| ID |
VA98999 |
| NAME |
HAWAII MEDICAID FEE-FOR-SERVICE PROGRA |
| NAME - SHORT |
HI FFS |
| REGION |
HI |
| DATE/TIME CREATED |
2004-02-14 15:40:03 |
| PHARMACY BENEFITS MANAGER NAME |
NONE |
| BANKING IDENTIFICATION NUMBER |
610084 |
| PROCESSOR CONTROL NUMBER (PCN) |
DRHIPROD |
| NCPDP PROCESSOR NAME |
ACS |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
ACSHIB1 |
| REVERSAL PAYER SHEET NAME |
ACSHIB2 |
| REBILL PAYER SHEET NAME |
ACSHIB1 |
| 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 22:01:35
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-02-14 22:01:35
|
