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Medical/Hospital Enrollment -
All ERA Enrollment Forms

  Title Payer ID State(s)
  Element Care - 04326 - Prof ERA 04326
  Element Care - 04326 - Inst ERA 04326
  PRIME WEST HEALTH - 61604 - Prof ERA 61604
  PRIME WEST HEALTH - 61604 - Inst ERA 61604
  PacificSource - 93029 - Inst ERA 93029
  Indiana Pro Health dba Community Pro Health - Prof ERA 35161
  Indiana Pro Health dba Community Pro Health - Inst ERA 35161
  EON Health - 73780 - Prof ERA 73780
  EON Health - 73780 - Inst ERA 73780
  ERA Provider Setup Form
  ERA Change Delete Form
  ERA Merge Group PSF
  ERA Merge Group COV - PSF
  Connecticut BCBS - SB560_SB562 - Prof ERA SB560
  • Connecticut
  Colorado BCBS - SB550 – Prof ERA SB550
  • Colorado
  Anthem California Blue Cross - 47198 - Prof ERA 47198
  • California
  BCBS Western NY Medicaid/CHP – 44911 – Prof ERA 44911
  • New York
  Blue Choice Medicaid - 00403 - Professional ERA 00403
  Amerigroup - 27514 - Prof ERA 27514
  Georgia BCBS - SB600_SB601 - Prof ERA SB600
  • Georgia
  District of Columbia Medicaid - SKDC0 - Prof ERA SKDC0
  • District of Columbia
  Blue Cross Medicare Advantage Montana - 66006 - Prof ERA 66006
  • Montana
  Neighborhood Health Plan (Boston, MA) - 04293 - Prof ERA 04293
  VillageCare Max - 26545 - Prof ERA 26545
  Extended Care MLTC - 46166 - Prof ERA 46166
  CenterLight Healthcare - 13360 - Prof ERA 13360
  Kansas BCBS - SB650 - Prof ERA SB650
  • Kansas
  HealthNet of Arizona - 38309 - Prof ERA 38309
  • Arizona
  Health New England - 04286 - Prof ERA 04286
  Virginia Medicare - SMVA0 - Prof ERA SMVA0
  • Virginia
  South Carolina Medicare - SMSC0 - Prof ERA SMSC0
  • South Carolina
  North Carolina Medicare - SMNC0 - Prof ERA SMNC0
  • North Carolina
  West Virginia Medicare - SMWV0 - Prof ERA SMWV0
  • West Virginia
  Indiana Medicaid - SKIN0 - Prof ERA SKIN0
  • Indiana
  Healt Net Federal SErvices VA PC2 & VCP - 68021 - Prof ERA 68021
  Virginia Anthem BCBS - SB923 - Prof ERA SB923
  • Virginia
  Ohio BCBS - SB338 - Prof ERA SB338
  • Ohio
  Nevada BCBS Medical ERA - SB765 - Prof ERA SB765
  • Nevada
  New York BCBS Empire - SB803 - Prof ERA SB803
  • New York
  New Hampshire BCBS - SB770 - Prof ERA SB770
  • New Hampshire
  Missouri BCBS Medical ERA - SB741 - Prof ERA SB741
  • Missouri
  Maine BCBS Medical ERA - SB680 - Prof ERA SB680
  • Maine
  Indiana BCBS - SB630 - Prof ERA SB630
  • Indiana
  Kentucky BCBS - SB660 - Prof ERA SB660
  • Kentucky
  Tennessee Medicare - SMTN0 - Prof ERA SMTN0
  • Tennessee
  Georgia Medicare - SMGA0 - Prof ERA SMGA0
  • Georgia
  Alabama Medicare - SMAL0 - Prof ERA SMAL0
  • Alabama
  Utah Medicaid - SKUT0 Professional ERA SKUT0
  • Utah
  Texas Medicare - SMTX0 - Prof ERA SMTX0
  • Texas
  Oklahoma Medicare - SMOK0 - Prof ERA SMOK0
  • Oklahoma
  Mississippi Medicare - SMMS0 - Prof ERA SMMS0
  • Mississippi
  Louisiana Medicare - SMLA0 - Prof ERA SMLA0
  • Louisiana
  Colorado Medicare - SMCO0 - Prof ERA SMCO0
  • Colorado
  Pennsylvania Medicare - SMPA0 - Prof ERA SMPA0
  • Pennsylvania
  Maryland Medicare - SMMD0 - Prof ERA SMMD0
  • Maryland
  New Jersey Medicare - SMNJ0 - Prof ERA SMNJ0
  • New Jersey
  District of Columbia Medicare - SMDC0 - Prof ERA SMDC0
  • District of Columbia
  Delaware Medicare - SMDE0 - Prof ERA SMDE0
  • Delaware
  Arkansas Medicare - SMAR0 - Prof ERA SMAR0
  • Arkansas
  UMWA Health & Retirement Funds - 52180 - Prof ERA 52180
  New Mexico Medicare - SMNM0 - Prof ERA SMNM0
  • New Mexico
  Colorado Medicaid - SKCO0 - Prof ERA SKCO0
  • Colorado
  Alaska Medicaid - SKAK0 - Prof ERA SKAK0
  • Alaska
  Connecticut Medicaid - SKCT0 - Prof ERA SKCT0
  • Connecticut
  Care Improvement Plus - 77082 - Prof ERA 77082
  Maryland BCBS - SB690 - Prof ERA SB690
  • Maryland
  AARP - 36273 - PROF ERA 36273
  Americhoice of WI - WID01 - Prof ERA WID01
  • Wisconsin
  Americhoice of TX - TEX01 - Prof ERA TEX01
  • Texas
  Americhoice of NY - NYU01- Prof ERA NYU01
  • New York
  Americhoice of NJ - 86047 - Prof ERA 86047
  • New Jersey
  Americhoice of NE - UFNEP - Prof ERA UFNEP
  Americhoice of MD - 04567 - Prof ERA 04567
  Americhoice of APIPA - 03432 - Prof ERA 03432
  Advocate Physician Partners - 65093 - Prof ERA 65093
  Advocate Physician Partners - 36320 - Prof ERA 36320
  Cigna Great West - 80705 - Prof ERA 80705
  • ~All States
