VA100806 (4711)    PLAN (366.03)

Name Value
ID VA100806
NAME LICKING MEMORIAL HOSPITAL HEALTH PLAN
NAME - SHORT LMHP
REGION OH
DATE/TIME CREATED 2004-02-14 13:32:25
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004336
PROCESSOR CONTROL NUMBER (PCN) LMHHP
NCPDP PROCESSOR NAME PCS
ENABLED? Yes
SOFTWARE VENDOR ID 5102290730
BILLING PAYER SHEET NAME PCSBIL5
REVERSAL PAYER SHEET NAME PCSREV5
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 20:12:59
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 20:12:59