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Question:

What three components are needed to bill a pharmacy claim?

A Member ID number, BIN, and PCN
Explaination

In order to bill a patient’s insurance you must have the BIN and PCN to ensure proper routing of the claim as well as the member ID number to identify patient specific benefits. Even if the patient does not have their card, benefit information can still be obtained if they are able to provide these three key pieces of information.