| ID |
VA101683 |
| NAME |
ILLINOIS MEDICAID SENIORCARE |
| NAME - SHORT |
ILSENIOR |
| REGION |
IL |
| DATE/TIME CREATED |
2004-02-13 23:18:42 |
| PHARMACY BENEFITS MANAGER NAME |
NONE |
| BANKING IDENTIFICATION NUMBER |
008259 |
| PROCESSOR CONTROL NUMBER (PCN) |
ISC47865 |
| NCPDP PROCESSOR NAME |
IL MED |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
ILMDB1V5 |
| REVERSAL PAYER SHEET NAME |
ILMDB2V5 |
| REBILL PAYER SHEET NAME |
ILMDB3V5 |
| 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 13:26:04
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-02-15 13:26:04
|