  Blue Cross Blue Shield of Texas - Medicaid (TMG Health) - 66001 - Prof ERA 66001
  • Texas
  Blue Cross Community Options - 66005 - Prof ERA 66005
  Blue Cross Medicare Advantage Illinois - 66006 - Prof ERA 66006
  • Illinois
  Blue Cross Medicare Advantage - New Mexico - Prof ERA 66006
  • New Mexico
  Blue Cross Medicare Advantage Texas - 66006 - Prof ERA 66006
  • Texas
  Blue Cross Medicare Advantage Oklahoma - 66006 - Prof ERA 66006
  • Oklahoma
  Delaware Medicaid - SKDE0 - Prof ERA SKDE0
  • Delaware
  Essence Healthcare - 20818 - Prof ERA 20818
  Mutual Health Services - 34192 - Prof ERA 34192
  North Dakota Medicaid - SKND0 - Prof ERA SKND0
  • North Dakota
  HMO Louisiana Inc - 84555 - Prof ERA 84555
  • Louisiana
  District of Columbia BCBS - SB580 - Prof ERA SB580
  • District of Columbia
  All Savers Insurance UHC - 81400 - Prof ERA 81400
  United Healthcare of River Valley - John Deere - 95378 - Prof ERA 95378
  United Healthcare Community Plan / KS KanCare - 96385 - Prof ERA 96385
  United Healthcare - 87726 - Prof ERA 87726
  Unison Health Plan - 62183 - Prof ERA 62183
  Wasau Benefits - 39026 - Prof ERA 39026
  UHC Community Plan - 95467 - Prof ERA 95467
  Three Rivers Admin - 25175 - Prof ERA 25175
  Spectra - 00773 - Prof ERA 00773
  Pacificare of CA - 95959 - Prof ERA 95959
  • California
  Oxford Health Plans - 06111 - Prof ERA 06111
  MEDICA - 94265 - Prof ERA 94265
  MAMSI Life & Health - 52148 - Prof ERA 52148
  GEHA - 44054 - Prof ERA 44054
  Cigna - 62308 - Prof ERA 62308
  • ~All States
  Aetna Better Health of West Virginia - 128WV - Prof ERA 128WV
  • West Virginia
  Oregon Medicaid - SKOR0 - Prof ERA SKOR0
  • Oregon
  Qual Choice of Arkansas - 35174 - Prof ERA 35174
  • Arkansas
  Arise - 39185 - Prof ERA 39185
  Indiana Medicare - SMIN0 - Prof ERA SMIN0
  • Indiana
  Nebraska Medicare - SMNE0 - Prof ERA SMNE0
  • Nebraska
  Missouri Medicare - SMMO0 - Prof ERA SMMO0
  • Missouri
  Kansas Medicare - SMKS0 - Prof ERA SMKS0
  • Kansas
  WPS Commercial - SX022 - Prof ERA SX022
  Tricare for Life - SX176 - Prof ERA SX176
  TriWest VAPC3 Region 3 - 55912 - Prof ERA 55912
  TriWest VAPC3 Region 5A - 55915 - Prof ERA 55915
  TriWest VAPC3 Region 5B - 55916 - Prof ERA 55916
  TriWest VAPC3 Region 6 - 55917 - Prof ERA 55917
  Iowa Medicare - SMIA0 - Prof ERA SMIA0
  • Iowa
  Michigan Medicare - SMMI0 - Prof ERA SMMI0
  • Michigan
  Security Health Plan - 39045 - Prof ERA 39045
  Medical Mutual of Ohio - 29076 - Prof ERA 29076
  • Ohio
  Echo Health - 58379 - Prof ERA 58379
  Johns Hopkins Healthcare - 52189 - Prof ERA 52189
  New York Medicare GHI - SMNY2 - Prof ERA SMNY2
  • New York
  New York Medicare Upstate - Western - SMNY1 - Prof ERA SMNY1
  • New York
  New York Medicare Empire - SMNY0 - Prof ERA SMNY0
  • New York
  Connecticut Medicare - SMCT0 - Prof ERA SMCT0
  • Connecticut
  Illinois Medicare - SMIL0 - Prof ERA SMIL0
  • Illinois
  Minnesota Medicare - SMMN0 - Prof ERA SMMN0
  • Minnesota
  Wisconsin Medicare - SMWI0 - Prof ERA SMWI0
  • Wisconsin
  Vermont Medicare - SMVT0 - Prof ERA SMVT0
  • Vermont
  New Hampshire Medicare - SMNH0 - Prof ERA SMNH0
  • New Hampshire
  Massachusetts Medicare - SMMA0 - Prof ERA SMMA0
  • Massachusetts
  Maine Medicare - SMME0 - Prof ERA SMME0
  • Maine
  Rhode Island Medicare - SMRI0 - Prof ERA SMRI0
  • Rhode Island
  Railroad Medicare - SRRGA - Prof ERA SRRGA
  • ~All States
  Virginia Premier Health Plan VPHP - 54176 - Prof ERA 54176
  • Virginia
  Health Economic Livelihood Partnership - 66004 - Prof ERA 66004
  Kaiser Foundation Health Plan of Southern CA Region - 94134 - Prof ERA 94134
  • California
  Kaiser Permanente of Colorado - 91617 - Prof ERA 91617
  • Colorado
  Kaiser Foundation Health Plan of the Mid-Atlantic States – 52095 – Prof ERA 52095
  Kaiser Foundation Health Plan of Northern CA Region – 94135 – Prof ERA 94135
  • California
  Tennessee BCBS - SB890 SB891 - Prof ERA SB890
  • Tennessee
  Kentucky Medicare - SMKY0 - Prof ERA SMKY0
  • Kentucky
  Ohio Medicare - SMOH0 - Prof ERA SMOH0
  • Ohio
  Virginia Medicaid - SKVA0 - Prof SKVA0
  • Virginia
  New York Medicaid - SKNY0/12K35 - Prof ERA SKNY0
  • New York
  Trillium Health Resources - 56089 - Prof ERA 56089
  MDwise - SX172 - Prof ERA SX172
  Puerto Rico Medicare - SMPR0 - Prof ERA SMPR0
  • Puerto Rico
  Virgin Island Medicare - SMVI0 - Prof ERA SMVI0
