Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for OH.
1. Aetna ERA_60054.pdf AETNA ERA - Payer ID 60054 *Updated 8/6/08*
2. Buckeye Community Health_32004.pdf Buckeye Community Health - Payer ID 32004
3. CH_Tricare_CH002A.pdf Tricare Champus - Payer ID CH002
4. CIGNA_62308_ERA.pdf CIGNA ERA - Payer ID 62308 (updataed 10/28/080
5. FirstHealth_ERA_87043.pdf First Health ERA - Payer ID 87043
6. Geisinger Health Plan 75273 updated 102908.pdf
7. GREATWEST_80705_ERA.pdf GREATWEST - Payer ID 80705 (updated 10/29/08)
8. Humana_61101_ERA updated 103008.pdf Humana ERA 61101 updated 103008
9. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
10. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
11. Medical Mutual_Blue Shield_ERA_ BC004.pdf MEDICAL MUTUAL_BLUE SHIELD_ERA - PAYER ID BC004
12. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
13. No Forms Available Ohio Medicaid - Payer ID MC046 - Auto Approval. Payer must be set up in METRO in order to be approved.
14. No Forms Available Ohio BCBS - Payer ID BS051 - Auto Approval. Payer must be set up in METRO in order for NDCHealth to approve.
15. No Forms Available Ohio - Medical Mutual of Ohio - Payer ID BC004 - No agreement required - Auto approval - Payer must be entered into METRO for NDCHealth to approve
16. No Forms Available CareSource of Ohio - Payer ID 31114 - Payer must be set up in METRO but no agreement is needed. Clearinghouse contacts payer for approval.
17. OH Medicaid ERA_MC046.pdf Ohio Medicaid ERA - Payer ID MC046
18. OH Medicare_MR033.pdf Ohio Medicare - Payer ID MR033
19. OH_BCBS_ERA_BS051.pdf Ohio BCBS ERA - Payer ID BS051
20. OH_Medicare_ERA_MR033.pdf Ohio Medicare ERA - Payer ID MR033
21. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
22. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
23. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
24. TRICARE_ERA_CH001 and CH002_North - South Region.pdf TRICARE ERA - PAYER ID CH001 and CH002 - North and South Region
25. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)