Electronic Claims Services
Here are the Carrier Agreement forms found for NY.
	1. Aetna ERA_60054.pdf AETNA ERA - Payer ID 60054 *Updated 8/6/08* 2. CH_Tricare_CH002A.pdf Tricare Champus - Payer ID CH002 3. CIGNA_62308_ERA.pdf CIGNA ERA - Payer ID 62308 (updataed 10/28/080 4. FirstHealth_ERA_87043.pdf First Health ERA - Payer ID 87043 5. Geisinger Health Plan 75273 updated 102908.pdf 6. GREATWEST_80705_ERA.pdf GREATWEST - Payer ID 80705 (updated 10/29/08) 7. Healthnet Northeast_ERA_06108.pdf Healthnet of the Northeast ERA - Payer ID 06108 8. HIP Health Plan of New York_55247.pdf HIP Health Plan of New York - Payer ID 55247 9. Humana_61101_ERA updated 103008.pdf Humana ERA 61101 updated 103008 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 New York BCBS - Payer ID BS063 (Contact EDI Registration for agreement to be mailed to you. Requires original blue ink signatures) 14. NY Blue Shield (Utica-Watertown) BS066.pdf NY BLUE SHIELD (UTICA-WATERTOWN) - PAYER ID BS066 15. NY EMPIRE MEDICARE_ERA_MR042.pdf NY EMPIRE MEDICARE ERA - PAYER ID MR042 16. NY EMPIRE MEDICARE_MR042.pdf NY EMPIRE MEDICARE - PAYER ID MR042 17. NY GHI Medicare ERA_MR045.pdf New York GHI Medicare ERA - Payer ID MR045 18. NY Upstate Medicare ERA_MR059.pdf New York Upstate Medicare ERA - Payer ID MR059 19. NY_BLUE SHIELD_(Western)_BS087.pdf NY BLUE SHIELD (Western) - PAYER ID BS087 20. NY_BLUE SHIELD_BS086.pdf NY BLUE SHIELD (Northeastern) - PAYER ID BS086 21. NY_EMPIRE_BCBS_ERA_BS033.pdf NY EMPIRE BCBS ERA - PAYER ID BS033 22. NY_EmpireBCBS_BS033.pdf New York Empire BCBS - Payer ID BS033 23. NY_GHI_Medicare_MR045.pdf NY GHI Medicare - Payer ID MR045 *Updated 08/28/08* 24. NY_HEALTHNOW_55204.pdf HEALTHNOW NY - PAYER ID 55204 25. NY_MEDICAID_NYMCD.pdf NY MEDICAID - PAYER ID NYMCD 26. NY_Medicaid00047A.pdf New York Medicaid - Payer ID 00047 (STRATUS PLATFORM ONLY) 27. NY_Upstate_Medicare_MR059.pdf New York Upstate Medicare - Payer ID MR059 28. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08) 29. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08) 30. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08) 31. TRICARE_ERA_CH001 and CH002_North - South Region.pdf TRICARE ERA - PAYER ID CH001 and CH002 - North and South Region 32. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)