VA104290 (7448)    PLAN (366.03)

Name Value
ID VA104290
NAME PHI MEDICARE CMS CARD PROGRAM
NAME - SHORT PHICMSMD
REGION ALL
DATE/TIME CREATED 2004-05-28 20:17:12
PHARMACY BENEFITS MANAGER NAME NONE
BANKING IDENTIFICATION NUMBER 610524
PROCESSOR CONTROL NUMBER (PCN) CMS
NCPDP PROCESSOR NAME PHI
ENABLED? Yes
BILLING PAYER SHEET NAME PHICMSB1
REVERSAL PAYER SHEET NAME PHICMSB2
REBILL PAYER SHEET NAME PHICMSB3
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:   2004-05-28 20:17:17
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-05-28 20:17:17