Table of Contents
What is a prescription PCN number?
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.
Review Of Insurance Cards
What is Aetna CSA number?
Your CSA number is printed on the front of your ID card. The Registration Key is listed on the letter you received with your ID card. No luck? No worries, we're here to help.
What is the TFL for Aetna?
We require providers to submit claims within 180 days from the date of service unless otherwise specified within the provider contract.
What does Rx PCN mean?
Rx BIN and PCN numbers are used by new members to pick up a new prescription (or refill) prior to having a new ID card or showing up in the new Carrier's Rx system. Often the Rx system is separate from the Carrier's medical system, so it typically takes another 24-48 hours for members to show up in the Rx system.
What is a BIN and PCN number?
All pharmacies use BIN and PCN numbers for processing prescription drug claims. The BIN number tells the computer database at the pharmacy which health insurance provider is to receive the claim for the prescription. The PCN number is a second identifier that is used for routing claims.
Extra benefits of Medicaid from Aetna Better Health | Aetna Medicaid
Is Rx PCN the same as group number?
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 …
What is Rx Bin number?
The RxBIN, or BIN number, is analogous to the 5-digit zip code and determines the routing destination. The RxPCN, or processor control number, is analogous to the plus 4 part of a zip code, which gives a more precise destination.
How do I get my 1099-HC form from Aetna?
To request a copy of your 1099-Miscellaneous form, please contact Aetna Provider Tax Line @ 855-849-7539 or 860-273-8400.
How do I get my 1095-B form from Aetna?
For those that previously received their Form 1095-B in the mail, you can receive a copy of your Form 1095-B by going out to the Aetna Member Website in the “Message Center” under the “Letters and Communications” tab or by sending us a request at Aetna PO BOX 981206, El Paso, TX 79998-1206.
What’s the difference between an HMO, a POS, and a PPO? | Health care answers in 60 seconds
What is the difference between 1095 C and 1099-HC?
Form 1099-HC is required to complete a Massachusetts state tax return. You can complete the state return without one, but it will not be able to be efiled. You should contact your insurance provider to get a copy of the 1099-HC form before you file.
C is an informational document for your federal tax return.
What is a 1099-HC form?
-B and 1099-HC are tax documents that show you had health insurance coverage considered Minimum Essential Coverage during the last tax year.
What is Aetna member ID?
Your Member Info. Find Your Username. Most people use their Member ID. You can find your Member ID on your ID card, Welcome Letter, or any EOB we sent to you.
Aetna Medicare Supplement Plans
Why can’t I log into my Aetna account?
Check that your Caps Lock key and/or your Num Lock key are not on. If they are on, Aetna Rx Home Delivery will not accept them. If you kept a record of your user name and password, consult it to make sure that you are entering your information correctly.
Why is my Aetna account locked?
Why am I getting an 'Account Locked' error message when I try to log in? If you have attempted to log in and entered incorrect information three times, your account will be locked and you will need to contact the Member Services Team (hyperlinked to contact details page).
What is coinsurance Aetna?
Coinsurance is the percentage of the bill you pay after you meet your deductible.
Health Insurance Facts : About Aetna Health Insurance
What is Aetna timely filing limit for claims?
New claims must be submitted within 180 calendar days from the date of service. Claims will deny if not received within the required time frames. Corrected claims must be submitted within 365 days from the date of service.
What is the timely filing limit for Aetna Medicare?
within 30 days of receipt. If a clean claim is not paid within the 30-day time frame, Aetna Medicare Open Plan will pay interest on the claim according to Medicare guidelines. A clean claim includes the minimum information necessary to adjudicate a claim, not to exceed the information required by Original Medicare.
What is the payer ID for Aetna?
Payer ID #68246 or Aetna Claim Payer ID #60054. Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies.
New Medicaid Member Orientation | Aetna Better Health of California
What is timely filing for Aetna Better Health of Kansas?
New claims for dates of service incurred in 2019 must be filed within 365 days of the date of service or by 6/30/2020, whichever is earlier. The timely filing requirements for corrected claims remains unchanged.
