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Medicaid Oregon

Medicaid Oregon

This page contains information you can use to exchange healthcare transactions with Medicaid Oregon using Stedi.
Use any of the following payer IDs to send transactions to Medicaid Oregon using Stedi APIs or SFTP. Read the docs
Primary Payer ID
AIDOR
Stedi Payer ID
ZRTGI
Payer ID aliases
100237, 10160, 5517, 930592162, AIDOR, ORDHS, ORMCD, SKOR0
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicaid Oregon using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Medicaid Oregon.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Medicaid Oregon to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Medicaid Oregon in real-time by sending a claim status check (276/277).
Supported, enrollment required

Professional claims

(837P)
Submit professional claims to Medicaid Oregon and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Institutional claims

(837I)
Submit institutional claims to Medicaid Oregon and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Medicaid Oregon to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Medicaid Oregon and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Medicaid Oregon.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Medicaid Oregon and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Medicaid Oregon today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Medicaid Oregon (DHS Office of Medical Assistance Programs)
  • Medicaid Oregon (Department of Human Services Office of Medical Assistance Programs)
  • Oregon Health Authority
  • Oregon Health Plan
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