The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). What is a Take-Home Drug? The benefit information provided is a brief summary, not a complete description of benefits. Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC. HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC. WELLCARE HEALTH INSURANCE OF TENNESSEE, INC. FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY, BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK, COMPCARE HEALTH SERVICES INSURANCE CORPORATION, BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY, CENTRAL VALLEY MEDICAL SERVICES CORPORATION, CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC, WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA. 610014 003858 MA . However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service Providers who do not contract with the plan are not required to see you except in an emergency. 0000009374 00000 n
Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. If using IE11, please consider using an alternative browser. 0000034997 00000 n
0000010471 00000 n
BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan The three tables below shows the correct combinations effective March 1, 2018, for pharmacies to use when submitting MassHealth ACO/MCO/FFS pharmacy claims. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010". 0000070373 00000 n
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Region BIN PCN/ Group Help Desk Fiserv Health Plans Innoviant National 610127 01960000 877-559-2955 Fishing Partnership Health Plan MedImpact MA 003585 Grp 35026 800-788-2949 FlexScripts WHI/WHP TX/FL 603286 01410000, GP 513274 800/207-2568 FLRx FLRx National 610475 See Card 585-327-7530 bin 610014 pcn peu - Julio Carmona 0000007028 00000 n
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EmblemHealth (888 . 0000003344 00000 n
There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. wG4jZG5\s.Wu=]qjLH BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name BIN: PCN: Plan Name/Group Name: BIN: PCN: Plan Name/Group Name: BIN: PCN: Processor: TelePAID System Effective as of: 12/08/2011 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 07/01/2007 NCPDP External Code List Version Date: 10/01/2009 0000011949 00000 n
Managed care pharmacy identification. cyU>]s#~e{0Bb'Su[4E(/0PS_5]bmE
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'}Aj(bsgZJLi|]&:{|r2+>p#+Y31D|nGPrtqp\R]oMDl${mI15R/,;$5#]_zK>%,u$xwO@B,UlCt MOkd?X?. Sunrise, sunset, day length and solar time for Stockholm County. All calls are toll-free. 0000001868 00000 n
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800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Members are instructed to show both ID cards before receiving health care services. Medicare has neither reviewed nor endorsed the information on our site. We do not sell leads or share your personal information. Verify member eligibility and the MCO enrollment . 0000029834 00000 n
NCPDP has recently updated our Privacy Policy. As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems. BT4'j7k?pj|q)@@ i3ao>V|tCJ?a|$FY.^a%>]q!N6# BIN: PCN: Group Number PBM: Phone Number. area. 0
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Joined Feb 3, 2010 Messages 2 . Highmark ID Cards | GuideStone MCAIDADV RX5443. PDF ATTACHMENT 2 PLAN CONTACT AND BILLING INFORMATION - New York State 0000002851 00000 n
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c4C)iG/Y88. Plan Name/Group Name: MI01/MIMEDICAID BIN:009737 PCN: P008009737 Processor: Processor/Fiscal Intermediary Effective as of: 01/01/2012 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 10/2017 NCPDP External Code List Version Date: 10/2017 Sunset: 04:14PM. 0000002330 00000 n
Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. Click here to let us know, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA, Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York, BlueCross BlueShield: Empire, Excellus, WNY & NENY, Health Alliance Medicare Prescription Plan, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of IL, NM, OK, TX, Blue Cross and Blue Shield of Kansas or Blue KC, Regence BlueShield of Idaho and Regence BC BS Utah, Horizon Blue Cross Blue Shield of New Jersey, 001-012, 014-034, 070, 105, 106, 121-137, 801, 802, 808. The current local time in Stockholm County is 2 minutes ahead of apparent solar time. PDF EFFECTIVE 07.27.2015 Subject to Change BIN Type Network - RxHope The pharmacy system then includes this BIN/IIN in the electronic transaction the pharmacy sends to the payer for the prescription. Star Ratings are calculated each year and may change from one year to the next. Rx BIN: 019059 Rx PCN: 07570000 Rx Group: HTH ID number - the pharmacy will need to submit the CURRENT ID number used for 2021 in January 2022 Customer Service/Pharmacy Help Desk: 844-373-0970 Self-Funded Group - Renown Health - HometownRx powered by Maxor Rx BIN: 019059 Rx PCN: 07570000 Rx Group: HTH Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Plug . If they have bookmarked their old account, this will NOT show 2020 plan information. 0000038251 00000 n
03. The term BIN is synonymous with the ISO/IEC 7812 IIN. 0000007668 00000 n
Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. PDF UMP Plus (SEBB) 2021 Quick Start Guide - hca.wa.gov money from Medicare into the account. 45 0 obj
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PDF New ID cards are being distributed for 2022 See below for important TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. 0000032330 00000 n
money from Medicare into the account. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. 0000002648 00000 n
%%EOF
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Because of this, every member must create a new account regardless of whether they are renewing or not. Mid-season real-time estimates of seasonal influenza vaccine s.parentNode.insertBefore(gcse, s); xref