  • Virgin Islands
  Florida Medicare - SMFL0 - Prof ERA SMFL0
  • Florida
  Coventry Healthcare of Lebanon - 128FL - Prof ERA 128FL
  • Florida
  Healthfirst Health Plans - 15064 - Prof ERA 15064
  Montana Medicaid - SKMT0 - Prof ERA SKMT0
  • Montana
  CarePlus Health Plan - 65031 - Prof ERA 65031
  Community Care Managed Health Care of OK - 73143 - Prof ERA 73143
  Community Care BHO - 23282 - Prof ERA 23282
  Premier Health Plan - 251PR - Prof ERA 251PR
  MedStar Sect / MedStar Medicare Choice - 251MS - Prof ERA 251MS
  UPMC Health Plan - 23281 - Prof ERA 23281
  California BS - 94036 - Prof ERA 94036
  • California
  Aetna Better Health of Louisiana - 128LA - Prof ERA 128LA
  • Louisiana
  Aetna Better Health of Ohio - 50023 - Prof ERA 50023
  • Ohio
  Samba - 37259 - Prof ERA 37259
  Mercy Care - 86052 - Prof ERA 86052
  Healthfirst - 80141 - Prof ERA 80141
  Mercy Maricopa Integrated Care - 33628 - Prof ERA 33628
  Texas Medicaid Long Term Care - SKTX1 Prof ERA SKTX1
  • Texas
  HealthPartners MN - SX009 - Prof ERA SX009
  • Minnesota
  Aetna Better Health of Virginia - 128VA - Prof ERA 128VA
  • Virginia
  Aetna Better Health of New Jersey - 46320 - Prof ERA 46320
  • New Jersey
  Aetna Better Health of Missouri - 128MO - Prof ERA 128MO
  • Missouri
  UCare Minnesota - SX178 - Prof ERA SX178
  • Minnesota
  Kansas City BCBS - SB740 - Prof ERA SB740
  • Missouri
  New York BCBS Western - SB801 - Prof ERA SB801
  • New York
  Centene Cenpatico - 68068 - Prof ERA 68069
  Centene LA Healthcare Connection - 68069 - Prof ERA 68069
  Aetna Better Health of Illinois - 26337 - Prof ERA 26337
  • Illinois
  Tricare West - SCWI0 - Prof ERA SCWI0
  • Alaska
  • Arizona
  • California
  • Colorado
  • Hawaii
  • Idaho
  • Iowa
  • Kansas
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Mexico
  • North Dakota
  • Oregon
  • South Dakota
  • Utah
  • Washington
  • Wyoming
  Tricare North - 57106 - Prof ERA 57106
  • Connecticut
  • Delaware
  • District of Columbia
  • Illinois
  • Indiana
  • Kentucky
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • New Hampshire
  • New Jersey
  • New York
  • North Carolina
  • Ohio
  • Pennsylvania
  • Rhode Island
  • Vermont
  • Virginia
  • West Virginia
  • Wisconsin
  Tricare South - 61125 - Prof ERA 61125
  • Alabama
  • Arkansas
  • Florida
  • Georgia
  • Louisiana
  • Mississippi
  • Oklahoma
  • South Carolina
  • Tennessee
  • Texas
  Aetna - 60054 - Prof ERA 60054
  • ~All States
  Idaho Medicare - SMID0 - Prof ERA SMID0
  • Idaho
  Hawaii Medicare - SMHI0 - Prof ERA SMHI0
  • Hawaii
  California Medicare South - SMCA2 - Prof ERA SMCA2
  • California
  California Medicare - SMCA1 - Prof ERA SMCA1
  • California
  Arizona Medicare - SMAZ0 - Prof ERA SMAZ0
  • Arizona
  Alaska Medicare - SMAK0 - Prof ERA SMAK0
  • Alaska
  Oklahoma BCBS - SB840 - Prof ERA SB840
  • Oklahoma
  New Mexico BCBS - SB790 - Prof ERA SB790
  • New Mexico
  Aetna Better Health of Kentucky - 128KY - Prof ERA 128KY
  • Kentucky
  Texas Medicaid - SKTX0 - Prof ERA SKTX0
  • Texas
  DMERC REGION A - SDMEA - PROF ERA SMDEA
  • Connecticut
  • Maine
  • Massachusetts
  • New Hampshire
  • New Jersey
  • New York
  • Pennsylvania
  • Rhode Island
  • Vermont
  DMERC REGION B- SDMEB - PROF ERA SDMEB
  • Illinois
  • Indiana
  • Michigan
  • Minnesota
  • Ohio
  • Virginia
  • West Virginia
  • Wisconsin
  DMERC REGION C- SDMEC - PROF ERA SDMEC
  • Alabama
  • Arkansas
  • Colorado
  • Florida
  • Georgia
  • Kentucky
  • Louisiana
  • Mississippi
  • New Mexico
  • North Carolina
  • Oklahoma
  • Puerto Rico
  • South Carolina
  • Tennessee
  • Texas
  DMERC REGION D- SDMED- PROF ERA SDMED
  • Alaska
  • Arizona
  • California
  • Hawaii
  • Idaho
  • Iowa
  • Kansas
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • North Dakota
  • Oregon
  • South Dakota
  • Utah
  • Washington
  • Wyoming
  Utah BCBS - SB910 - Prof ERA SB910
  • Utah
  Pennsylvania Medicaid - SKPA0 - Prof ERA SKPA0
  • Pennsylvania
  Hawaii BCBS - SB971 - Prof ERA SB971
  • Hawaii
  JOHN MUIR MT. DIABLO HEALTH SYSTEM - 68036 - PROF ERA 68036
  Physicians of Southwest Washington - 91171 - Prof ERA 91171
  • Washington
  Tricare Overseas - SX163 - Prof ERA SX163
  Georgia Medicaid - SKGA0 - Professional ERA SKGA0
  • Georgia
  Florida Medicaid - SKFL0 - Prof ERA SKFL0
  • Florida
