VA98237 (941)    PLAN (366.03)

Name Value
ID VA98237
NAME SIAC
NAME - SHORT SIAC
REGION NJ
DATE/TIME CREATED 2004-02-13 21:17:20
PHARMACY BENEFITS MANAGER NAME PHPS CARVE OUT
BANKING IDENTIFICATION NUMBER 600428
PROCESSOR CONTROL NUMBER (PCN) 01210088
NCPDP PROCESSOR NAME ARGUS
ENABLED? Yes
BILLING PAYER SHEET NAME ARGUSV5
REVERSAL PAYER SHEET NAME ARGB2V5
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 11:27:02
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-15 11:27:02