Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for OR.
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. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
8. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
9. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
10. No Forms Available Oregon BCBS - Payer ID BS026 - (Internal Process) Payer must be set up in METRO in order for ProxyMed to send setup form to carrier
11. No Forms Available Oregon Medicaid - Payer ID MC015 - Contact EDI Registration for copy of agreement
12. No Forms Available LifeWise Health Plan of OR - Payer ID 93093 - (Internal Process) Payer must be set up in METRO in order for Proyxmed to send setup form to carrier.
13. OR_Medicare_MR011.pdf OR MEDICARE - PAYER ID MR011 (updated 11/12/08)
14. OR_MEDICARE_MR011_ERA.pdf OR MEDICARE ERA - PAYER ID MR011 (updated 11/17/08)
15. Pacificare OR ERA_95959.pdf Pacificare OR ERA - Payer ID 95959
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 ERA - West Region_CH003.pdf WPS Tricare - West Region - ERA - Payer ID CH003
20. TRICARE_ERA_CH001 and CH002_North - South Region.pdf TRICARE ERA - PAYER ID CH001 and CH002 - North and South Region
21. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)
22. WPS_Tricare_CH001A.pdf WPS Tricare Champus - Payer ID CH001