Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for KS.
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. KS BCBS BS023 ERA.pdf KS BCBS ERA BS023 (updated 11/4/08)
8. KS_Medicare_MR060.pdf KS MEDICARE - PAYER ID MR060 (updated 12/08/08)
9. KS_MEDICARE_MR060_ERA.pdf KS MEDICARE ERA - PAYER ID MR060 (updated 12/08/08)
10. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
11. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
12. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
13. No Forms Available Kansas Medicaid - Payer ID MC012 - Auto Approval - Provider number must be included on the CAT form in order for carrier to be set up.
14. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
15. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
16. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
17. TRICARE_WEST REGION_CH003.pdf Tricare CH003 (updated 11/10/08)
18. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)