| ID |
VA104327 |
| NAME |
NEW HAMPSHIRE MEDICAID DME AND SUPPLY |
| NAME - SHORT |
NHMDDME |
| REGION |
NH |
| DATE/TIME CREATED |
2004-05-28 20:30:53 |
| PHARMACY BENEFITS MANAGER NAME |
NONE |
| BANKING IDENTIFICATION NUMBER |
004766 |
| PROCESSOR CONTROL NUMBER (PCN) |
NHDME |
| NCPDP PROCESSOR NAME |
ALLWIN |
| ENABLED? |
Yes |
| BILLING PAYER SHEET NAME |
AWNHDB1 |
| REVERSAL PAYER SHEET NAME |
AWNHDB2 |
| 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 20:30:58
- DEACTIVATED?: No
- DATE/TIME CREATED: 2004-05-28 20:30:58
|
