Medicaid Oregon
dentalmedicalvision
Summary
Medicaid Oregon is a dental, medical, and vision payer operating in Oregon. Claims route under payer ID AIDOR, with 10 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
AIDORAlso seen as 100237, 10160, 12K41, 5517, 930592162, CKOR1 and 4 more- Also known as
- Medicaid Oregon (DHS Office of Medical Assistance Programs), Medicaid Oregon (Department of Human Services Office of Medical Assistance Programs), Oregon Health Authority, Oregon Health Plan, Oregon Medicaid
- Service area
- OR
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Required | Several weeks |
| Institutional claims (837I) | Required | Several weeks |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Medicaid Oregon?
- The payer ID for Medicaid Oregon is AIDOR. Alternate IDs seen across clearinghouses include 100237, 10160, 12K41, 5517.
- Does Medicaid Oregon require ERA enrollment?
- Yes. Medicaid Oregon requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Medicaid Oregon cover?
- Medicaid Oregon operates in OR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Medicaid Oregon offer?
- Medicaid Oregon covers dental, medical, and vision.
- Can I submit claims to Medicaid Oregon electronically?
- Yes. Medicaid Oregon is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.