Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for DE.
1. Aetna ERA_60054.pdf AETNA ERA - Payer ID 60054 *Updated 8/6/08*
2. AmeriHealth Delaware non-HMO_93688.pdf AmeriHealth Delaware non-HMO - Payer ID 93688
3. CIGNA_62308_ERA.pdf CIGNA ERA - Payer ID 62308 (updataed 10/28/080
4. DE_AMERIHEALTH_93688_ERA.pdf DE AMERIHEALTH - PAYER ID 93688 (updated 11/14/08)
5. DE_BCBS_BS042.pdf Delaware BCBS - Payer ID BS042
6. DE_BLUE SHIELD_BS042_ERA.pdf DE BLUE SHIELD - PAYER ID BS042 ERA (updated 11/14/08)
7. DE_COVENTRY HEALTHCARE_25130_ERA.pdf DE COVENTRY HEALTHCARE - PAYER ID 25130 (updated 11/14/08)
8. DE_MEDICARE_MR039_ERA.pdf DE MEDICARE - PAYER ID MR039 ERA (updated 11/14/08)
9. DE_MEDICARE_MR039f.pdf DE MEDICARE - PAYER ID MR039 (updated 11/14/08)
10. FirstHealth_ERA_87043.pdf First Health ERA - Payer ID 87043
11. Geisinger Health Plan 75273 updated 102908.pdf
12. GREATWEST_80705_ERA.pdf GREATWEST - Payer ID 80705 (updated 10/29/08)
13. Healthnet Northeast_ERA_06108.pdf Healthnet of the Northeast ERA - Payer ID 06108
14. Healthnet Northeast_ERA_06108.pdf Healthnet of the Northeast ERA - Payer ID 06108
15. Humana_61101_ERA updated 103008.pdf Humana ERA 61101 updated 103008
16. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
17. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
18. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
19. No Forms Available Delaware Medicaid - Payer ID 27009 - No agreement required - Auto approval - carrier must be set up/requested in order for NDCHealth to approve
20. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
21. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
22. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
23. TRICARE_North and South Region_CH001 and CH002)_ERA.pdf TRICARE ERA North and South Region - Payer ID CH001 and CH002 (updated 11/14/08)
24. TRICARE_North and South Region_PAYER ID CH001 and CH002.pdf TRICARE North and South Region - Payer ID CH001 and CH002 (updated 11/14/08)
25. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)