Online Carrier Agreements Electronic Claims Services
 
Here are the Carrier Agreement forms found for WI.
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. Dean Health Plan of WI_39113.pdf Dean Health Plan of WI - Payer ID 39113
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. Humana_61101_ERA updated 103008.pdf Humana ERA 61101 updated 103008
8. Magellan_ERA_01260 ERA.pdf Magellan ERA 01260 updated 103008
9. MAILHANDLERS BENEFIT-ERA_62413.pdf MAILHANDLERS BENEFIT_ERA - PAYER ID 62413
10. Managed Health Services of Wisconsin_39187.pdf Managed Health Services Of Wisconsin - 39187
11. MUTUAL OF OMAHA_71412_ERA.pdf MUTUAL OF OMAHA - Payer ID 71412 (updated 10/29/08)
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. TRICARE_North and South Region_CH001 and CH002)_ERA.pdf Tricare _North and South Region_ERA Payer ID CH001/CH002 (updated 12/5/08)
16. TRICARE_North and South Region_PAYER ID CH001 and CH002.pdf Tricare _North and South Region Payer ID CH001/CH002 (updated 12/5/08)
17. UNITED HEALTHCARE_87726_ERA.pdf UNITED HEALTHCARE Payer ID - 62308 (updated 10/28/08)
18. WI HIRSP Medicaid_MC055.pdf Wisconsin HIRSP Medicaid - Payer ID MC055
19. WI Medicaid ERA_MC049.pdf Wisconsin Medicaid ERA - Payer ID MC049
20. WI_BCBS_BS053.pdf Wisconsin BCBS - Payer ID BS053
21. WI_Medicaid_MC049.pdf Wisconsin Medicaid - Payer ID MC049
22. WI_Medicare_MR053.pdf WI MEDICARE - PAYER ID MR053 (updated 12/11/08)
23. WI_MEDICARE_MR053_ERA.pdf WI MEDICARE ERA - PAYER ID MR053 (updated 12/11/08)