VA96592 (3560)    PLAN (366.03)

Name Value
ID VA96592
NAME ANDROSCOGGIN HOME HEALTH SERVICES
NAME - SHORT AHHS
REGION ME
DATE/TIME CREATED 2004-02-14 11:47:21
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 003573
PROCESSOR CONTROL NUMBER (PCN) AHHS
NCPDP PROCESSOR NAME ME MED
ENABLED? Yes
BILLING PAYER SHEET NAME MEAHHSB1
REVERSAL PAYER SHEET NAME MEAHHSB2
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 18:09:58
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 18:09:58