Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for MA.
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. Healthnet Northeast_ERA_06108.pdf Healthnet of the Northeast ERA - Payer ID 06108
7. Humana_61101_ERA updated 103008.pdf Humana ERA 61101 updated 103008
8. MA MEDICAID_MC054.pdf MA MEDICAID - PAYER ID MC054
9. MA_BLUE SHIELD_BS059_ERA.pdf MA BLUE SHIELD ERA - PAYER ID BS059 (updated 11/19/08)
10. MA_Medicare_MR061.pdf MA MEDICARE - PAYER ID MR061 (updated 11/19/08)
11. MA_MEDICARE_MR061_ERA.pdf MA MEDICARE ERA - PAYER ID MR061 (updated 11/19/08)
12. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
13. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
14. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
15. No Forms Available Massachusetts BCBS - Payer ID BS059 - No agreement required - Auto approval - Payer must be entered in METRO for NDCHealth to approve.
16. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
17. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
18. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
19. TRICARE_North and South Region_CH001 and CH002)_ERA.pdf TRICARE ERA North and South Region - Payer ID CH001 and CH002 (updated 11/19/08)
20. TRICARE_North and South Region_PAYER ID CH001 and CH002.pdf TRICARE North and South Region - Payer ID CH001 and CH002 (updated 11/19/08)
21. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)