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Get Aetna Gc-1554 2011-2025

For internal purposes only: RCPT Mail to: Aetna Pharmacy Management Attn: Medicare Processing PO Box 14023 Lexington, KY 40512-4023 Member ? Please read carefully before completing this form. Claim.

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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.

Accessing Pharmacy Benefits for California Small Groups: Pharmacy Rx BIN and PCN Numbers Rx BIN NumberPCNAetnaRx BIN: 610502 Rx Group: AetnaPCN: 00670000Anthem Blue CrossRx BIN: 020099PCN: ISBlue Shield of CaliforniaRx BIN: 004336PCN: 77993333Chinese Community Health PlanRx BIN: 003585Rx PCN: ASPROD113 more rows • 10-Aug-2022

The UB-04, also known as the Form CMS-1450, is the uniform institutional provider claim form suitable for use in billing multiple third-party payers. The 837 Institutional electronic claim format is the electronic version of the form and is in use by providers who submit claims electronically.

RxBIN stands for Bank Identification Number, which helps the pharmacy figure out which insurance company's prescription plan to process. RxPCN stands for Processor Control Number and is another unique identifier to help the pharmacy identify you.

Accessing Pharmacy Benefits for California Small Groups: Pharmacy Rx BIN and PCN Numbers Rx BIN NumberPCNAetnaRx BIN: 610502 Rx Group: AetnaPCN: 00670000Anthem Blue CrossRx BIN: 020099PCN: ISBlue Shield of CaliforniaRx BIN: 004336PCN: 77993333Chinese Community Health PlanRx BIN: 003585Rx PCN: ASPROD113 more rows • Aug 10, 2022

Name of Insured: Medical Record Number: Rx Processor Control # (PCN): 70000 Rx Bin #003585 Health plan Your Pharmacy Network Your Provider Network Sample image.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232