Provider support

As a CareOregon provider, you may have specific questions for us. Below, you’ll find contact and procedural information for providers. If you are looking for specific forms and policies, visit our provider page and select your area. Please click on a topic below to get started.

Contact Us 

Find the most convenient way to contact us, update your clinic information and sign up for updates from CareOregon.

When submitting claims to CareOregon, you have two options:

• Send claims electronically using our payer ID 93975.
• Mail paper claims to:
  • Claims, CareOregon
    PO Box 40328
    Portland OR 97240

To submit claims electronically:

• Use the same EDI Payer ID #93975 for all CareOregon entities (CareOregon Dental, CareOregon Advantage and CareOregon Medicaid claims). Do not bill separately for each plan.
• For EDI claims for which additional paperwork or documentation will be submitted, complete this form and indicate submission in the PWK segment (Loop 2300). 
• Contact your practice management system vendor or clearinghouse to initiate electronic claim submission. CareOregon accepts HIPAA-compliant 837 electronic claims through our clearinghouse, VisibilEDI. VisibilEDI will validate the claims for HIPAA compliance and send them directly to CareOregon. The CareOregon VisibilEDI portal can be found here: https://visibiledi.com/CareOregon/Home/Login. VisibilEDI offers several solutions for providers without a practice management system or clearinghouse. If you have questions about VisibilEDI contact providercustomerservice@careoregon.org or call CareOregon Provider Customer Service at 800-224-4840.

Becoming a CareOregon provider 

Thank you for your interest in joining CareOregon’s provider panel!

CareOregon administers plan services for three Coordinated Care Organizations (CCO) and a Medicare Advantage plan (D-SNP), supporting and enhancing sensible, localized, coordinated care. 

When submitting claims to CareOregon, you have two options:

• Send claims electronically using our payer ID 93975.
• Mail paper claims to:
  • Claims, CareOregon
    PO Box 40328
    Portland OR 97240

To submit claims electronically:

• Use the same EDI Payer ID #93975 for all CareOregon entities (CareOregon Dental, CareOregon Advantage and CareOregon Medicaid claims). Do not bill separately for each plan.
• For EDI claims for which additional paperwork or documentation will be submitted, complete this form and indicate submission in the PWK segment (Loop 2300). 
• Contact your practice management system vendor or clearinghouse to initiate electronic claim submission. CareOregon accepts HIPAA-compliant 837 electronic claims through our clearinghouse, VisibilEDI. VisibilEDI will validate the claims for HIPAA compliance and send them directly to CareOregon. The CareOregon VisibilEDI portal can be found here: https://visibiledi.com/CareOregon/Home/Login. VisibilEDI offers several solutions for providers without a practice management system or clearinghouse. If you have questions about VisibilEDI contact providercustomerservice@careoregon.org or call CareOregon Provider Customer Service at 800-224-4840.

Member Resources

Help our members and potential members get the right care and service they deserve, in a language they understand. From signing up eligible candidates to finding them a free air conditioner when it gets hot, you can find resources to provide the best service in the menus below.

When submitting claims to CareOregon, you have two options:

• Send claims electronically using our payer ID 93975.
• Mail paper claims to:
  • Claims, CareOregon
    PO Box 40328
    Portland OR 97240

To submit claims electronically:

• Use the same EDI Payer ID #93975 for all CareOregon entities (CareOregon Dental, CareOregon Advantage and CareOregon Medicaid claims). Do not bill separately for each plan.
• For EDI claims for which additional paperwork or documentation will be submitted, complete this form and indicate submission in the PWK segment (Loop 2300). 
• Contact your practice management system vendor or clearinghouse to initiate electronic claim submission. CareOregon accepts HIPAA-compliant 837 electronic claims through our clearinghouse, VisibilEDI. VisibilEDI will validate the claims for HIPAA compliance and send them directly to CareOregon. The CareOregon VisibilEDI portal can be found here: https://visibiledi.com/CareOregon/Home/Login. VisibilEDI offers several solutions for providers without a practice management system or clearinghouse. If you have questions about VisibilEDI contact providercustomerservice@careoregon.org or call CareOregon Provider Customer Service at 800-224-4840.

