VA101159 (4016)    PLAN (366.03)

Name Value
ID VA101159
NAME INTEQ GROUP WORKMEN'S COMP
NAME - SHORT INTWC
REGION ALL
DATE/TIME CREATED 2004-02-14 12:28:59
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004469
PROCESSOR CONTROL NUMBER (PCN) INTWC
NCPDP PROCESSOR NAME INTEQ
ENABLED? Yes
BILLING PAYER SHEET NAME INTEQV5
REVERSAL PAYER SHEET NAME INTEQV5
MAXIMUM NCPDP TRANSACTIONS 1
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 19:20:25
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 19:20:25