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All the information you need to properly process prescription claims with Cigna Healthcare.
As of January 1, 2021, all Cigna HealthcareSM Commercial pharmacy plans and Cigna Healthcare Medicare claims are adjudicating on the Express Scripts systems.
BIN and PCN Codes
If Commercial claims are submitted for groups that have transitioned with the old BIN or PCN, claims will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control Number).
Please do not turn the customer away if you receive a rejected claim. 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.
|
Name
|
BIN
|
New PCN (Transitioned Group)
|
|---|---|---|
|
Cigna Pharmacy Services (Commercial)
|
Ø17Ø1Ø
|
0215COMM
|
|
Cigna International
|
Ø17Ø1Ø
|
0216INTL
|
|
GWH Cigna Commercial
|
Ø17Ø1Ø
|
0518GWH
|
|
Cigna Payer Solutions
|
Ø17Ø1Ø
|
0519PAYR
|
|
Name
|
BIN
|
PCN
|
RxGroup #
|
|---|---|---|---|
|
Cigna Medicare Prescription Drug Plans (PDP)
|
Ø17Ø1Ø
|
CIMCARE
|
CIGPDPRX
|
|
Cigna Medicare Advantage Plan (MAPD)
|
Ø17Ø1Ø
|
CIMCARE
|
CGMAPDRX
|
|
Cigna Medicare Employer Group Waiver Plan (EGWP)
|
Ø17Ø1Ø
|
CIMCARE
|
Please see Member ID Card
|
|
Leon Cares HMO® (MAPD)
|
Ø17Ø1Ø
|
CIMCARE
|
CGLEONRX
|
|
Cigna Arizona HMO (MAPD)
|
Ø17Ø1Ø
|
CIMCARE
|
CIGNAZRX
|
|
Cigna Texas Medicare-Medicaid Plan (TXMMP)
|
Ø17Ø1Ø
|
CIMCARE
|
CGMAPDRX
|
|
Cigna Medicaid
|
Ø17Ø1Ø
|
CIMCAID
|
ZR3A
|
Visit our Cigna Healthcare Pharmacy Resources page to be connected to Express Scripts® resources.
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Disclaimer
Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of The Cigna Group Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna Healthcare name, logo, and other Cigna Healthcare marks are owned by The Cigna Group Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna Healthcare.
All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna Healthcare sales representative. This website is not intended for residents of New Mexico.