Submitting claims and receiving payment 

You can find instructions and options for various methods of submitting claims, receiving payments and remittance advices. 

When submitting claims to CareOregon, you have two options:

• Send claims electronically using our payer ID 93975.
• Mail paper claims to:
  • Claims, CareOregon
    PO Box 40328
    Portland OR 97240

To submit claims electronically:

• Use the same EDI Payer ID #93975 for all CareOregon entities (CareOregon Dental, CareOregon Advantage and CareOregon Medicaid claims). Do not bill separately for each plan.
• For EDI claims for which additional paperwork or documentation will be submitted, complete this form and indicate submission in the PWK segment (Loop 2300). 
• Contact your practice management system vendor or clearinghouse to initiate electronic claim submission. CareOregon accepts HIPAA-compliant 837 electronic claims through our clearinghouse, VisibilEDI. VisibilEDI will validate the claims for HIPAA compliance and send them directly to CareOregon. The CareOregon VisibilEDI portal can be found here: https://visibiledi.com/CareOregon/Home/Login. VisibilEDI offers several solutions for providers without a practice management system or clearinghouse. If you have questions about VisibilEDI contact providercustomerservice@careoregon.org or call CareOregon Provider Customer Service at 800-224-4840.

Provider Training

Stay up-to-date on quality metrics, fraud waste and abuse policies, and Model of Care training with the following tools.

When submitting claims to CareOregon, you have two options:

• Send claims electronically using our payer ID 93975.
• Mail paper claims to:
  • Claims, CareOregon
    PO Box 40328
    Portland OR 97240

To submit claims electronically:

• Use the same EDI Payer ID #93975 for all CareOregon entities (CareOregon Dental, CareOregon Advantage and CareOregon Medicaid claims). Do not bill separately for each plan.
• For EDI claims for which additional paperwork or documentation will be submitted, complete this form and indicate submission in the PWK segment (Loop 2300). 
• Contact your practice management system vendor or clearinghouse to initiate electronic claim submission. CareOregon accepts HIPAA-compliant 837 electronic claims through our clearinghouse, VisibilEDI. VisibilEDI will validate the claims for HIPAA compliance and send them directly to CareOregon. The CareOregon VisibilEDI portal can be found here: https://visibiledi.com/CareOregon/Home/Login. VisibilEDI offers several solutions for providers without a practice management system or clearinghouse. If you have questions about VisibilEDI contact providercustomerservice@careoregon.org or call CareOregon Provider Customer Service at 800-224-4840.

Other Provider Resources

When submitting claims to CareOregon, you have two options:

• Send claims electronically using our payer ID 93975.
• Mail paper claims to:
  • Claims, CareOregon
    PO Box 40328
    Portland OR 97240

To submit claims electronically:

• Use the same EDI Payer ID #93975 for all CareOregon entities (CareOregon Dental, CareOregon Advantage and CareOregon Medicaid claims). Do not bill separately for each plan.
• For EDI claims for which additional paperwork or documentation will be submitted, complete this form and indicate submission in the PWK segment (Loop 2300). 
• Contact your practice management system vendor or clearinghouse to initiate electronic claim submission. CareOregon accepts HIPAA-compliant 837 electronic claims through our clearinghouse, VisibilEDI. VisibilEDI will validate the claims for HIPAA compliance and send them directly to CareOregon. The CareOregon VisibilEDI portal can be found here: https://visibiledi.com/CareOregon/Home/Login. VisibilEDI offers several solutions for providers without a practice management system or clearinghouse. If you have questions about VisibilEDI contact providercustomerservice@careoregon.org or call CareOregon Provider Customer Service at 800-224-4840.