Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for IL.
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. Geisinger Health Plan 75273 updated 102908.pdf
5. GREATWEST_80705_ERA.pdf GREATWEST - Payer ID 80705 (updated 10/29/08)
6. Humana_61101_ERA updated 103008.pdf Humana ERA 61101 updated 103008
7. IL BLUE SHIELD ERA_BS018.pdf IL BCBS ERA BS018 (updated 11/4/08)
8. IL MEDICAID_MC009 .pdf IL MEDICAID - PAYER ID MC009 Auto Approval - once Payee Code is provided to enrollment team
9. IL_Medicare_MR023.pdf IL MEDICARE - PAYER ID MR023 (updated 12/08/08)
10. IL_MEDICARE_MR023_ERA.pdf IL MEDICARE ERA - PAYER ID MR023 (updated 12/08/08)
11. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
12. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
13. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
14. No Forms Available Illinois BCBS - Payer ID BS018 - Automatic Approval - Must be set up in METRO
15. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
16. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
17. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
18. TRICARE_North and South Region_CH001 and CH002)_ERA.pdf Tricare CH002 (updated 11/10/08)
19. TRICARE_North and South Region_PAYER ID CH001 and CH002.pdf Tricare CH001 and CH002 (updated 11/10/08)
20. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)