DocStation's BIN Billing feature allows you to submit medical claims directly from your dispensing system. This is especially ideal for billing Medicare Part B for vaccines and DME, and for billing specialty medications to a patient's medical benefit.
Getting Started
Begin by setting up a new DocStation insurance in your dispensing system. See below for system-specific instructions.
Once the new DocStation insurance is setup, add it as a coverage to the applicable patient profile. Utilize the patient's actual subscriber ID as the ID in the DocStation insurance record. For example, when billing Medicare Part B via BIN Billing, use the patient's Red, White & Blue Medicare ID as the ID in the DocStation insurance record.
When you're ready to adjudicate the prescription, select the DocStation insurance and submit. When a "paid" response is received, your claim is good to go!
Why did my claim reject?
DocStation applies validation at the switch to ensure the pharmacy claim includes enough information to create a medical claim. If you see a rejection, it could be because of one or more of the following reasons:
The patient address is missing
The patient's insurance or subscriber ID is missing
The NDC is missing
The NDC is not recognized
To resolve the NDC issue, reach out to DocStation via Chat or support@docstation.co to verify the NDC you are attempting to bill.
Verify that the DocStation insurance is setup correctly, and try submitting again.
When will I see the claim in DocStation?
DocStation processes data nightly, so if you submit a claim to DocStation's BIN today, you'll see the claim on your DocStation dashboard tomorrow by mid-day.
How do I know which PCN to use?
The PCN you submit will help DocStation determine which medical payer to submit the claim to. You can obtain the correct PCN from DocStation Support within a few minutes. Just reach out in the Chat!
What if I need to reverse the claim?
DocStation will allow for BIN billing claim reversals within the same day without impacting the patient record. For example, if you adjudicate a flu shot claim via BIN billing this morning, but the patient doesn't show for their immunization appointment in the afternoon, you can still reverse that claim up until the end of the day, and it will not generate a medical claim on DocStation.
It is still possible to reverse a claim that was billed on a previous day in your dispensing system, should you need to put the prescription on hold or even bill it to a different insurance. However, if the claim was BIN billed on a previous day, DocStation will have already generated a corresponding medical claim. If this is the case, and the medical claim on DocStation has not yet been submitted, simply select the "cancel" option on the draft claim to prevent it from being submitted.
DocStation BIN Specifications
DocStation BIN: 025656
PCN: Specific to each medical payer. Refer to the list of commonly used PCNs below, or obtain a different PCN from DocStation Support.
Subscriber ID: Use the patient's ID on file (it's okay if this is the PBM coverage ID).
Payer Sheet Specifications:
Setting up DocStation's BIN in PioneerRx
To create a DocStation insurance record in PioneerRx, follow these instructions:
Navigate to Patients tab.
Navigate to Third Party tab.
Click + to add a new third party.
Give the record a title that makes sense to you.
Example name formats: DocStation - Med Part B; DS - TX Medicare
Enter Plan Type: Standard
Enter Submission Type: Transmitted
Enter BIN 025656
Enter the PCN provided for the payer you want to bill.
Save & Close the record.
Setting up DocStation's BIN in Liberty
To create a DocStation insurance record in Liberty, follow these instructions:
Navigate to Patients tab.
Navigate to Insurance tab.
Click New Insurance button.
Give the record a title that makes sense to you.
Example name formats: DocStation - Med Part B; DS - TX Medicare
Enter BIN 025656
Enter the PCN provided for the payer you want to bill.
Click "Load default specifications" button, then "Okay".
Click Claim Format button.
Select Patient Address fields
Patient-Street-Address
Patient-City-Address
Patient-State-Address
Patient-Zip-Address
Save the record.
Commonly used PCNs for BIN Billing
See the list below for the most frequently utilized PCNs for Docstation BIN billing. Don't see the payer you need? Simply reach out to DocStation Support in the Chat!
Payer Name | Change Healthcare Payer ID | PCN |
HealthPartners | 94267 | 4050 |
Humana | 61101 | 2731 |
Medicaid - CA (Medi-Cal) | 610442 | 2190 |
Medicaid - IA | 18049 | 2757 |
Medicaid - MN | 411674742 | 2016 |
Medicaid - NC | DNC00 | 2971 |
Medicaid - NY | 141797357 | 3023 |
Medicaid - PA | 236003113 | 3077 |
Medicaid - SD | SD48MED | 3174 |
Medicaid - TX | 617591011C21P | 3239 |
Medicaid - WA | 77045 | 3419 |
Medicare - DC | 12202 | 2367 |
Medicare - FL | 09102 | 2341 |
Medicare - HI | 01212 | 2374 |
Medicare - IA | 05102 | 2332 |
Medicare - IN | 08102 | 2338 |
Medicare - MN | 06202 | 2329 |
Medicare - MT | 03202 | 2385 |
Medicare - NC | 11502 | 2356 |
Medicare - ND | 03302 | 2361 |
Medicare - Northern CA | 01112 | 2330 |
Medicare - NY | 13282 | 2355 |
Medicare - PA | 12502 | 2365 |
Medicare - RI | 14412 | 2388 |
Medicare - Southern CA | 01182 | 2337 |
Medicare - TN | 10312 | 2346 |
Medicare - TX | 04412 | 2333 |
MEDICARE DME MAC JURISDICTION A | 16013 | 2389 |
Medicare DME MAC JURISDICTION B | 17013 | 2390 |
Medicare DME MAC JURISDICTION C | 18003 | 2391 |
Medicare DME MAC Jurisdiction D | 19003 | 2392 |
Minnesota Blue Cross Blue Shield | 00720 | 2011 |
Minnesota BCBS Health Care Programs | 00562 | 1659 |
PrimeWest | 61604 | 3116 |
Security Health Plan of Wisconsin | 39045 | 3175 |
UCare | 52629 | 2927 |
United Healthcare | 87726 | 3270 |
Would you like to speak to a member of our team for more support on BIN billing? Please view our training calendar to find time with a member of our Pharmacy Success Team. Thanks!