  Seaside Health Plan - 46187 - Prof ERA 46187
  Idaho Medicaid - SKID0 - Prof ERA SKID0
  • Idaho
  Captial Blue Cross - 24705 - Prof ERA 24705
  Capital Blue Cross - 23045 - Prof ERA 23045
  VGM Homelink- 50701 - Prof ERA 50701
  North American Medical Management (NAMM) Northern Californaia - E3510 - Prof ERA E3510
  Priority Health - 38217 - Prof ERA 38217
  Wyoming BCBS - SB960 - Prof ERA SB960
  • Wyoming
  Wyoming Medicare - SMWY0 - Prof ERA SMWY0
  • Wyoming
  Washington Medicare - SMWA0 - Prof ERA SMWA0
  • Washington
  Utah Medicare - SMUT0 - Prof ERA SMUT0
  • Utah
  South Dakota Medicare - SMSD0 - Prof ERA SMSD0
  • South Dakota
  Oregon Medicare - SMOR0 - Prof ERA SMOR0
  • Oregon
  North Dakota BCBS - SB820 - Prof ERA SB820
  • North Dakota
  North Dakota Medicare - SMND0 - Prof ERA SMND0
  • North Dakota
  Nevada Medicare - SMNV0 - Prof ERA SMNV0
  • Nevada
  Montana Medicare - SMMT0 - Prof ERA SMMT0
  • Montana
  Iowa Medicaid - SKIA0 - Prof ERA SKIA0
  • Iowa
  Kaiser Permanente of Georgia - 21313 - Prof ERA 21313
  • Georgia
  Kaiser Permanente of Hawii - 94123 - Prof ERA 94123
  • Hawaii
  Delaware Physicians Care - 27009 - Prof ERA 27009
  • Delaware
  Aetna Better Health of Michigan - 128MI - Prof ERA 128MI
  • Michigan
  University of Utah Health Plans - SX155 - Prof ERA SX155
  • Utah
  Nebraska BCBS - SB760 - Prof ERA SB760
  • Nebraska
  Community Health Choice - 48145 - Prof ERA 48145
  Alabama Medicaid - SKAL0 - Prof ERA SKAL0
  • Alabama
  Kansas Medicaid Medical - SKKS0 - Prof ERA SKKS0
  • Kansas
  1199 National Benefit Fund - 13162 - Prof ERA 13162
  Keystone Health Plan West - SX056 - Prof ERA SX056
  South Dakota Medicaid - SKSD0 - Prof ERA SKSD0
  Oklahoma Medicaid - SKOK0 - Prof ERA SKOK0
  • Oklahoma
  New York BCBS Utica - SB806 - Prof ERA SB806
  • New York
  New York BCBS Central - SB805 - Prof ERA SB805
  • New York
  New York BCBS Rochester ERA - SB804 - Prof ERA SB804
  • New York
  Aetna TX Medicaid & CHIP - 38692 - Prof ERA 38692
  • Texas
  Healthnet of CA and OR - 95567 - Prof ERA 95567
  • California
  • Oregon
  Unicare - 80314 - Prof ERA 80314
  Michigan BCBS - SB710 SB710
  • Michigan
  Sentara - 54154 - Prof ERA 54154
  Indiana State Dept of Health/CSHCS - 35600 - Prof ERA 35600
  • Indiana
  Aetna Better Health - 23228 - Prof ERA 23228
  • Pennsylvania
  Humana - 61101 - Prof ERA 61101
  • ~All States
  Arkansas BCBS - SB520 - Prof ERA SB520
  • Arkansas
  Rhode Island Medicaid Deactivation- SKRI0 - Prof ERA SKRI0
  • Rhode Island
  United Medical Resources - 31107 - Prof ERA 31107
  Freedom Blue Medicare - SB942 - Prof ERA SB942
  West Virginia BCBS - SB941 - Prof ERA SB941
  • West Virginia
  Pennsylvania BCBS - SB865 Prof ERA SB865
  • Pennsylvania
  Highmark Senior Health - 95462 - Prof ERA 95462
  Highmark Senior Solutions - 95461 - Prof ERA 95461
  Rhode Island Medicaid Enrollment - SKRI0 - Prof ERA SKRI0
  • Rhode Island
  New Jersey Medicaid - SKNJ0 - Prof ERA SKNJ0
  • New Jersey
  Aetna Better Health of New York - 34734 - Prof ERA 34734
  • New York
  Independent Health - SX073 - Prof ERA SX073
  Illinois BCBS - SB621 - Prof ERA SB621
  • Illinois
  PacificSource - 93029 - Prof ERA 93029
  Alabama BCBS Medical ERA - SB510 - Prof ERA SB510
  • Alabama
  Massachusetts Medicaid - SKMA0 - Prof ERA SKMA0
  • Massachusetts
  University Health Alliance - 99026 - Prof ERA 99026
  Nebraska Medicaid - SKNE0 - Prof ERA SKNE0
  • Nebraska
  Ohio Medicaid - SKOH0 - Prof ERA SKOH0
  • Ohio
  Central California Alliance for Health - SX169 - Prof ERA SX169
  Magellan Health Services - 01260 - Prof ERA 01260
  South Carolina Medicaid - SKSC0 - Prof ERA SKSC0
  • South Carolina
  Kentucky Medicaid - SKKY0 - Prof ERA SKKY0
  • Kentucky
  Washington BCBS Regence - SB931 - Prof ERA SB931
  • Washington
  Keystone Health Plan East - SX055 - Prof ERA SX055
  Arkansas Medicaid - SKAR0 - Prof ERA SKAR0
  • Arkansas
  Aetna Better Health of Nebraska - 42130 - Prof ERA 42130
  • Nebraska
  Maryland Physicians Care - 22348 - Prof ERA 22348
  • Maryland
  Majesta Care - 26372 - Prof ERA 26372
  HealthSCOPE Benefits - 71063 - Prof ERA 71063
  Parkland Community Health Plan - 66917 - Prof ERA 66917
  • Texas
  CareCentrix - 11345 - Prof ERA 11345
  LIfewise Healthplan of Orgeon - SB930 - Prof ERA SB930
  • Oregon
  Puerto Rico BCBS -SB980 - Professional ERA SB980
