VA99512 (6030)    PLAN (366.03)

Name Value
ID VA99512
NAME HORIZON BCBS NJ STATE HLTH BENEFIT
NAME - SHORT STHLBNPL
REGION NJ
DATE/TIME CREATED 2004-02-14 15:31:17
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004336
PROCESSOR CONTROL NUMBER (PCN) HZSP
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 21:53:05
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:53:05