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: 503-416-3676 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
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.
This manual has information on the following topics:
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
The AMA recognizes electronic health care transactions as a cost saving, efficient way to do business and allows physicians to refocus resources on patient care. The links below provide information regarding various electronic transactions such as submitting claims, receiving payments and remittance advices.
CareOregon provides a couple of options for electronic payment.
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)