VA96856 (2509)    PLAN (366.03)

Name Value
ID VA96856
NAME UNITED HEALTH CARE OF TEXAS DALLAS
NAME - SHORT UHC TD
REGION TX
DATE/TIME CREATED 2004-02-14 10:10:59
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 900002
PROCESSOR CONTROL NUMBER (PCN) DAL ENV
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 18:30:55
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 18:30:55