Provider Resources

In this section, we have grouped information that CareOregon Providers may find useful. If you are looking for specific forms and policies, see  Provider Forms and Policies

  

Information on Filing Claims and Pricing

See Also:

 

How to Submit Claims

When submitting claims to CareOregon, you have several options:

  • Send claims electronically using our payer ID 93975, please contact Emdeon for more information at 1-877-363-3666.
  • Mail paper claims to:
    Claims, CareOregon
    PO Box 40328
    Portland OR 97240

 

Please note:

Send CareOregon Advantage and OHP electronic claims to the same payer ID (93975). Do not bill separately for each plan.

For claim inquiries, you have several options:

 

Provider Portal Help

 

Oregon Health Plan

MMIS (OHP Provider Web Portal)
OHP Web Portal Training
Sign up for OHP Updates

 

Electronic Data Interchange (EDI)

Reduce paper, save time, and get claims filled more quickly! Use the Oregon Health Plans’s EDI to expedite processing.

 

Verifying Clinics’ E-Mails

CareOregon wants to ensure that we can contact you with system alerts and other critical information. Please send your primary contact E-Mail address(es) to careoregonalerts@careoregon.org. Please identify each E-mail address with corresponding name and job title.

 

 

 

Other Provider Community Resources

Oregon SafeNet is the statewide, toll-free helpline for health and social service information. Many community providers, service agencies, and individuals use SafeNet to locate free or low-cost services statewide in a variety of languages.  Provide information about your flu clinic or other events.

OneHealthPort provides free, secure access to participating Oregon Health Plan and other payor administrative web sites through a single login process, launching 2011. Click here for more information about OneHealthPort Oregon.