Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for GA.
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. GA BCBS ERA_BS039.pdf Georgia BCBS ERA - Payer ID BS039
5. GA Medicaid ERA_MC020.pdf Georgia Medicaid ERA - Payer ID MC020
6. GA Medicaid MC020.pdf GA Medicaid MC020 (updated 11/10/08)
7. GA Medicare_MR015.pdf GA Medicare MR015 updated 103008
8. GA_Medicaid00006A.pdf Georgia Medicaid - Payer ID 00006 (STRATUS PLATFORM ONLY)
9. GA_MedicareERAMR015.pdf Georgia Medicare ERA - Payer MR015
10. Geisinger Health Plan 75273 updated 102908.pdf
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. No Forms Available Georgia BCBS - Auto approval - no forms needed, NPI must be registered with payer for claims to be paid.
18. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
19. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
20. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
21. TRICARE_North and South Region_CH001 and CH002)_ERA.pdf Tricare CH001 and CH002 ERA (updated 11/10/08)
22. TRICARE_North and South Region_PAYER ID CH001 and CH002.pdf Tricare CH001 and CH002 (updated 11/10/08)
23. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)