| ID |
VA101660 |
| NAME |
ALASKA MEDICAID |
| NAME - SHORT |
AK MED |
| REGION |
AK |
| DATE/TIME CREATED |
2004-02-13 23:16:38 |
| PHARMACY BENEFITS MANAGER NAME |
NONE |
| BANKING IDENTIFICATION NUMBER |
009661 |
| PROCESSOR CONTROL NUMBER (PCN) |
P013009661 |
| NCPDP PROCESSOR NAME |
FHEALTH |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
FHAKB1V5 |
| REVERSAL PAYER SHEET NAME |
FHAKB2V5 |
| REBILL PAYER SHEET NAME |
FHAKB3V5 |
| 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 13:23:51
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-02-15 13:23:51
|
