Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for CT.
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. CT_BLUE CARE_BS143.pdf CT BCBS - PAYER ID BS143 Payer must be set up in METRO in order for McKesson to approve (updated 11/12/08).
4. CT_BLUE SHIELD_BS043.pdf CT BCBS - PAYER ID BS043 Payer must be set up in METRO in order for McKesson to approve (updated 11/12/08).
5. CT_BLUE SHIELD_BS043_ERA.pdf CT BCBS - PAYER ID BS043 ERA (updated 11/12/08).
6. CT_Medicare_MR049.pdf CT MEDICARE - PAYER ID MR049 (updated 11/12/08)
7. CT_MEDICARE_MR049_ERA.pdf CT MEDICARE - PAYER ID MR049 ERA (updated 11/12/08)
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. Healthnet Northeast_ERA_06108.pdf Healthnet of the Northeast ERA - Payer ID 06108
12. Humana_61101_ERA updated 103008.pdf Humana ERA 61101 updated 103008
13. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
14. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
15. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
16. No Forms Available CT MEDICAID- PAYER ID MC039 Contact McKesson for Carrier Agreement (updated 11/17/08)
17. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
18. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
19. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
20. TRICARE_North and South Region_CH001 and CH002)_ERA.pdf TRICARE ERA North and South Region - Payer ID CH001 and CH002 (updated 11/12/08)
21. TRICARE_North and South Region_PAYER ID CH001 and CH002.pdf TRICARE North and South Region - Payer ID CH001 and CH002 (updated 11/12/08)
22. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)