VA103894 (7353)    PLAN (366.03)

Name Value
ID VA103894
NAME MEDLIANCE LLC
NAME - SHORT MEDLIANC
REGION ALL
DATE/TIME CREATED 2004-04-02 19:54:17
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610593
PROCESSOR CONTROL NUMBER (PCN) MDL
NCPDP PROCESSOR NAME COMCOTEC
ENABLED? Yes
BILLING PAYER SHEET NAME COMMDLB1
REVERSAL PAYER SHEET NAME COMMDLB2
REBILL PAYER SHEET NAME COMMDLB3
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 19:54:17
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-04-02 19:54:17