Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for CA.
1. Aetna ERA_60054.pdf AETNA ERA - Payer ID 60054 *Updated 8/6/08*
2. CA_ SUTTER CONNECT_ALL PLANS_ERA.pdf CA SUTTER CONNECT- ERA- Payer ID's included are IP084, IP100, IP090, IP092, IP099, IP091, HM056, HM063, HM057, HM059, HM062 & HM058 (updated 11/10/08)
3. CA_BLUE CROSS_BC001.pdf CA BLUE CROSS - Payer ID BC001 (Internal Process) Payer must be set up in METRO (updated 11/10/08)
4. CA_BLUE CROSS_ERA_BC001.pdf CA BLUE CROSS ERA - PAYER ID BC001
5. CA_BLUE SHIELD_BS001_ERA.pdf CA BLUE SHIELD - Payer ID BS001 ERA (updated 11/10/08)
6. CA_HEALTH NET_95567_ERA.pdf CA HEALTH NET - Payer ID 95567 ERA (updated 11/10/08)
7. CA_John Muir_JMH01.pdf CA JOHN MUIR - PAYER ID JMH01 (updated 11/19/08)
8. CA_KAISER NORTH_KS003.pdf CA KAISER NORTH - Payer ID KS003 (updated 11/10/08)
9. CA_KAISER PEMANETE_KS001_ERA.pdf CA KAISER PERMANETE- Payer ID KS001 ERA (updated 11/10/08)
10. CA_MEDI-CAL_MC051_ERA.pdf CA MEDI-CAL - Payer ID MC051 ERA (updated 11/10/08)
11. CA_MEDICARE _Northern__MR002_ERA.pdf CA MEDICARE (Northern) - Payer ID MR002 ERA (updated 11/10/08)
12. CA_MEDICARE _Southern__MR001_ERA.pdf CA MEDICARE (Southern) - Payer ID MR001 ERA (updated 11/10/08)
13. CA_MONARCH HEALTHCARE IPA_IP095.pdf CA MONARCH HEALTHCARE IPA - Payer ID IP095 (updated 11/10/08)
14. CA_North_Medicare_MR002.pdf California Medicare (North) - Payer ID MR002 - Updated 9/15/08
15. CA_South_Medicare_MR001.pdf California Medicare (South) - Payer ID MR001 - Updated 9/15/08
16. CA_SUTTER CONNECT_ALL PLANS.pdf CA SUTTER CONNECT- Payer ID's included are IP084, IP100, IP090, IP092, IP099, IP091, HM056, HM063, HM057, HM059, HM062 & HM058 (updated 11/10/08)
17. CIGNA_62308_ERA.pdf CIGNA ERA - Payer ID 62308 (updataed 10/28/080
18. FirstHealth_ERA_87043.pdf First Health ERA - Payer ID 87043
19. Geisinger Health Plan 75273 updated 102908.pdf
20. GREATWEST_80705_ERA.pdf GREATWEST - Payer ID 80705 (updated 10/29/08)
21. Humana_61101_ERA updated 103008.pdf Humana ERA 61101 updated 103008
22. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
23. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
24. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
25. No Forms Available California Blue Shield - Payer ID BS001 - (Internal Process) Payer must be setup in METRO in order for NDCHealth to send setup info to carrier
26. No Forms Available CA MEDI-CAL - Payer ID MC051 - Contact McKesson for Carrier Agreement (updated 11/10/08)
27. Pacificare CA ERA_95959.pdf Pacificare CA ERA - Payer ID 95959
28. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
29. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
30. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
31. TRICARE_ERA_WEST REGION_CH003.pdf TRICARE West Region - Payer ID CH003 ERA (Updated 11/10/08)
32. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)
33. WPS_Tricare_CH003.pdf California WPS Tricare - Payer ID CH003