VA99523 (6041)    PLAN (366.03)

Name Value
ID VA99523
NAME CARECLAIM
NAME - SHORT CARECLM
REGION ALL
DATE/TIME CREATED 2004-02-14 15:32:16
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004303
PROCESSOR CONTROL NUMBER (PCN) TELE
NCPDP PROCESSOR NAME OMNISYS
ENABLED? Yes
BILLING PAYER SHEET NAME OMSYSB1
REVERSAL PAYER SHEET NAME OMSYSB2
REBILL PAYER SHEET NAME OMSYSB1
MAXIMUM NCPDP TRANSACTIONS 1
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 21:54:05
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 21:54:05