Provider support

Provider Resources

This section includes the most commonly needed information for providers.

Please call Provider Customer Service at 503-416-4100 or 800-224-4840. Press option 3 for provider.

Care Management Department

Fax: 503-416-3637 or 800-862-4831

Verifying clinics’ email addresses

CareOregon is confirming clinics’ email addresses to ensure we can contact you with system alerts and other critical information. Please send the email address(es) that you want CareOregon to use when contacting your clinic to careoregonalerts@careoregon.org. Be sure to identify each email with a name and job title.

Need to change your clinic info?

Send changes or updates to providerupdates@careoregon.org.

Provider relations specialists
View our team assignments list to find your specialist. Fax us at 503-416-1478 or 800-874-3916.

Columbia Pacific CCO providers are contracted with CareOregon, the health insurance provider that works with Columbia Pacific. Below you will find the CareOregon Provider Manual, which also applies to CareOregon Advantage/Medicare contracted providers.

CareOregon Provider Manual

This manual has information on the following topics:

  • Membership
  • Benefits
  • Referrals and authorizations
  • Billing and payment
  • Interpretation
  • Transportation for OHP members
  • Provider relations specialists
  • Primary care
  • Medical record
  • Quality improvement
  • Credentialing
  • Medicare Advantage
  • Clinical practice guidelines

If you have questions, please contact your provider relations specialist.

CareOregon provides plan services to three Coordinated Care Organizations (CCO) and offers a Medicare Advantage plan supporting and enhancing sensible, localized, coordinated care.

If you are interested in becoming a contracted provider, please review our credentialing requirements (outlined in our CareOregon Provider Manual).

If you have additional questions, or would like to learn more about requesting consideration for a contract, please contact Customer Service at 800-224-4840 or 503-416-4100. You may also complete the New Contract Requests form here. Please be certain to include all applicable fields for consideration.

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

To submit claims electronically, use EDI Payer ID #93975. Paper claims can be mailed to:

Columbia Pacific CCO
C/O CareOregon Claims
PO Box 40328
Portland, OR 97240

Columbia Pacific CCO wants to help you and your patients have the best experience, which is why we help you coordinate live interpreters for patients who speak a language other than English. Please click here for resources like interpreter request forms, a language ID tool for your office, OHP “I speak” cards and more.

Training documents  can be found here.

CareOregon takes fraud, waste and abuse very seriously. If you suspect that benefits aren't being used correctly or want to report a case of waste, abuse or fraud, please contact Ethics Point at 888-331-6524. You also can file a report online at  www.ethicspoint.com.

Model of Care Training presentation for providers

Training documents can be found here.

If you have questions please contact Melodie Farmer Quality Assurance Program Manager, Medicare Population Health Partnerships at farmerm@careoregon.org or 503-416-4631.

Quality Metrics Toolkit

2022 CareOregon Quality Metrics Toolkit - all measures (Updated June 2022)

Model of care training: Presentation (PPTX) | Attestation