Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for TN.
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 Tennessee Medicaid - No agreement required - provider number required in METRO in order to be set up. Approved once TN BCBS is approved
11. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
12. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
13. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
14. TN Blue Shield and TennCare - BS032 MC092.pdf TN BCBS/Tenncare (updated 11/14/08)
15. TN Medicaid ERA MC092.pdf TN Medicaid ERA MC092 (updated 11/14/08)
16. TN Medicare MR034.pdf TN Medicare MR034 (updated 11/14/08)
17. TN Medicare MR034_ERA .pdf TN Medicare ERA MR034 (updated 11/14/08)
18. TN_BCBS_ERA_BS032.pdf Tennessee BCBS ERA - Payer ID BS032
19. TRICARE_North and South Region_CH001 and CH002)_ERA.pdf Tricare CH001 and CH002 (updated 11/11/08)
20. TRICARE_North and South Region_PAYER ID CH001 and CH002.pdf Tricare CH001 and CH002 (updated 11/11/08)
21. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)