  • Puerto Rico
  Minnesota Department of Health - MNDH1 - Prof ERA MNDH1
  • Minnesota
  California Medicaid 5010 - SKCA3 - Prof ERA SKCA3
  • California
  Oregon BCBS - SB850 - Prof ERA SB850
  • Oregon
  West Virginia Medicaid - SKWV0 - Prof ERA SKWV0
  • West Virginia
  Desert Mutual - SX105 - Prof ERA SX105
  Massachusetts BCBS - SB700 - Prof ERA SB700
  • Massachusetts
  Michigan Medicaid - SKMI0 - Prof ERA SKMI0
  • Michigan
  Michigan Medicaid BCCCP - SKMI1 - Prof ERA SKMI1
  • Michigan
  Mississippi Medicaid - SKMS0 - Prof ERA SKMS0
  • Mississippi
  Group Health Cooperative of South Central WI - 39167 - Prof ERA 39167
  • Wisconsin
  Statefarm - 31053 - Prof ERA 31053
  Partnership Health Plan - SX140 - Prof ERA SX140
  Washington Medicaid - SKWA0 - Prof ERA SKWA0
  • Washington
  OK State Employees Educators - 22521 - Prof ERA 22521
  • Oklahoma
  Avmed Inc - 59274 - Prof ERA 59274
  Texas BCBS - SB900 - Prof ERA SB900
  • Texas
  Idaho BCBS Regence - SB611 - Prof ERA SB611
  • Idaho
  Montana BCBS - SB751 - Prof ERA SB751
  • Montana
  Nevada Medicaid - SKNV0 - Prof ERA SKNV0
  • Nevada
  Minnesota Medicaid - SKMN0 - Prof ERA SKMN0
  • Minnesota
  North Carolina Medicaid - SKNC0 - Prof ERA SKNC0
  • North Carolina
  North Carolina BCBS - SB810 - Prof ERA SB810
  • North Carolina
  South Carolina BCBS - SB880 - Prof ERA SB880
  • South Carolina
  PEHP - SX106 - Prof ERA SX106
  California Medicaid - SKCA0 - Prof ERA SKCA0
  • California
  Idaho BC ERA - SB612 - Prof ERA SB612
  • Idaho
  AMERIHEALTH ADMINISTRATORS - SX055 - PROF ERA SX055
  AMERIHEALTH NON - HM0 (PPO) NJ -- SX055 - PROF ERA SX055
  • New Jersey
  AMERIHEALTH NON - HMO (PPO) DE - SX055 - PROF ERA SX055
  IBC PERSONAL CHOICE - SX055 - PROF ERA SX055
  SELECT ADVANTAGE - SX055 - PROF ERA SX055
  New Mexico Medicaid - SKNM0 - Prof ERA SKNM0
  • New Mexico
  NEW JERSEY BCBS - 22099 - Prof ERA 22099
  • New Jersey
  Missouri Medicaid - SKMO0 - Prof ERA SKMO0
  • Missouri
  Iowa BCBS ERA - SB640 - Prof ERA SB640
  • Iowa
  Alaska Premera - SB930 - Prof ERA SB930
  • Alaska
  Vermont Medicaid - SKVT0 - Prof ERA SKVT0
  • Vermont
  South Dakota BCBS - SB889 - Prof ERA SB889
  • South Dakota
  Louisiana BCBS ERA - 23738 - Prof ERA 23738
  • Louisiana
  Sierra Health Plan - 76342 - Prof ERA 76342
  Minnesota BCBS - SB720 - Prof ERA SB720
  • Minnesota
  Rhode Island BCBS - SB870/SB871 - Prof ERA SB870
  • Rhode Island
  Washington Dept of Labor & Industries - SX063 - Prof ERA SX063
  • Washington
  National Imaging Associates - SX190 - Prof ERA SX190
  Delaware BCBS - SB570 - Prof ERA SB570
  • Delaware
  Bridgestone Americas INC - 88033 - Prof ERA 88033
  Florida BCBS - SB590 - Prof ERA SB590
  • Florida
  Wyoming Medicaid - SKWY0 - Prof ERA SKWY0
  • Wyoming
  Louisiana Medicaid - SKLA0 - Prof ERA SKLA0
  • Louisiana
  Capitol District PHP ERA - SX065 - Prof ERA SX065
  Solano Regional Group - 77316 - Prof eRA 77316
  Sutter Delta Group - 77318 - Prof ERA 77318
  Mississippi BCBS - SB730 - Prof ERA SB730
  • Mississippi
  Maryland Medicaid - SKMD0 - Prof ERA SKMD0
  • Maryland
  Arizona BCBS - SB530 - Prof ERA SB530
  • Arizona
  New Hampshire Medicaid -SKNH0 - Prof ERA SKNH0
  Wisconsin Medicaid - SKWI0 - Prof ERA SKWI0
  • Wisconsin
  MetroPlus Health Plan - 13265 - Prof ERA 13265
  Blue Choice Medicaid - 00403 - Inst ERA 00403
  Amerigroup - 27514 - Inst ERA 27514
  District of Columbia Medicaid - 12001 - Inst ERA 12001
  • District of Columbia
  Blue Cross Medicare Advantage - Montana - 66006 - Inst ERA 66006
  • Montana
  VillageCare Max- 26545 - Inst ERA 26545
  CenterLight Healthcare - 13360 - Inst ERA 13360
  Extended Care MLTC - 46166 - Inst ERA 46166
  Maryland Medicare - 12010 - Inst ERA 12010
  • Maryland
  J12 Highmark for DC, DE, MD, NJ, and PA – J12901 - Legacy - 12M99 - Inst ERA 12M99
  • Delaware
  • District of Columbia
  • Maryland
  • New Jersey
  • Pennsylvania
  DC Medicare - 12M63 - Inst ERA 12M63
  • District of Columbia
  Idaho Medicaid - 12K07 - Inst ERA 12K07
  • Idaho
  Kansas BCBS - 57325 - Inst – ERA 57325
  • Kansas
  Health New England - 04286 - Inst ERA 04286
  North Carolina Medicare - 12M23 - Inst ERA 12M23
  • North Carolina
  South Carolina Medicare - 12M55 - Inst ERA 12M55
  • South Carolina
  Home Health & Hospice J11 - 12M80 - Inst ERA 12M80
  Medicare Home Health & Hospice - 12HHA - Inst ERA 12HHA
