VA103155 (6392)    PLAN (366.03)

Name Value
ID VA103155
NAME BLUE CROSS BLUE SHIELD RI WC
NAME - SHORT BCRIWC51
REGION RI
DATE/TIME CREATED 2004-02-14 16:04:31
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610468
PROCESSOR CONTROL NUMBER (PCN) BCRIWC
NCPDP PROCESSOR NAME PHARMCARE
ENABLED? Yes
BILLING PAYER SHEET NAME PHARMCB5
REVERSAL PAYER SHEET NAME PHARMCR5
REBILL PAYER SHEET NAME PHARMCB5
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:   2004-02-15 14:33:02
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 14:33:02