Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for MD.
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. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
9. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
10. MD_CAREFIRST_SB690_ERA.pdf MD CARE FIRST BCBS - PAYER ID SB690 (updated 11/19/08)
11. MD_MEDICAID_MC091_ERA.pdf MD MEDICAID ERA - PAYER ID MC091 (updated 11/19/08)
12. MD_MEDICARE_MR038.pdf MD MEDICARE - PAYER ID MR038 (updated 11/19/08)
13. MD_MEDICARE_MR038_ERA.pdf MD MEDICARE ERA - PAYER ID MR038 (updated 11/19/08)
14. MD_PUBLIC MENTAL HEALTH SYSTEM_SX069 (PMHS)_ERA.pdf MD PUBLIC MENTAL HEALTH SYSTEM ERA - PAYER ID SX069 (updated 11/19/08)
15. MD_PUBLIC MENTAL HEALTH SYSTEM_SX069.pdf MD PUBLIC MENTAL HEALTH SYSTEM - PAYER ID SX069 (updated 11/19/08)
16. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
17. No Forms Available Maryland BCBS - Payer ID SB690 - Auto Approval. Payer must be set up in METRO in order for NDCHealth to approve.
18. No Forms Available Maryland Medicaid - Payer ID MC091 - Carrier Agreement requires clearinghouse signature in blue ink, form must be sent from NDCHealth via mail.
19. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
20. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
21. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
22. TB_Medicare.pdf Maryland Medicare (DC Metro) - Payer ID MR039 (Phoenix Platform)
23. 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)
24. 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)
25. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)