VA103597 (6680)    PLAN (366.03)

Name Value
ID VA103597
NAME BLUE CROSS BLUE SHIELD OF MICHIGAN
NAME - SHORT BCBSMIAL
REGION MI
DATE/TIME CREATED 2004-02-14 16:32:28
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004766
PROCESSOR CONTROL NUMBER (PCN) MIBCBS
NCPDP PROCESSOR NAME ALLWIN
ENABLED? Yes
BILLING PAYER SHEET NAME AWBCMIV5
REVERSAL PAYER SHEET NAME AWBCMIB2
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 13:54:12
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 13:54:12