Supported transactions and limits
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
100237 - Payer ID
10160 - Payer ID
12K41 - Payer ID
5517 - Payer ID
930592162 - Payer ID
CKOR1 - Payer ID
OR-MMIS - Payer ID
ORDHS - Payer ID
ORMCD - Payer ID
SKOR0 - Also listed as Medicaid Oregon (DHS Office of Medical Assistance Programs)
- Also listed as Medicaid Oregon (Department of Human Services Office of Medical Assistance Programs)
- Also listed as Oregon Health Authority
- Also listed as Oregon Health Plan
- Also listed as Oregon Medicaid
Coverage states
Oregon.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow guidance
- Use 276/277 claim-status inquiries for electronic follow-up on submitted claims.
- Complete payer enrollment before submitting 837I or 837P claims or requesting ERA 835 files through the connection.
- Use 270/271 for standard eligibility and benefits checks, but handle coordination-of-benefits inquiries through another process.
- Keep an alternate workflow for 837D dental claims, 275 attachments, EFT, and combined ERA/EFT, which are unavailable.
Common questions
Can I check eligibility and benefits electronically with this payer?
Yes. Standard 270/271 eligibility and benefits transactions are available, but coordination-of-benefits 271 transactions are not.
Do I need payer enrollment for electronic claims and ERA?
Yes. Enrollment is required before using 837I institutional claims, 837P professional claims, or ERA 835 with this payer.
Can this payer send ERA or EFT?
ERA 835 is supported after payer enrollment. EFT and a combined ERA plus EFT service are unavailable.
Can I send dental claims and attachments electronically?
No. Dental claims 837D and attachments 275 are unavailable, so use another submission or document workflow.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
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