EDI Connectivity Information - Oregon

A. Is there a logo on the front side of the patient's health insurance card?

If this network repricing plan logo is present on the front side of the patients health insurance card and you are a participating provider with Providence Preferred Health Plan please use the EDI connectivity information listed below. If you are a non participating provider filing claims, please use the EDI connectivity information in section B below.

  • AMB/MCPS Medical Claims Processing Solutions
    • Contact: Steve Singer, (503) 291-7134 ext. 12 or Steves@ambpro.com
    • See AMB/MCPS for payer ID for PPO claims
  • CareVu
    • Contact your CareVu representative for electronic claims information. Sub-contracted through MedAvant (ProxyMed).
    • Payor ID: PPO = PHP00
  • ENS
    • Contact your ENS representative for electronic claims information. Sub-contracted through MedAvant (ProxyMed).
    • Payor ID: PPO = PHP00
  • Gateway EDI
    • Contact your Gateway EDI representative for electronic claims information. Sub-contracted through MedAvant (ProxyMed).
    • Payor ID: PPO = PHP00
  • McKesson HBOC
    • Contact your McKesson representative for electronic claims information or call 1-800-891-8601.
    • Payor ID: PPO-Professional = 2403, PPO-Institutional = 1915
  • MedAvant/ProxyMed
    • Contact: Provider.Enrollment@MedAvantHealth.com or 1-800-792-5256 Ext. 812 Payor ID: PPO = PHP00
  • Per Se' (formerly National Data Corporation - NDC)
    • Contact your McKesson representative for electronic claims information or call (408) 985-1777
    • Payor ID: PPO=2411
  • Payer Connection
    • Contact: products@payerconnections.com or (503) 419-6208
    • Payor ID: PPO = PPOOR
  • Per Se' Technologies
    • Contact: Corrine Morrow, Corrine.Morrow@Per-Se.com or (847) 608-7000 Ext. 111
    • Payor ID: PPO = 1999001
  • SSI Group
    • Contact: Thomas Mitchell 1-800-880-3032 Ext. 1131 or Thomas.Mitchell@ssigroup.com
    • See vendor for Payer ID
  • THIN
    • Contact your THIN representative. Sub-contracted through MedAvant (ProxyMed).
    • Payor ID: PPO = PHP00
Providence Preferred Health Plan Logo

B. No logo on front side of card, non-participating hospital provider, or a provider filing non-hospital claims?

If the above displayed logo is not present OR the logo is present but you are a non-participating hospital provider OR a provider filing non-hospital claims, there are several methods for submitting claims, depending on the EDI connectivity available to you and/or your clearinghouse:

1. HDM (can be used only if the provider uses HDM's Qwik File Product)

2. THIN

3. Emdeon

  • Payor ID: Hospital: 12T31; Medical: TH095
  • Phone number: 1-800-845-6592
  • Website: www.emdeon.com

C. Need further assistance?

If you need further assistance, please call 1-888-755-3064.

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