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Regular updates for provider resources will be available on this page.
November 23, 2011
In preparation for the CMS mandatory implementation deadline of 1/1/2012, CareOregon is testing HIPAA transaction version 5010. For more information on 5010, refer to DMAP’s 5010 page or http://www.getready5010.org Transaction 835 (remittance advice) - We are testing with our trading partners. If your organization receives 835’s from us and is ready to test, please e-mail contact information to ICD10@careoregon.org. Read the CareOregon 5010 835 Information Guide.
Transaction 837 (claims submission) – CareOregon receives all 837’s via Emdeon. If you are interested in testing, please contact Emdeon at www.hipaasimplified.com. They have their companion guides posted at the same website. CareOregon’s EDI is 93975. The upgrade from 4010 to 5010 will not change other operations processes, for example we will continue to accept claims via the mail, and will continue to deliver remittance advices to providers either by 835, FTP or by mail as appropriate. Read CareOregon's 5010 837 FAQ.
Additional Resources for Providers
Best Practices and Health Promotions
Provider Forms and Policies
Medicaid Management Information System (MMIS) through the DHS
Formulary Updates
Quality Improvement Program Summary 2010
Partners and Programs
Care Support and System Innovation (CSSI)
Primary Care Renewal
