VA103893 (7352)    PLAN (366.03)

Name Value
ID VA103893
NAME OREGON MEDICAID DME AND SUPPLIES
NAME - SHORT ALLORDME
REGION OR
DATE/TIME CREATED 2004-04-02 19:44:00
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 004766
PROCESSOR CONTROL NUMBER (PCN) ORDME
NCPDP PROCESSOR NAME ALLWIN
ENABLED? Yes
BILLING PAYER SHEET NAME AWORDM~1
REVERSAL PAYER SHEET NAME AWORDMB2
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:   2004-04-02 19:44:00
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-04-02 19:44:00