Health EDI Website

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 patient’s 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.

Providence Preferred Health Plan Logo

AMB/MCPS Medical Claims Processing Solutions

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

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

SSI Group

THIN

  • Contact your THIN representative. Sub-contracted through MedAvant (ProxyMed).
  • Payor ID: PPO = PHP00

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


C. Need further assistance?

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