VA99871 (5339)    PLAN (366.03)

Name Value
ID VA99871
NAME FRED MEYER EMPLOYEES WORKERS COMP
NAME - SHORT FME WC
REGION ALL
DATE/TIME CREATED 2004-02-14 14:29:01
PHARMACY BENEFITS MANAGER NAME WORKING RX
BANKING IDENTIFICATION NUMBER 610591
PROCESSOR CONTROL NUMBER (PCN) WORK03
NCPDP PROCESSOR NAME RX AMERICA
ENABLED? Yes
BILLING PAYER SHEET NAME RXAMERB1
REVERSAL PAYER SHEET NAME RXAMERB2
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 20:59:44
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 20:59:44