VA102880 (7001)    PLAN (366.03)

Name Value
ID VA102880
NAME HEARTLAND ADVANTAGE
NAME - SHORT HEARTADV
REGION NE
DATE/TIME CREATED 2004-02-14 17:01:13
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610455
PROCESSOR CONTROL NUMBER (PCN) HRTLD
NCPDP PROCESSOR NAME PRIME THER
ENABLED? Yes
BILLING PAYER SHEET NAME PRIMEV5
REVERSAL PAYER SHEET NAME PRIMEV5
REBILL PAYER SHEET NAME PRIMEV5
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 14:58:27
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 14:58:27