Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for TX.
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 Texas BCBS - Payer ID BS021 - Auto Approval. Payer must be set up in METRO in order for NDCHealth to approve.
11. Pacificare TX ERA_95959.pdf Pacificare TX ERA - Payer ID 95959
12. PACIFICARE_95959_ERA.pdf PACIFICARE - Payer ID 95959 (updated 10/29/08)
13. RAILROAD MEDICARE_MR018.pdf RAILROAD MEDICARE - Payer ID MR018 (updated 10/29/08)
14. RAILROAD MEDICARE_MR018_ ERA .pdf RAILROAD MEDICARE ERA- Payer ID MR018 (updated 10/30/08)
15. Superior Health Plan Texas ERA 39188.pdf Superior Health Plan Texas ERA (updated 11/14/08)
16. TRICARE ERA - West Region_CH003.pdf Tricare _West Region_ERA_CH003 (updated 11/14/08)
17. TRICARE_North and South Region_CH001 and CH002)_ERA.pdf Tricare North and South Region_ERA Payer ID CH001 and CH002 (updated 11/14/08)
18. TRICARE_North and South Region_PAYER ID CH001 and CH002.pdf Tricare North and South Region_Payer ID CH001 and CH002 (updated 11/14/08)
19. TRICARE_WEST REGION_CH003.pdf Tricare _West Region_CH003 (updated 11/14/08)
20. TX BCBS ERA BS021.pdf TX Blue Shield ERA BS021 (updated 11/18/08)
21. TX BLUE SHIED ERA_BS021.pdf TX BLUE SHIELD ERA - PAYER ID BS021
22. TX Medicaid MC005.pdf TX Medicaid MC005 instructions only, no agreement needed (updated 11/14/08)
23. TX Medicare Trailblazer ERA MR005.pdf TX Medicare Trailblazer ERA MR005 (updated 11/18/08)
24. TX_MEDICARE_MR005.pdf TX Medicare MR005 updated 1/20/06
25. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)
26. UT BCBS BS088 ERA.pdf UT BCBS Payer ID BS088 (updated 12/2/08)