  Virginia Premier Health Plan- 54176 - Inst ERA 54176
  • Virginia
  Virginia BCBS - 12002 - Inst ERA 12002
  • Virginia
  Ohio BCBS - 12B24 - Inst ERA 12B4
  • Ohio
  New York City Empire Omnipro - 12B36 - Inst ERA 12B36
  • New York
  New Hampshire BCBS – 12B21 – Inst ERA 12B21
  • New Hampshire
  Indiana BCBS - 12B09 - Inst ERA 12B09
  • Indiana
  Connecticut BCBS - 12B04 - Inst ERA 12B04
  • Connecticut
  Anthem California Blue Cross – 47198 – Inst ERA 47198
  • California
  BCBS Western New York Medicaid/CHP – 44911 – Inst ERA 44911
  • New York
  Blue Cross Medicare Advantage Illinois - Inst ERA 66006
  • Illinois
  Blue Cross Medicare Advantage New Mexico - 66006 - Inst ERA 66006
  • New Mexico
  Blue Cross Medicare Advantage - Texas - 66006 - Inst ERA 66006
  • Texas
  Blue Cross Medicare Advantage - 66006 - Oklahoma - Inst ERA 66006
  • Oklahoma
  Georgia Medicare - 12M05 - Inst ERA 12M05
  • Georgia
  Alabama Medicare - 12M01 - Inst ERA 12M01
  • Alabama
  Rural Health - 12M53 - Inst ERA 12M53
  • Tennessee
  Tennessee Medicare - 12M53 - Inst ERA 12M53
  • Tennessee
  Utah Medicaid - 12K42 - Inst ERA 12K42
  • Utah
  Arkansas Medicare - 12022 - Inst ERA 12022
  • Arkansas
  Louisiana Medicare - 12M12 - Inst ERA 12M12
  • Louisiana
  Mississippi Medicare - 12M17 - Inst ERA 12M17
  • Mississippi
  Legacy Medicare - CO - TX - NM - OK – J40911 - 12M88 - Inst ERA 12M88
  • Colorado
  • New Mexico
  • Oklahoma
  • Texas
  New Mexico Medicare - 12M22 - Inst ERA 12M22
  • New Mexico
  Colorado Medicare - 12M03 - Inst ERA 12M03
  • Colorado
  Texas Medicare - 12M31 - Inst ERA 12M31
  • Texas
  Oklahoma Medicare - 12M37 - Inst ERA 12M37
  • Oklahoma
  New Jersey Medicare - 12005 - Inst ERA 12005
  • New Jersey
  Delaware Medicare - 12M76 - Inst ERA 12M76
  • Delaware
  Pennsylvania Medicare - 12M60 - Inst ERA 12M60
  • Pennsylvania
  Aetna Better Health of West Virginia - 128WV - Inst ERA 128WV
  • West Virginia
  Georgia BCBS - 12015 - Inst ERA 12015
  • Georgia
  Qual Choice of Arkansas - 35174 - Inst ERA 35174
  • Arkansas
  Arise - 39185 - Inst ERA 39185
  TriWest -VAPC3 Region 6 - 55917 - Inst ERA 55917
  TriWest VAPC3 Region 5B - 55916 - Inst ERA 55916
  TriWest VAPC3 Region 5A - 55915 - Inst ERA 55915
  TriWest VAPC3 Region 3 - 55912 - Inst ERA 55912
  WPS Health Insurance - 12X29 - Inst ERA 12X29
  Tricare For Life - 12X43 - Inst ERA 12X43
  Michigan Medicare - 12M18 - Inst ERA 12M18
  • Michigan
  Indiana Medicare - 12M09 - Inst ERA 12M09
  • Indiana
  Missouri Medicare - 12M15 - Inst ERA 12M15
  • Missouri
  Kansas Medicare - 57324 - Inst ERA 57324
  • Kansas
  Iowa Medicare - 12M10 - Inst ERA 12M10
  • Iowa
  Security Health Plan - 39045 - Inst ERA 39045
  Healthsmart Information Systems - 52180 - Inst ERA 52180
  Blue Cross Blue Shield of Texas - Medicaid (TMG Health) - 66001 - Inst ERA 66001
  Blue Cross Community Options - 66005 - Inst ERA 66005
  Connecticut Medicare - 12M04 - Inst ERA 12M04
  • Connecticut
  Virginia Medicare - 12004 – Inst ERA 12004
  • Virginia
  West Virginia Medicare - 12M28 - Inst ERA 12M28
  • West Virginia
  Illinois Medicare - 12M08 - Inst ERA 12M08
  • Illinois
  CA Home Health & Hospice - 12M98 Inst ERA 12M98
  • California
  Wisconsin Medicare & FQHC - 12M29 - Inst ERA 12M29
  • Wisconsin
  Minnesota Medicare - 12M16 - Inst ERA 12M16
  • Minnesota
  New Hampshire Medicare - 12M21 - Inst ERA 12M21
  • New Hampshire
  Massachusetts Medicare - 12M14 - Inst ERA 12M14
  • Massachusetts
  Maine Medicare - 12M13 - Inst ERA 12M13
  • Maine
  Rhode Island Medicare - 12M74 - Inst ERA 12M74
  • Rhode Island
  Vermont Medicare - 12M26 - Inst ERA 12M26
  • Vermont
  Aetna Better Health of New Jersey - 46320 - Inst ERA 46320
  • New Jersey
  Health Economic Livelihood Partnership (HELP) - 66004 - INST ERA 66004
  Kaiser Foundation Health Plan of Southern CA Region - 94134 - Inst ERA 94134
  • California
  Kaiser Permanente of Colorado - 91617 - Inst ERA 91617
  • Colorado
  Tennessee BCBS - 12B45 -12B53 - Inst ERA 12B45
  • Tennessee
  Kaiser Foundation Health Plan of the Mid-Atlantic – 52095 Inst ERA 52095
  Kaiser Foundation Helth Plan of Northern CA Region – 94135 – Inst ERA 94135
  • California
  North Dakota Medicaid - 12K78 - Inst ERA 12K78
  • North Dakota
  Kansas City BCBS - 12B66 - Inst ERA 12B66
