CareOregon provider portal, phone and payer ID quick facts
| Provider resource entry point | https://www.careoregon.org/providers/support |
|---|---|
| Payer contact reference | 1-800-224-48408002244840 is valid Provider Customer Service; select option 3. Keep menu instructions separate from telephone digits. |
| Claims payer ID | CareOregon publishes claims payer ID 93975 for CareOregon Dental, CareOregon Advantage and CareOregon Medicaid 837 submissions. Current support HTML names VisibilEDI; the January 2026 manual still names Change Healthcare. Confirm configured vendor and claim workflow rather than treating either transport reference as all-current enrollment. |
| Eligibility payer ID | CareOregon separately describes 270/271 eligibility service. The checked sources do not establish a universal eligibility scalar; do not copy claims 93975. |
| ERA payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: CareOregon offers 835 enrollment through its ePayment Center/Zelis or separate form as applicable. The checked source does not establish one universal 835 identifier; blank is not absence of ERA. |
| Timely filing | Product-specific: Medicaid 120 days; Advantage one calendar year |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- 8002244840 is valid Provider Customer Service; select option 3. Keep menu instructions separate from telephone digits.
- The January 2026 manual distinguishes CareOregon Advantage initial claims received within one calendar year from the service date and Medicaid initial claims received within 120 days from the service date. Medicaid appeals or corrected claims use 365 days from the original remittance date; secondary claims use 365 days from the primary payer EOB date. Medicaid filing waivers are discretionary and require qualifying evidence. Confirm the applicable product, agreement and claim type; these separate start events do not establish a universal 120-day rule or a complete appeal ladder.
- This registry has not established a payer-specific appeal ladder for CareOregon. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
- CareOregon offers 835 enrollment through its ePayment Center/Zelis or separate form as applicable. The checked source does not establish one universal 835 identifier; blank is not absence of ERA.
CareOregon at a glance
| Legal name | CareOregon, Inc. |
|---|---|
| Also known as | Care Oregon |
| Category | Medicaid MCO |
| Parent organization | CareOregon |
| Claims payer ID | CareOregon publishes claims payer ID 93975 for CareOregon Dental, CareOregon Advantage and CareOregon Medicaid 837 submissions. Current support HTML names VisibilEDI; the January 2026 manual still names Change Healthcare. Confirm configured vendor and claim workflow rather than treating either transport reference as all-current enrollment. |
| Eligibility (270/271) payer ID | CareOregon separately describes 270/271 eligibility service. The checked sources do not establish a universal eligibility scalar; do not copy claims 93975. |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: CareOregon offers 835 enrollment through its ePayment Center/Zelis or separate form as applicable. The checked source does not establish one universal 835 identifier; blank is not absence of ERA. |
| NAIC company code | Not established in this registry |
| States covered | Oregon |
| Provider resource entry point | https://www.careoregon.org/providers/support |
| Provider phone | 1-800-224-48408002244840 is valid Provider Customer Service; select option 3. Keep menu instructions separate from telephone digits. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for CareOregon
The January 2026 manual distinguishes CareOregon Advantage initial claims received within one calendar year from the service date and Medicaid initial claims received within 120 days from the service date. Medicaid appeals or corrected claims use 365 days from the original remittance date; secondary claims use 365 days from the primary payer EOB date. Medicaid filing waivers are discretionary and require qualifying evidence. Confirm the applicable product, agreement and claim type; these separate start events do not establish a universal 120-day rule or a complete appeal ladder.
| Submission type | Window |
|---|---|
| Initial claim reference | Product-specific: Medicaid 120 days; Advantage one calendar year |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for CareOregon. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: CareOregon provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with CareOregon
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify CareOregon electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for CareOregon. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for CareOregon
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient CareOregon volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | CareOregon publishes claims payer ID 93975 for CareOregon Dental, CareOregon Advantage and CareOregon Medicaid 837 submissions. Current support HTML names VisibilEDI; the January 2026 manual still names Change Healthcare. Confirm configured vendor and claim workflow rather than treating either transport reference as all-current enrollment. |
| 270 / 271 eligibility | Listed in registry; verify current scope | CareOregon separately describes 270/271 eligibility service. The checked sources do not establish a universal eligibility scalar; do not copy claims 93975. |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: CareOregon offers 835 enrollment through its ePayment Center/Zelis or separate form as applicable. The checked source does not establish one universal 835 identifier; blank is not absence of ERA. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Initial, corrected/appeal and secondary clocks must retain their distinct product/start-event qualifications; this research does not establish the entire appeal ladder.
- Claims 93975 is independently documented; eligibility and ERA have separate workflows and remain unpopulated rather than inferred from claims.
- January 2026 manual claims text names Change Healthcare while current owner support HTML names VisibilEDI. Confirm setup with the actual clearinghouse.
