VA99723 (5801)    PLAN (366.03)

Name Value
ID VA99723
NAME TENNCARE
NAME - SHORT TENNCARE
REGION TN
DATE/TIME CREATED 2004-02-14 15:10:54
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 011271
PROCESSOR CONTROL NUMBER (PCN) P016011271
NCPDP PROCESSOR NAME FHEALTH
ENABLED? Yes
BILLING PAYER SHEET NAME FHTNB1V5
REVERSAL PAYER SHEET NAME FHTNB2V5
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 21:35:25
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:35:25