  Centene LA Healthcare Connection - 68069 - Inst ERA 68069
  Centene Cenpatico - 68068 - Inst ERA 68068
  Aetna - 60054 - Inst ERA 60054
  • ~All States
  CGS Home Health - 12M97 - Inst ERA 12M97
  • Alabama
  • Colorado
  • Delaware
  • District of Columbia
  • Iowa
  • Kansas
  • Maryland
  • Missouri
  • Montana
  • Nebraska
  • North Dakota
  • Pennsylvania
  • South Dakota
  • Utah
  • Virginia
  • West Virginia
  • Wyoming
  Ohio Medicare – 12M24 – Inst ERA 12M24
  • Ohio
  Kentucky Medicare - 12M11 - Inst ERA 12M11
  • Kentucky
  Trillium Health Resources - 56089 - Inst ERA 56089
  Mdwise - 12K81 - Inst ERA 12K81
  US Virgin Islands Medicare - 12M52 - Inst ERA 12M52
  • Virgin Islands
  Puerto Rico Medicare - 12M49 - Inst ERA 12M49
  • Puerto Rico
  Florida Medicare - 12M34 - Inst ERA 12M34
  • Florida
  Coventry Healthcare of Florida - 128FL - Inst ERA 128FL
  • Florida
  Community Care Managed Health Care Of OK - 73143 - Inst ERA 73143
  Premier Health Plan - 251PR - Inst ERA 251PR
  MedStar Select /MedStar Medicare Choice - 251MS - Inst ERA 251MS
  Communtiy Care BHO - 23282 - Inst ERA 23282
  UPMC Health Plan - 23281 - Inst ERA 23281
  New York Medicare - 12M35 - Inst ERA 12M35
  • New York
  Legacy Medicare - CA - NV - HI - 12M65 - Inst ERA 12M65
  • California
  • Hawaii
  • Nevada
  California Medicare - 12M64 - Inst ERA 12M64
  • California
  Nevada Medicare - 12M64 - Inst ERA 12M64
  • Nevada
  Hawaii Medicare - 12M64 - Inst ERA 12M64
  • Hawaii
  Aetna Better Health of Kentucky - 128KY - Inst ERA 128KY
  • Kentucky
  Legacy Medciare WPS J5 - 52280 - Inst ERA 52280
  • Indiana
  • Iowa
  • Kansas
  • Michigan
  • Missouri
  • Nebraska
  Connecticut Medicaid - 12K04 - Inst ERA 12K04
  • Connecticut
  Pennsylvania Medicaid - 12008 - Inst ERA 12008
  • Pennsylvania
  JOHN MUIR MT. DIABLO HEALTH SYSTEMS - 68036 - INST ERA 68036
  Pennsylvania BCBS Central Highmark - 12B81 - Inst ERA 12B81
  • Pennsylvania
  Physicians of Southwest Washington - 91171 - Inst ERA 91171
  HealthPartners - 12X51 -- Inst ERA 12X51
  • Minnesota
  Tricare Overseas - 12X46 - Inst ERA 12X46
  Mercy Care - 86052 - Inst ERA 86052
  Samba - 37259 - Inst ERA 37259
  Aetna Better Health of Ohio - 50023 - Inst ERA 50023
  • Ohio
  Aetna Better Health of Louisiana - 128LA - Inst ERA 128LA
  • Louisiana
  Mercy Maricopa Integrated Care - 33628 - Inst ERA 33628
  • Arizona
  Aetna Better Health of Virginia - 128VA - Inst ERA 128VA
  • Virginia
  Aetna Better Health of Missouri - 128MO - Inst ERA 128MO
  • Missouri
  Healthnet of CA and OR - 95567 - Inst ERA 95567
  • California
  • Oregon
  Unicare ERA - 80314 - Inst ERA 80314
  Georgia Medicaid - 12K05 - Inst ERA 12K05
  • Georgia
  Seasode Health Plan - 46187 - Inst ERA 46187
  Captial Blue Cross - Facility - 12B61 - Inst ERA 12B61
  VGM Homelink - 50701 - Inst ERA 50701
  North American Medical Management (NAMM) Northern Californaia - E3510 - Inst ERA E3510
  Wyoming BC - 12B30 - Inst ERA 12B30
  • Wyoming
  Wyoming Medicare - 12M30 - Inst ERA 12M30
  • Wyoming
  Washington Medicare - 12M45 - Inst ERA 12M45
  • Washington
  Utah Medicare - 12M84 - Inst ERA 12M84
  • Utah
  South Dakota Medicare - 12M83 - Inst ERA 12M83
  • South Dakota
  Oregon Medicare - 12M41 - Inst ERA 12M41
  • Oregon
  North Dakota BC - 12B78 - Inst ERA 12B78
  • North Dakota
  North Dakota Medicare - 12M82 - Inst ERA 12M82
  • North Dakota
  Montana Medicare - 12M77 - Inst ERA 12M77
  • Montana
  Iowa Medicaid - 12K10 - Inst ERA 12K10
  • Iowa
  AK & ID Medicare - 12M07 - Inst ERA 12M07
  • Alaska
  • Idaho
  Arizona Medicare - 12M02 - Inst ERA 12M02
  • Arizona
  West Virginia BCBS - 12B28 - Inst ERA 12B28
  • West Virginia
  Highmark Senior Solutions - 95461 - Inst ERA 95461
  Nebraska Medicaid - 12K19 - Inst ERA 12K19
  • Nebraska
  New Jersey Medicaid Hospital ERA - 12006 - Inst ERA 12006
  • New Jersey
  Aetna Better Health of New York - 34734 - Inst ERA 34734
  • New York
  Illinois BCBS - 12B08 - Inst ERA 12B08
  • Illinois
  Tricare South - 61125 - Inst ERA 61125
  • Alabama
  • Arkansas
  • Florida
  • Georgia
  • Louisiana
  • Mississippi
  • Oklahoma
  • South Carolina
  • Tennessee
  • Texas
  Kaiser Permanente of Georgia - 21313 - Inst ERA 21313
  • Georgia
  Kaiser Permanente of Hawaii -94123 - Inst ERA 94123
  • Hawaii
  Delaware Physicians Care - 27009 - Inst 27009
  • Delaware