- Earlier raw-manual retrieval attempts returned 403. On September 27, 2026, the current owner-linked January 2026 manual was downloaded through a public browser session; physical page 57 (printed page 56) was rendered and inspected for these filing distinctions. This is not whole-document or whole-record approval.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
field_status.era_payer_id, field_status.provider_phone, operational_notes, payer_ids.claims, policy_doc_urls, portal_url, source_notes, transaction_scope — CareOregon provider support
Source comparison: 2026-09-18
Source scope: 8002244840 option 3; claims 93975 for named CareOregon entities via 837/VisibilEDI; separate eligibility service and 835 enrollment, no universal copied IDs. Locator: Customer Service; Submitting claims; Electronic transactions; Batch eligibility. Version: No publication/effective date established on checked HTML. Retrieval: content_read; public_web_extracted_text_only. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for field_status.era_payer_id, field_status.provider_phone, operational_notes, payer_ids.claims, policy_doc_urls, portal_url, source_notes, transaction_scope — careoregon provider supporttransaction_scope, operational_notes, policy_doc_urls, source_notes — text-only manual version boundary — CareOregon Provider Manual
Source comparison: 2026-09-18
Source scope: Text extraction of the January 2026 claims section names Change Healthcare, while the checked owner support HTML names VisibilEDI. This is a source-version distinction only. Numeric filing proposals remain unapplied pending actual PDF bytes and relevant-page visual confirmation; no manual filing window is certified here. Locator: Physical page 56 / printed page 55, Claims, read as extracted text only; no page image was available. Version: Last revised January 2026; whole 89-page document not reviewed. Retrieval: text_read_pdf_bytes_and_visual_unresolved; public_web_extracted_text_only. Actual PDF bytes and page-image verification remain unresolved. No visual verification or numeric filing approval is claimed. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for transaction_scope, operational_notes, policy_doc_urls, source_notes — text-only manual version boundary — careoregon provider manualpolicy_doc_urls, source_notes — CareOregon provider manuals
Source comparison: 2026-09-18
Source scope: General physical-health manual distinguished from separate behavioral-health manuals; no blanket BH rule inferred. Locator: General provider manual link and separate behavioral-health manual. Version: No publication/effective date established on checked HTML. Retrieval: content_read; public_web_extracted_text_only. This is a partial source comparison, not whole-field or whole-record approval.
Primary source for policy_doc_urls, source_notes — careoregon provider manualstimely_filing_days, filing_rule, timely_filing_source_url — CareOregon January 2026 manual, physical page 57 / printed page 56
Source comparison: 2026-09-27
The January 2026 manual distinguishes CareOregon Advantage initial claims received within one calendar year from the service date and Medicaid initial claims received within 120 days from the service date. Medicaid appeals or corrected claims use 365 days from the original remittance date; secondary claims use 365 days from the primary payer EOB date. Medicaid filing waivers are discretionary and require qualifying evidence. Confirm the applicable product, agreement and claim type; these separate start events do not establish a universal 120-day rule or a complete appeal ladder. Public owner-linked PDF retrieved and relevant page visually checked September 27, 2026. Earlier September 18 access-limit findings retain their original dates; this later bounded check resolves their filing-page visual prerequisite, not every product, exception or whole-record approval.
Primary source for timely_filing_days, filing_rule, timely_filing_source_url — careoregon january 2026 manual, physical page 57 / printed page 56
Not checked in this pass: Whole-record approval, complete provider agreement/product exceptions and every jurisdiction; Complete appeal procedure, waiver eligibility/approval and claim-specific coverage; Authenticated portal, electronic transaction enrollment and QuickIntell integration or outcomes.
Sources used for this guide
- CareOregon provider support — No publication/effective date established on checked HTML.
- CareOregon Provider Manual — January 2026; physical page 57 / printed page 56 filing section visually checked September 27, 2026; not a whole-document review.
- CareOregon provider manuals — No publication/effective date established on checked HTML.
State coverage
CareOregon operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for CareOregon
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for CareOregon; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for CareOregon; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for CareOregon before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about CareOregon
Where is the CareOregon provider portal?
Use https://www.careoregon.org/providers/support as a starting point for CareOregon provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for CareOregon?
The January 2026 manual distinguishes CareOregon Advantage initial claims received within one calendar year from the service date and Medicaid initial claims received within 120 days from the service date. Medicaid appeals or corrected claims use 365 days from the original remittance date; secondary claims use 365 days from the primary payer EOB date. Medicaid filing waivers are discretionary and require qualifying evidence. Confirm the applicable product, agreement and claim type; these separate start events do not establish a universal 120-day rule or a complete appeal ladder.
What is the CareOregon payer ID?
Claims: CareOregon publishes claims payer ID 93975 for CareOregon Dental, CareOregon Advantage and CareOregon Medicaid 837 submissions. Current support HTML names VisibilEDI; the January 2026 manual still names Change Healthcare. Confirm configured vendor and claim workflow rather than treating either transport reference as all-current enrollment.. Eligibility (270/271): CareOregon separately describes 270/271 eligibility service. The checked sources do not establish a universal eligibility scalar; do not copy claims 93975.. ERA (835): No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: CareOregon offers 835 enrollment through its ePayment Center/Zelis or separate form as applicable. The checked source does not establish one universal 835 identifier; blank is not absence of ERA.. Do not substitute a claims ID for an unverified transaction ID. Check current source findings and the member ID card before submitting.
Does CareOregon accept electronic claims?
Verify CareOregon electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a CareOregon denial?
This registry has not established a payer-specific appeal ladder for CareOregon. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do CareOregon prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the CareOregon provider phone number?
This registry lists 1-800-224-4840 as a contact reference for CareOregon. 8002244840 is valid Provider Customer Service; select option 3. Keep menu instructions separate from telephone digits.
Automate workflows around CareOregon requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against CareOregon's current published documents before submission. CPT® is a registered trademark of the American Medical Association.