VA98641 (205)    PLAN (366.03)

Name Value
ID VA98641
NAME KLAIS
NAME - SHORT KLAIS
REGION OH
DATE/TIME CREATED 2004-02-13 20:10:48
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 600471
PROCESSOR CONTROL NUMBER (PCN) 0920
NCPDP PROCESSOR NAME RESTAT
ENABLED? Yes
BILLING PAYER SHEET NAME RESTATV5
REVERSAL PAYER SHEET NAME RESTATV5
REBILL PAYER SHEET NAME RESTATV5
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 22:50:54
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 22:50:54