destroy ...Whether you’re receiving strange phone calls from numbers you don’t recognize or just want to learn the number of a person or organization you expect to be calling soon, there are ...Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 4 of 6 (H5372 through H7220)Tips & Disclaimers. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to …Your (1) Member ID number, (2) Rx BIN, (3) PCN, and (4) Group ID (or Rx Group) number are the four numbers that uniquely identify you and your Medicare Part D prescription drug plan - and these four numbers are usually found on your Medicare Part D Member ID card and most of you Medicare plan correspondence or printed ... RxPCN - Stands for ...RxPCN: XXXXXXXX RxGRP: XXXXX Plan (80840) 9140461101 Member ID: Hxxxxxxxx MEMBER NAME CARD ISSUED: CUSTOMER SERVICE: Ifyou use TTY, call 711 Pharmacist]Physician Rx Inquiries: 1-800-281-6918 1-800-865-8715 Submit Rx Claims only to: Humana Claims, PO Box 14140, Lexington, KY 40512-4140 See pharmacy and drug …Member Number: 9999999 Grwp Number. SCP Medicaid,'Rx ID: 999999999999 PCP Name: JANE DOE PCP Phone: 123456-7899 Member Effective Date: 01/01/24 Sentara. Health Plans RxBlN: 003858 RxPCN: MA RxGRP: SHPt,nCD CardinalCare Pre-Al_mwization may be reqjred fœ: advanced DNE, ntrsirg, acute rehd), IN CASE OF AN …Nov 21, 2023 ... If a claim spans 2023/2024, use the member ID in effect on the start date of service or split the claim. 5. Provide the member's new ID number ...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. Back to Pharmacy Resources.• Rx Group Number: WLHA • IngenioRX is open 27/7 and can be reached at 833- 261-2463 Phone Number: • 833-674-9256 . Author: Holly R Singleteary Created Date:But if your pharmacy benefits information is included on your main health insurance card, upload that one. Note: If you request PrEP or STI testing you may need to upload both your medical and prescription insurance cards. Be sure the card you upload includes an ID number as well as numbers preceded by “RX” such as RXBIN, RXPCN and RXGRP.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. Back to Pharmacy Resources.contract number. Use this number for billing and checking eligibility and benefits. > Issuer Identifies the specific Blue Cross plan. > Group Number Number exclusive to a group. The upper right corner of the ID card may also display the unique name and logo of the particular employer group. Members who don’t belong to a group, areUnderstanding your new ID card. New features added to 2022 GEHA medical ID cards. When you receive your new 2022 GEHA ID card in the mail, you will notice it has more information on it. We have added the deductible, out-of-pocket max and copays to the 2022 ID cards. This information was added in response to the No Surprises Act.To find what percentage one number is of another; divide the first number by the other number and multiply by 100. For example, four is 50 percent of eight because four divided by ... Contract Information: Independent Contracting Contact: [email protected] Website: https://professionals.optumrx.com. Certification Testing Window: Certification not required Pharmacy Help Desk Information: Medicaid: 888-306-3243 OptumRx: 800-788-7871 FlexScripts: 800-603-7796 ProAct: 877-635-9545 MedalistRx: 855-633-2579 Other ... RxBIN stands for “Prescription Bank Identification Number.”. It is a unique six-digit number that identifies the pharmacy benefit manager (PBM) associated with a specific insurance plan. PBMs are companies that manage prescription drug benefits on behalf of insurance companies and employers.MCO RxBIN and RxPCN Information. Minnesota Health Care Programs providers billing for prescriptions for members in managed care organizations (MCOs) need to use the …May 20, 2022 · It is an 8-character numeric or alphanumeric string. The Rx PCN is an identification number used to route pharmaceutical transactions. It indicates which processor will handle your claim. In addition, the PCN is connected to your insurance. It shows whether your insurance plan covers your prescription. You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?." 