What is the Stedi payer ID for CareOregon?

The Stedi payer ID for CareOregon is JYMNM.

What is the primary payer ID for CareOregon?

The primary payer ID for CareOregon is 93975.

What payer IDs does CareOregon use?

In addition to its primary payer ID 93975, CareOregon uses several other payer IDs, including 2249, 2551, 93975, CXALC, Z1060, and Z1060MA.

What transactions does CareOregon support?

CareOregon supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with CareOregon?

CareOregon requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. CareOregon supports COB checks through Stedi.

What other names does CareOregon go by?

CareOregon is also known as CareOregon Advantage, CareOregon Dental, CareOregon Medicaid, and Jackson Care Connect.

All payers

PAYER

CareOregon

This page contains information you can use to exchange healthcare transactions with CareOregon using Stedi.

Use any of the following payer IDs to send transactions to CareOregon using Stedi APIs or SFTP. Read the docs

Primary Payer ID

93975

Stedi Payer ID

JYMNM

Payer ID aliases

2249, 2551, 93975, CXALC, Z1060, Z1060MA

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with CareOregon 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 CareOregon.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to CareOregon to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to CareOregon in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to CareOregon and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to CareOregon and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from CareOregon to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to CareOregon and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to CareOregon.

Get started

Use Stedi's APIs to get fast and reliable connectivity to CareOregon and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and CareOregon today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

CareOregon Advantage
CareOregon Dental
CareOregon Medicaid
Jackson Care Connect

Payer Network

All payers

PAYER

CareOregon

This page contains information you can use to exchange healthcare transactions with CareOregon using Stedi.

Use any of the following payer IDs to send transactions to CareOregon using Stedi APIs or SFTP. Read the docs

Primary Payer ID

93975

Stedi Payer ID

JYMNM

Payer ID aliases

2249, 2551, 93975, CXALC, Z1060, Z1060MA

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with CareOregon 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 CareOregon.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to CareOregon to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to CareOregon in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to CareOregon and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to CareOregon and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from CareOregon to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to CareOregon and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to CareOregon.

Get started

Use Stedi's APIs to get fast and reliable connectivity to CareOregon and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and CareOregon today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

CareOregon Advantage
CareOregon Dental
CareOregon Medicaid
Jackson Care Connect