| ID |
VA103007 |
| NAME |
COMMUNITY MUTUAL GENERIC |
| NAME - SHORT |
CMG |
| REGION |
OH |
| DATE/TIME CREATED |
2004-02-14 17:12:41 |
| PHARMACY BENEFITS MANAGER NAME |
ANTHEM |
| BANKING IDENTIFICATION NUMBER |
610575 |
| PROCESSOR CONTROL NUMBER (PCN) |
00890000 |
| NCPDP PROCESSOR NAME |
ANTHEM |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
ANTHEMV5 |
| REVERSAL PAYER SHEET NAME |
ANTHEMV5 |
| REBILL PAYER SHEET NAME |
ANTHEMV5 |
| 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 15:10:08
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-02-15 15:10:08
|
