Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for AZ.
1. Aetna ERA_60054.pdf AETNA ERA - Payer ID 60054 *Updated 8/6/08*
2. AZ_BCBS_BS046.pdf AZ BCBS - Payer ID BS046 (updated 11/03/08)
3. AZ_HEALTH NET of ARIZONA_38309_ERA.pdf AZ HEALTH NET of ARIZONA - Payer ID 38309 (updated 11/03/08)
4. AZ_Medicare_MR008.pdf AZ MEDICARE - Payer ID MR008 (updated 11/03/08)
5. AZ_MEDICARE_MR008_ERA.pdf AZ MEDICARE ERA- Payer ID MR008 (updated 11/17/08)
6. AZ_MERCY CARE_MRC01.pdf AZ MERCY CARE - Payer ID MRC01 (updated 11/03/08)
7. CIGNA_62308_ERA.pdf CIGNA ERA - Payer ID 62308 (updataed 10/28/080
8. FirstHealth_ERA_87043.pdf First Health ERA - Payer ID 87043
9. Geisinger Health Plan 75273 updated 102908.pdf
10. GREATWEST_80705_ERA.pdf GREATWEST - Payer ID 80705 (updated 10/29/08)
11. Humana_61101_ERA updated 103008.pdf Humana ERA 61101 updated 103008
12. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
13. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
14. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
15. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
16. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
17. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
18. TRICARE_ERA_WEST REGION_CH003.pdf TRICARE ERA West Region - Payer ID CH003 (Updated 11/03/08)
19. TRICARE_WEST REGION_CH003.pdf TRICARE West Region - Payer ID CH003 (Updated 11/03/08)
20. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)