  Aetna Better Health of Michigan - 128MI - Inst ERA 128MI
  • Michigan
  Nebraska BCBS - 12B19 - Inst ERA 12B19
  • Nebraska
  CarePlus Health Plan - 65031 - Inst 65031
  Aetna Better Health of Illinois - 26337 - Inst ERA 26337
  • Illinois
  Alabama Medicaid - 12K01 - Inst ERA 12K01
  • Alabama
  1199 National Benefit Fund - 13162 - Inst ERA 13162
  Texas Medicaid - 12K64 - Inst ERA 12K64
  • Texas
  South Dakota Medicaid - 12K36 - Inst ERA 12K36
  • South Dakota
  Deseret Mutual - 12X35 - Inst 12X35
  Aetna TX Medicaid & CHIP - 38692 - Inst ERA 38692
  • Texas
  Texas BCBS - 12B31 - Inst ERA 12B31
  • Texas
  Montana BC ERA - 12B77 - Inst ERA 12B77
  • Montana
  Alabama BCBS - 12B54 - Inst ERA 12B54
  • Alabama
  Tricare West - 12C01 - Inst ERA 12C01
  • Arizona
  • California
  • Colorado
  • Idaho
  • Louisiana
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Mexico
  • North Dakota
  • Oregon
  • South Dakota
  • Washington
  • Wyoming
  Magellan - 01260 - Inst ERA 01260
  South Carolina Medicaid ERA - 12K55 - Inst ERA 12K55
  • South Carolina
  Kentucky Medicaid - 12K11 - Inst ERA 12K11
  • Kentucky
  Aetna Better Health of Nebraska - 42130 - Inst ERA 42130
  • Nebraska
  Maryland Physicians Care - 22348 - Inst ERA 22348
  • Maryland
  Majesta Care - 26372 - Inst ERA 26372
  HealthScope Benefits - 71063 - Inst ERA 71063
  Cigna - 62308 - Inst ERA 62308
  • ~All States
  Parkland Community Health Plan - 66917 - Inst ERA 66917
  • Texas
  CareCentrix - 11345 - Inst ERA 11345
  Michigan BCBS - 12B18 - Inst ERA 12B18
  • Michigan
  Aetna Better Health - 23228 - Inst ERA 23228
  • Pennsylvania
  Humana - 61101 - Inst ERA 61101
  • ~All States
  Arkanss BCBS - 12021 - Inst ERA 12021
  • Arkansas
  California BS - 94036 - Inst ERA 94036
  • California
  Highmark Senior Health - 95462 - Inst ERA 95462
  SELECT ADVANTAGE - SX055 - INST ERA SX055
  NEW JERSEY BCBS - 22099 - Inst ERA 22099
  • New Jersey
  Missouri Medicaid - 12K15 - Inst ERA 12K15
  • Missouri
  Iowa BCBS - 12B10 - Inst ERA 12B10
  • Iowa
  Washington BCBS Institutional ERA - 12B27 12B27
  • Washington
  Vermont Medicaid - 12K26 - Inst ERA 12K26
  • Vermont
  Louisiana BCBS - 12B12 - Inst ERA 12B12
  • Louisiana
  Minnesota Department of Health - MNDH1 - Inst ERA MND1
  • Minnesota
  Massachusetts BCBS - 12B14 - Inst ERA 12B14
  • Massachusetts
  Mississippi Medicaid - 12K17 - Inst ERA 12K17
  • Mississippi
  Oklahoma BCBS - 12B59 - Inst ERA 12B59
  • Oklahoma
  Group Health Cooperative of South Central WI - 39167 - Inst ERA 39167
  • Wisconsin
  Ohio Medicaid - 12K24 - Inst ERA 12K24
  • Ohio
  California Medicaid - 57016 - Inst ERA 57016
  • California
  Tennessee Medicaid Institutional ERA - 12K46 12K46
  • Tennessee
  Tricare North - 57106 - Inst ERA 57106
  • Connecticut
  • Delaware
  • District of Columbia
  • Illinois
  • Indiana
  • Kentucky
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • New Hampshire
  • New Jersey
  • New York
  • North Carolina
  • Ohio
  • Pennsylvania
  • Rhode Island
  • Vermont
  • Virginia
  • West Virginia
  • Wisconsin
  OK State Employees Educators - 22521 - Inst ERA 22521
  • Oklahoma
  Avmed Inc - 59274 - Inst ERA 59274
  Florida Medicaid - 12K34 - Inst ERA 12K34
  • Florida
  Arizona BCBS Hospital ERA - 12B02 - Inst ERA 12B02
  • Arizona
  Delaware BC - 12B76 - Inst ERA 12B76
  • Delaware
  Wyoming Medicaid - 12K30 - Inst ERA 12K30
  • Wyoming
  Rhode Island BC - 12B74 - 12B75 - Inst ERA 12B74
  • Rhode Island
  Bridgestone Americas INC - 88033 - Inst ERA 88023
  Louisiana Medicaid - 12K12 - Inst ERA 12K12
  • Louisiana
  Florida BCBS - 12B34/SB590 - Inst ERA 12B34
  • Florida
  MetroPlus Health Plan - 13265 - Inst ERA 13265
  New Hampshire Medicaid - 12K90 - Inst ERA 12K90
  • New Hampshire
  North Carolina Medicaid - 12K23 - Inst ERA 12K23
  • North Carolina
  South Carolina BCBS - 12B55 - Inst ERA 12B55
  • South Carolina
  North Carolina BCBS - 12B23 - Inst ERA 12B23
  • North Carolina
  AMERIHEALTH ADMINSTRATORS - SX055 - INST ERA SX055
  AMERIHEALTH HMO OF NJ - SX055- INST ERA SX055
  • New Jersey
  AMERIHEALTH HMO OF DE - SX055 - INST ERA SX055
  • Delaware
  AMERIHEALTH NON - HMO (PPO) NJ - SX055 -INST ERA SX055
  • New Jersey
  AMERIHEALTH NON - HMO (PPO) OF DE - SX055 - INST ERA SX055
  IBC PERSONAL CHOICE - SX055 - INST ERA SX055
  KEYSTONE HEALTH PLAN EAST - SX055 - INST ERA SX055