VA99625 (5183)    PLAN (366.03)

Name Value
ID VA99625
NAME COMPLETE PHYSICIAN GROUP
NAME - SHORT CPG
REGION HI
DATE/TIME CREATED 2004-02-14 14:14:59
PHARMACY BENEFITS MANAGER NAME QUEST HMSA
BANKING IDENTIFICATION NUMBER 600428
PROCESSOR CONTROL NUMBER (PCN) 01185000
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:   2004-02-15 11:18:06
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 11:18:06