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HWYkH+(
!8 BaX<>b/]%Ys,Mw_W}U.UVpTEdOb What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? 0000006077 00000 n
How to bill retail rx to Tricare? : r/pharmacy - reddit
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The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000028775 00000 n
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Contact the plan provider for additional information. 0000005253 00000 n
BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . What BIN/PCN/group number should I be entering in the Third Party section of my patient profile? RX BIN: 610114, PCN: PV 8009333734 Pharmacy Help 8669509949 www.pharmavail.com PharmAvail 3380 Trickum Road Building 400, Unit 100 Woodstock, GA 30188 HCC Pharmacy Onsite Pharmacy and 90day/Mail Order Prescriptions 8668278975 9196788261 Fax: 9196788159 0
11-A1 BIN Number See BIN/PCN table, above M 12-A2 Version Release Number D=Version D.0 M 13-A3 Transaction Code B1=Billing M 14-A4 Processor Control Number As indicated above M 19-A9 Transaction Count 1=One Occurrence 2=Two Occurrences 3=Three Occurrences 4=Four Occurrences M (BIN 6156 only allows TRANS COUNT = 1). To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. The NCPDP Processor ID Number (BIN) is a six-digit number that health plans can use to process electronic pharmacy claims if they do not use pharmacy benefit cards with a magnetic stripe. 610014 800-824-0898 Integrated Prescription Management (IPM) 014658 877-860-8846 LDI Integrated Pharmacy Services 800010 800-652-9550 Magellan Health Services (Includes: Kentucky Passport) 015053, 016523 800-790-1631 McKesson Specialty 610524 800-657-7613 *Independently Contracted. The application and registration procedures are identified in ISO/IEC 7812-2. })(); Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701). r 13+o6xip#Db,8>*$?HeRF 9QPf00C%:`"PE
`9G5.#3HK&X:?3f a=
+. Type of GHP: W United HealthCare Optimum Choice claims address: PO Box 740825 Atlanta, GA 30374 Rx Information: MEDCO 1-800-842-2038 . 0000016714 00000 n
PDF Payer Sheet - WellDyne 109-A9 Transaction count 1 to 4 M Up to 4 We are an independent education, research, and technology company. RX Bin for GuideStone Health Plans Except for Secure Health (No PCN Number required) 610014; Rx Bin for Secure Health TM Plans 003858 ; PCN Number for Secure Health TM Plans A4; You can also visit GuideStoneHealth.org and create an account to print a temporary ID card on or after your health plan effective date. endstream
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PDF SAS Benefit Vendor Contact Information Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. RX Bin # 610014 RX Group # BCWAPDP The member portal is new as well. Edit your form online Type text, add images, blackout confidential details, add comments, highlights and more. endstream
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14000 However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service Rx Information: MEDCO 1-800-842-2038 . Refer to above list or what is printed on ID card . PDF Commercial Plan List Those that use magnetic stripe cards apply through ANSI for an IIN. 0000008305 00000 n
Please contact the plan for further details. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). 0000002073 00000 n
If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. The ISO/IEC 7812 IIN is a number used throughout electronic routing. The benefit information provided is a brief summary, not a complete description of benefits. Systems for register-based monitoring of vaccine effectiveness (VE) against laboratory-confirmed influenza (LCI) in real time were set up in Stockholm County, Sweden, and Finland, before start of the 2016/17 influenza season, using population-based cohort studies. BIN: 610014 PCN: COPAY Reimbursement is Based on the Other Payer Patient Paid (COPAY ONLY) Plan Name/Group Name: MEDICARE PART D AS PAYER BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name: SECONDARY to MEDICARE BIN: 610031 PCN: MEDDCOBSEG PART D COBSEG OTHER PAYER PRIMARY Plan Name/Group Name: SECONDARY to MEDICARE BIN: 610031 PCN: MEDDCOPAY TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. 3850 0 obj
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Once verified, ANSI will submit the application to the ISO/IEC 7812 Registration Authority for assignment of an IIN. PDF Acute Care Plans - azahcccs.gov The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! 8254 36
The PCN is defined by the PBM/processor as this identifier is unique to their business needs. 0000005854 00000 n
during the calendar year will owe a portion of the account deposit back to the plan. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; xref
DownloadtheNCPDP Payer Sheet Template, more information is available by selecting Resource Topic - "HIPAA". Payer/Carrier BIN/PCN Date Available Vendor Certification ID *Humana LI NET 015599/05440000 Current 601DN30Y *Humana Part D . This document is available with NCPDP membership. BIN: 610014 PCN: MEDDPRIME Group: RXINN03 Phone: 1-800-416-3628 Accredo Specialty Pharmacy Phone: 1-800-803-2523 . Chart of 2021 BIN and PCN values for each Medicare Part D prescription PDF NCPDP Version D.0 Payer Sheet - EpiphanyRx Not all entities use the PCN to differentiate plans. contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . NCPDP issues the Processor ID Number (BIN). {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi}
*"d\Q*\ZMW% Ffa3Y!G'[71c4)0 0000046944 00000 n
that insure or administer group HMO, dental HMO, and other products or services in your state). Hb```?@(AEs,Pp
IG1~D&t You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. NCPDP provides a service to those health plans that do not use magnetic stripe cards. endstream
