Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for FL.
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. FirstHealth_ERA_87043.pdf First Health ERA - Payer ID 87043
4. FL BCBS Eligibility Form_BS022.pdf Florida BCBS Eligibility - Payer ID BS022 - Payer must be set up in METRO in order to be set up for Eligibility.
5. FL_BLUE SHIELD_BS022.pdf FL BCBS - PAYER ID BS022 Payer must be set up in METRO (updated 11/17/08)
6. FL_BLUE SHIELD_BS022_ERA.pdf FL BCBS - PAYER ID BS022 ERA (updated 11/17/08)
7. FL_Medicaid_MC010.pdf FL MEDICAID - PAYER ID MC010 (updated 11/17/08)
8. FL_MEDICAID_MC010_ERA.pdf FL MEDICAID ERA - PAYER ID MC010 (updated 11/17/08)
9. FL_Medicare_MR025.pdf Florida Medicare - Payer ID MR025
10. FL_MEDICARE_MR025_ERA.pdf FL MEDICARE ERA - PAYER ID MR025 (updated 11/17/08)
11. Geisinger Health Plan 75273 updated 102908.pdf
12. GREATWEST_80705_ERA.pdf GREATWEST - Payer ID 80705 (updated 10/29/08)
13. Humana_61101_ERA updated 103008.pdf Humana ERA 61101 updated 103008
14. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
15. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
16. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
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 11/17/08)
21. TRICARE_North and South Region_PAYER ID CH001 and CH002.pdf TRICARE North and South Region - Payer ID CH001 and CH002 (updated 11/17/08)
22. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)