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. Yes. If there is an RXPCN number on the member’s ID card it must be submitted exactly as it appears on the card. If there is no RXPCN, submit the default number according to the Banking Identification Number (RXBIN) listed in the appropriate Payer Sheet. Object moved to here.Your network provider must call the toll-free number listed below to pre-certify the above services. Refer to your plan documents for your pre-certification requirements. Failure to do so may af fect benef its. ... RxBIN XXXXXX RxPCN XXXXXXXX DOI Open Access Plus No referral required PCP visit $10/$25 Specialist $10/$25 Hospital ER $50 Urgent ...Network pharmacies must confirm some information to OptumRx at least every 3 years (name, address, phone number, gender, languages spoken) for the directory. OptumRx reviews all this information at least every 3 years for credentialing. Language Language(s), other than English, that a pharmacy or staff can speak. This is reported by the ...An OPUS Health copay card is a prescription discount vehicle used to provide the patient with a savings on their prescription copay at the pharmacy. It is easily distinguished from a voucher (explained below) by the Rx Processor Control Number (RxPCN) of OHCP and from DebitRx cards by the absence of a 16 digit ID number on the front (as on any ...PCN on an insurance card stands for Processor Control Number. It is a unique identifier assigned to a specific pharmacy benefit manager (PBM) or a third-party administrator (TPA) that processes prescription drug claims for a particular health plan. PBMs and TPAs are intermediaries that work with insurance companies, pharmacies, …RxBIN RxPCN Group FFS FFS Virginia Medicaid 010900 8263342243 VAMEDICAID . CCC Plus Health Plans RxBIN RxPCN RxGRP . Aetna Better Health of VA 1-866-386-7882 610591 ADV RX8837 Anthem HealthKeepers 1-855-323-4687 020107 FM WQWA Molina Complete Care 1-800-424-4524 016523 62282 VAMLTSS ...Tips & Disclaimers. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to …Patient's insurance - pharmacy benefits should include an RxBIN number, RxPCN Number, RxGroup Number, and Member ID. Patient's room and bed number, and hospital ...MCO RxBIN and RxPCN Information. Minnesota Health Care Programs providers billing for prescriptions for members in managed care organizations (MCOs) need to use the …SKÅNES FAGERHULT, Sweden, April 30, 2020 /PRNewswire/ -- The total number of registered shares and votes in the company at 1 January 2020 was 39,... SKÅNES FAGERHULT, Sweden, Apri...Subscriber ID: Alphanumeric identifier composed of a three‐character BCN prefix followed by a BCN‐issued contract number. Use this number for billing and checking eligibility …Processor Control Number (RxPCN) and/or a Group Number (RxGRP) when required by the benefit administrator for proper adjudication of claims. The order of the data must be as indicated, and no other data may be interspersed between these data elements when printing pharmacy ID cards. To conserve vertical space on the ID card, the RxIIN and2. ID number . A three-character prefix is part of most member ID numbers. Use the correct prefix to ensure the claim is routed to the correct Blue Plan. 3. Copayment amounts . Copayments may be listed for: • Office visits (OV) • Behavioral health visits (BH) SM • Emergency room visits (ER) • Preventive care. Copayments may not appear ... RxPCN: XXXXXXXX RxGRP: XXXXX Plan (80840) 9140461101 Member ID: Hxxxxxxxx MEMBER NAME CARD ISSUED: CUSTOMER SERVICE: Ifyou use TTY, call 711 Pharmacist]Physician Rx Inquiries: 1-800-281-6918 1-800-865-8715 Submit Rx Claims only to: Humana Claims, PO Box 14140, Lexington, KY 40512-4140 See pharmacy and drug list at Humana.com Med i carcBQ There are more ways to crack this case than you think. There are a lot of instances when you might need to match a phone number to a real person’s name. Maybe you got a text from a...Once our BIN is installed you can process our orders like any other claim. To adjudicate a claim, you need to enter the Hippo member ID, located on the Hippo savings card, and our BIN number. PCN and Group are not required. If you have any questions please call our Pharmacy Help Center at 1-855-707-8380. One of our Pharmacy Help Specialists ...RxPCN: HXXXX XXX MEDDPRIME RxGrp: BCNRXPD RxID: Plan XXXXXXXXXXX Health Plan (80840) 9101000021 FIRST M LASTNAME JR Enrollee Name XYK888888888 Enrollee ID XXXXXXXX Group Number bcbsm.com Blue Care Network of Michigan A nonprofit corporation and independent licensee of the Blue Cross and Blue Shield Association Customer Service: 800-662-6667Contract Information: Independent Contracting Contact: [email protected] Website: https://professionals.optumrx.com. Certification Testing Window: Certification not required Pharmacy Help Desk Information: Medicaid: 888-306-3243 OptumRx: 800-788-7871 FlexScripts: 800-603-7796 ProAct: …Member ID (also called a subscriber number or patient ID)—the number providers need to verify coverage. 