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Express Scripts NCPDP Version D.0 Payer Sheet Department of : Fill 0000001711 00000 n
We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. 0000003144 00000 n
Contact the Medicare plan for more information. 2. BIN 610239 PCN: FEPRX RxGrp: 65006500 3. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
We do not sell leads or share your personal information. 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. 0000001415 00000 n
58 D-MEDCO 610014(`1589) MEDCO MEDICARE PDP 5.1 57 CATALYST RX(`1306) 1/3/2012ps Page 2 3. 0000019345 00000 n
RX Bin: 610014 . The Processor Control Number (PCN) is a secondary identifier that may be used in routing of pharmacy transactions. 0000006026 00000 n
Express Scripts resources for pharmacists. At home, across the country, and around the worldthe power of Blue is with you. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 0000002069 00000 n
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Please do not turn the customer away if you receive a rejected claim. Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 0000010641 00000 n
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Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . Your Premera provider network: What's 'in' it for you? When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. We are an independent education, research, and technology company. I was doing an amox script for a dude who shows up with nothing but his wife's military ID and know they go through express scripts so I searched for plans by using BIN 610014 and entering the SSN but no matter what I tried it just would not go through. BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan - Massachusetts x1 04HKl\GMyC. gcse.async = true; 0000032773 00000 n
Our Privacy Policy is now easier to read and better organized. MeridianRx PCN Phone Fax Email MHPILMCD (Medicaid) 855 -580 -1688 855 -580 -1695 [email protected] . xref
C. CPhT1969 New Member. 0000006921 00000 n
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hb```>>S~1A\pDKu;sH(1mA~>bN TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 0000011095 00000 n
Medicare MSA Plans do not cover prescription drugs. The BIN/IIN and PCNs are listed on the PBM/processor/plans Payer Sheets for trading partners to know the proper identifiers for routing transactions. 0000004910 00000 n
In January 2017, the IIN length changed from a 6-digit number to an 8-digit number. Sign Up To Receive Emails For Events, News & General NCPDP Information. 0000014836 00000 n
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during the calendar year will owe a portion of the account deposit back to the plan. Please contact the plan for further details. If the health plan uses theNCPDP Pharmacy ID and Combination Card Implementation Guidethat NCPDP members have created, the BIN/IIN is clearly shown on the card. 0000013064 00000 n
BIN number See above M Pages 1 and 2 for BIN/PCN : 102-A2 : Version/Release number D.0 M : 103-A3 : Transaction code B1, B3 M : 104-A4 : Processor control number : M . gcse.async = true; As of January 2017, the IIN length has changed from a 6-digit number to an 8-digit number. (function() { Those who disenroll All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. BCBS of MI BIN: 610011 PCN: Varies - Never "IRX" AARP BIN: 610652 PCN: Varies - refer to ID card OptumRx BIN: 610127 PCN: 02330000 01960000 01990000 02330088 COSF GASF MASF PCN: NCCSI NCSF NWSF SCCSI SCSF OHSF 04000013 LDI / CastiaRx BIN: 020321 BIN: 800010 PCN: COM PCN: LDI SavaScript Value . Day length: 8h 24m. <<0F6188EC756C624CBAA438B0D92726A7>]>>
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%%EOF
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In certain situations, you can. Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs. The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000005026 00000 n
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The PCN, like the BIN/IIN appears on the pharmacy ID card, in accordance with the rules defined in theNCPDP Pharmacy ID and Combination Card Implementation Guide. BANBUHP Express Scripts. 0000006674 00000 n
AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . PDF Pharmacy Reference Guide 0000012588 00000 n
You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center. U6E6hlhwElgf\0 $M[T=w"RnKPmH~g;~'-W99g/j730ePkxYj7
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PDF Medco manages the prescription drug benefit for many of your customers For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), If you continue to browse or use this website, you agree to this updated Privacy Policy. 01 M/I BIN 101-A1 04 M/I PCN 104 -A4 06 M/I GROUP NUMBER 301 -C1 07 M/I CARDHOLDER ID 301 -C2 Additional messaging will provide the correct BIN and PCN to use. Contact the plan provider for additional information. Group ID will be ignored by the processor. Managed care pharmacy identification - Minnesota Department of Human PDF Navitus Health Solutions LLC Pharmacy Network Development PDF Certified Payors - McKesson Box 7012 Downey, CA . The plan deposits gcse.type = 'text/javascript'; 0000002715 00000 n
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The term BIN is synonymous with the ISO/IEC 7812 IIN. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. startxref
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Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. 2389 0 obj<>
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2019 Payer Sheet NCPDP Version D - meridianrx.com PDF PBM BINs Help Desk - PBA Health Time in Stockholm County, Sweden now
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Sesame Donuts Nutrition Facts, Newcastle Great Park And Ride Test Centre, New Years Eve Yacht Party San Francisco, Equilon Enterprises Llc Houston, Tx, Shooting In Jacksonville Arkansas Yesterday, Articles B