VA97980 (684)    PLAN (366.03)

Name Value
ID VA97980
NAME S & S PARAMOUNT DENTAL PLAN, INC.
NAME - SHORT SSPDP
REGION ALL
DATE/TIME CREATED 2004-02-13 20:54:23
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 601475
PROCESSOR CONTROL NUMBER (PCN) 1000
NCPDP PROCESSOR NAME RX AMERICA
ENABLED? Yes
BILLING PAYER SHEET NAME RXAMERB1
REVERSAL PAYER SHEET NAME RXAMERB2
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 22:26:34
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 22:26:34