VA97159 (2547)    PLAN (366.03)

Name Value
ID VA97159
NAME LOVELACE MEDICAID
NAME - SHORT LL MEDCD
REGION NM
DATE/TIME CREATED 2004-02-14 10:14:55
PHARMACY BENEFITS MANAGER NAME CIGNA HEALTHCARE
BANKING IDENTIFICATION NUMBER 600428
PROCESSOR CONTROL NUMBER (PCN) 00602205
NCPDP PROCESSOR NAME ARGUS
ENABLED? Yes
BILLING PAYER SHEET NAME ARGUSV5
REVERSAL PAYER SHEET NAME ARGB2V5
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 17:25:42
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 17:25:42