VA101314 (4171)    PLAN (366.03)

Name Value
ID VA101314
NAME BLUE RIDGE NURSING HOME
NAME - SHORT BLRDGNH
REGION NJ
DATE/TIME CREATED 2004-02-14 12:42:50
PHARMACY BENEFITS MANAGER NAME PHPS SCO CARVE IN
BANKING IDENTIFICATION NUMBER 600428
PROCESSOR CONTROL NUMBER (PCN) 01590053
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 19:48:06
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 19:48:06