VA102279 (1848)    PLAN (366.03)

Name Value
ID VA102279
NAME ALLIANCE BCBS, BLUECHOICE, BCBS MO
NAME - SHORT ABBBM
REGION ALL
DATE/TIME CREATED 2004-02-13 22:39:53
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610053
PROCESSOR CONTROL NUMBER (PCN) ARQ7700630
NCPDP PROCESSOR NAME WELLPOINT
ENABLED? Yes
BILLING PAYER SHEET NAME WPPB1
REVERSAL PAYER SHEET NAME WPPB2
REBILL PAYER SHEET NAME WPPB1
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:   2004-02-15 11:56:49
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 11:56:49