Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for CO.
1. Aetna ERA_60054.pdf AETNA ERA - Payer ID 60054 *Updated 8/6/08*
2. CIGNA_62308_ERA.pdf CIGNA ERA - Payer ID 62308 (updataed 10/28/080
3. CO_MEDICAID_ MC004.pdf CO MEDICAID - PAYER ID MC004 (updated 11/11/08)
4. CO_MEDICAID_MC004_ERA.pdf CO MEDICAID - PAYER ID MC004 ERA (updated 11/11/08)
5. CO_MEDICARE (Trailblazers)_MR004.pdf CO MEDICARE - PAYER ID MR004 (updated 11/11/08)
6. CO_MEDICARE (Trailblazers_MR004_ERA.pdf CO MEDICARE - PAYER ID MR004 ERA (updated 11/11/08)
7. CO_PacifiCare HMO_COFHP.pdf CO PACIFICARE - PAYER ID COFHP
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. No Forms Available Colorado BCBS - Payer ID BS020 - No agreement required - Auto Approval - Payer must be entered into METRO for NDCHealth to approve
16. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
17. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
18. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
19. ROCKY MOUNTAIN_RMHMO.pdf ROCKY MOUNTAIN - PAYER ID RMHMO (updated 11/11/08)
20. TRICARE ERA - West Region_CH003.pdf WPS Tricare - West Region - ERA - Payer ID CH003
21. TRICARE_ERA_WEST REGION_CH003.pdf TRICARE West Region - Payer ID CH003 ERA (Updated 11/11/08)
22. TRICARE_WEST REGION_CH003.pdf TRICARE West Region - Payer ID CH003 (Updated 11/11/08)
23. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)