VA103548 (6523)    PLAN (366.03)

Name Value
ID VA103548
NAME PACIFICARE PPO/INDEMNITY
NAME - SHORT P2506
REGION CA
DATE/TIME CREATED 2004-02-14 16:17:25
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610494
PROCESSOR CONTROL NUMBER (PCN) 2506
NCPDP PROCESSOR NAME PRES SOL
ENABLED? Yes
BILLING PAYER SHEET NAME PRESOLB1
REVERSAL PAYER SHEET NAME PRESOLB2
REBILL PAYER SHEET NAME PRESOLB1
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 13:49:17
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 13:49:17