VA98300 (1004)    PLAN (366.03)

Name Value
ID VA98300
NAME GROUP HEALTH PLAN
NAME - SHORT GH PLAN
REGION ALL
DATE/TIME CREATED 2004-02-13 21:23:06
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 003858
PROCESSOR CONTROL NUMBER (PCN) XS 7700630
NCPDP PROCESSOR NAME EXPRESS
ENABLED? Yes
BILLING PAYER SHEET NAME ESIB1V5
REVERSAL PAYER SHEET NAME ESIB2V5
MAXIMUM NCPDP TRANSACTIONS 4
APPLICATION
  • E-PHARM
    NATIONAL ACTIVE?:   Active
    LOCAL ACTIVE?:   Not Active
    USER EDITED LOCAL:   INTERFACE,IB EIV
    DATE/TIME LOCAL EDITED:   2006-05-25 15:17:30
    DATE/TIME NATIONAL EDITED:   2004-02-14 22:31:21
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 22:31:21