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OptumRx NCPDP Version D.0 Payer Sheet ***PartnerRx COUPONS*** Payer Name: PartnersRx Plan Name/Group Name: Partners Rx Coupons Date: 08/01/12 BIN: 610494 015251 PCN: 3333 PRX2000 Processor: OptumRx.

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How to fill out the Bin 015251 online

Filling out the Bin 015251 form is an essential step in the claims process, particularly for those involved in pharmacy billing. This guide will provide clear instructions on how to efficiently complete the online form, ensuring that all necessary information is accurately captured.

Follow the steps to fill out the Bin 015251 online accurately and efficiently.

  1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
  2. Enter the BIN number at the designated field. For the Bin 015251, you will key in '610494'.
  3. Input the Processor Control Number in the corresponding section. This is typically '3333'.
  4. Review segments requiring identification, such as the Patient Segment. Ensure to provide the necessary details including patient's first and last name, date of birth, and ID.
  5. Fill out the Insurance Segment fields, including Cardholder ID, Group ID, and home plan information to complete insurance details.
  6. Once all required fields are filled out, double-check for accuracy and completeness.
  7. After verifying the information, save your changes, and you will have options to download, print, or share the completed form.

Complete your Bin 015251 form online today for a seamless claims process.

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