2. Group —the number identifies your employer plan; if you purchase health insurance through a Marketplace/Exchange, your card may not have a group number. 3. Plan identifier & PCP name —your plan and primary care provider’s name ...Apr 21, 2023 · Object moved to here. 22 Nov 2011 ... Processor Control Number (RXPCN): FEPRX and RXGRP number: 65006500. Please note: Claims submitted with an incorrect RXBIN and RXPCN may reject.RxBIN 610014 RxPCN MEDDPRIME Issuer (80840) 9151014609. RxGrp ID No. Name _____ FirstYou will receive a letter of disapproval if your application MI Last. Member Customer Service: 1.866.477.5703. TTY Users: 1.800.716.3231. Web: Express-Scripts.com. This is a temporary card. Your permanent ID card will be ...Prefix Medical Record Number Date of Birth Name: First M Last Prefix Medical Record Number Date of Birth Name: First M Last Name: Date of Birth XX/XXXX XXXXXXXX Medical Record Number: Deductible $1500 Out of Pocket Max $4000 RxPCN 1-800-464-4000/TTY 711 kp.org XXXXXXXXXXXX SCSF RxBin 610127 OV (Pri/Spec) $00/$00 A: Providers must request to see the identification card for the eligible person and examine the card to determine if the RXPCN information is available. Submit the RXPCN information as it appears on the identification card. If there is no RXPCN, submit the default number according to the banking identification number (RXBIN) as follows: You must use BIN number 610084 for all the above programs including Medicaid HealthChoice MCOs. 2. All new claims and reversals will go through this BIN number, including reversals of claims previously submitted to FirstHealth Services Corporation. 3. When appropriate, ACS will route claims to the MCO pharmacy benefit manager (PBM) …
This PCN number is a different identifier utilized to route claims. Three numbers: Rx BIN, Rx Grp, and Rx PCN are the three identification numbers you will find on possibly every insurance card. These numbers permit your doctor or pharmacy to process claims using the proper channels. These codes identify what kind of insurance you’re under .... Chkd radiology
The standard Blue Cross ID card layout. ID cards for most Blue Cross products include the following: Enrollee Name. Name of the subscriber who holds the contract. Enrollee ID. Alphanumeric identifier composed of a three. Enrollee Name VALUED M CUSTOMER. Enrollee ID RxBIN 610014. XYQ888888888. RxGRP BCBSMRX1. Issuer (80840) 9101003777.If someone is calling you and the number is showing up as "unavailable" or "restricted," it can be a frustrating experience--especially if the withheld number calls are hang-ups or...You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?." The chart below is the first page of the 2020 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H2334.If you electronically submit claims through UHIN or another clearinghouse, you need the correct member ID number (as shown on the PEHP ID card) for the claim to process. If your system requires 13 characters to submit claims, add "00" at the end. If you have questions, please contact us at (801) 366-7555 or send us a message via the Message ...Tips & Disclaimers. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly …4RX DATA. The four data elements are used to process a pharmacy claim. In Medicare Part D, these four elements uniquely identify the Medicare Part D Sponsor for the …1Ø1-A1 BIN Number 610502 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M NCPDP vD.Ø 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing 1Ø9-A9 Transaction Count M Up to four billing reversal transactions (B2) per transmission 011552 and 610455. Groups: PDPTX PDPOK PDPIL PDPNM PDPMT. Blue Cross Medicare Advantage Plans (HCSC: OK, IL, TX, NM): 011552. PCNs: MAPDTX MAPDOK MAPDIL MAPDNM MAPDMT. RxGroup varies. Blue Shield Medicare Basic and Enhanced (CA): 012353 03510000 RxGroup varies. . Phone: 1-833-414-2228. Fax: 1-844-521-6938. Hours: 24 hours, 7 days a week. Claims processing or overrides. CarelonRx Medicaid Pharmacy Help Desk (Pharmacies Only) Phone Number: 1-833-409-1225. Hours: 24 hours, 7 days a week. Medical benefit (physician administered drugs) prior authorization request & status inquiries.RxBIN. 004261. CAL. 002538 or or. Envoy Acct. #. NDC. Envoy. RxPCN. SOCIAL SECURITY NUMBER. CARRIER/TPA. INJURED WORKER NAME. NCACC. Sedgwick. Provide to ...But if your pharmacy benefits information is included on your main health insurance card, upload that one. Note: If you request PrEP or STI testing you may need to upload both your medical and prescription insurance cards. Be sure the card you upload includes an ID number as well as numbers preceded by “RX” such as RXBIN, RXPCN and RXGRP..