Enrollment Forms - Hospital ERA Claims

A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z  

--A--

60054 -- Aetna

12B54 -- Alabama BCBS
12M01 -- Alabama Medicare
12M47 -- Alaska Medicare
12B02 -- Arizona BCBS Hospital ERA
12M02 -- Arizona Medicare
12021_12047_12048_12049 -- Arkansas BCBS Hospital ERA

--B--

--C--

12M97 -- Cahaba_-_Home_Healthcare_-_States_of_CO,_KS,_MD,_MO,_MT,_ND,_NE,_PA,_VA,_WV,___WY
47198 -- California Blue Cross ERA
94036 -- California Blue Shield ERA
12M64 -- California Medicare Part A J1 MAC ( CA, HI & NV )
62308 -- Cigna ERA Hospital
12M03 -- Colorado Medicare
12B04 -- Connecticut BCBS

--D--

--E--

--F--

12K34 -- Florida Medicaid Hospital ERA
12M34 -- Florida Medicare A ERA

--G--

75273 -- Geisinger Health Plan
12M05 -- Georgia Medicare Hospital ERA

--H--

55247 -- HIP Health Plan of New York ERA
06108 -- Health Net of the Northeast
95567 -- Healthnet of CA and OR

--I--

12M07 -- Idaho Medicare
12B08 -- Illinois BCBS ERA
12M08 -- Illinois Medicare A ERA
12M09 -- Indiana Medicare Part A
12K10 -- Iowa Medicaid Hospital ERA
12M10 -- Iowa Medicare Hospital ERA

--J--

--K--

57325 -- Kansas BCBS
57324 -- Kansas Medicare Hospital ERA
12K11 -- Kentucky Medicaid
12M11 -- Kentucky Medicare A Hospital ERA

--L--

12B12 -- Louisiana BCBS
12K12 -- Louisiana Medicaid
12M12 -- Louisiana Medicare

--M--

01260 -- Magellan
12010 -- Maryland Medicare
12B14 -- Massachusetts BCBS ERA
12M14 -- Massachusetts Medicare
12B16 -- Minnesota BCBS
12M17 -- Mississippi Medicare Hospital ERA
12M15 -- Missouri Medicare Hospital ERA
12B77 -- Montana BC ERA
12M77 -- Montana Medicare Hospital ERA

--N--

SX190 -- National Imaging Associates
31417 -- Nationwide Healthplans
12M19 -- Nebraska Medicare Hospital ERA
12M64 -- Nevada Medicare Part A J1 MAC ( CA, HI & NV )
12B21 -- New Hampshire BCBS Hospital ERA
12K90 -- New Hampshire Medicaid
12006 -- New Jersey Medicaid Hospital ERA
12005 -- New Jersey Medicare
12K35 -- New York Medicaid Hospital ERA
12M35 -- New York Medicare Hospital ERA
12B23 -- North Carolina BCBS
12K23 -- North Carolina Medicaid
12M23 -- North Carolina Medicare
12B78 -- North Dakota BCBS
12M82 -- North Dakota Medicare

--O--

12M24 -- Ohio Medicare
12B59 -- Oklahoma BCBS
12M41 -- Oregon Medicare

--P--

12M60 -- Pennsylvania Medicare Hospital

--Q--

--R--

12K74 -- Rhode Island Medicaid

--S--

12K55 -- South Carolina Medicaid ERA
12M55 -- South Carolina Medicare A + RHHI ERA
SB889 -- South Dakota BCBS
12K36 -- South Dakota Medicaid
12M83 -- South Dakota Medicare

--T--

12M53 -- Tennessee Medicare A ERA
12B31 -- Texas BCBS Hospital ERA
12K64 -- Texas Medicaid
12M31 -- Texas Medicare
12X43 -- TriCare For Life
12C01 -- TriCare Western Region
57106 -- Tricare North Region

--U--

80314 -- Unicare ERA
12B42 -- Utah BCBS Hospital ERA
12M84 -- Utah Medicare Hospital ERA

--V--

12B32 -- Vermont BCBS ERA
12002 -- Virginia Blue Cross Blue Shield Hospital
12003 -- Virginia Medicaid Hospital ERA
54176 -- Virginia Premier

--W--

12X29 -- WPS Commercial
52280 -- WPS Legacy Medicare Part A (aka Mutual of Omaha Medicare)
12M45 -- Washington Medicare Hospital ERA
12B28 -- West Virginia BCBS
12B29 -- Wisconsin BCBS ERA
12M29 -- Wisconsin Medicare A
12B30 -- Wyoming BCBS
12M30 -- Wyoming Medicare Hospital ERA

--X--

--Y--

--Z--